New York Insurance Law Article 47 - MUNICIPAL COOPERATIVE HEALTH BENEFIT PLANS

• 4701 - Legislative Findings.
  (a) Cooperative health risk-sharing agreements allow public entities to: share, in whole or part, the costs of self-funding employee health benefit plans; provide municipal corporations,...
• 4702 - Definitions.
  As used in this article: (a) "Community rating" means a rating methodology in which the premium equivalent rate for all persons covered under a municipal...
• 4703 - Application for Certificate of Authority.
  (a) No municipal corporation shall establish, maintain or otherwise participate in a municipal cooperative health benefit plan in this state which provides benefits, in whole...
• 4704 - Conditions for Issuance of Certificate of Authority.
  (a) The superintendent shall issue a certificate of authority to a municipal cooperative health benefit plan if all of the following conditions, after examination and...
• 4705 - Municipal Cooperation Agreements.
  (a) The municipal cooperation agreement, under which the municipal cooperative health benefit plan is established and maintained, and any amendment thereto, shall be approved by...
• 4706 - Reserve and Surplus Requirements.
  (a) Notwithstanding any provision of law, the governing board of a municipal cooperative health benefit plan shall establish a reserve fund, and the plan's chief...
• 4707 - Stop-Loss Requirements.
  (a) The governing board of a municipal cooperative health benefit plan shall obtain and maintain on behalf of the plan a stop-loss insurance policy or...
• 4708 - Contingent Liability.
  (a) The municipal cooperation agreement and the plan document delivered to each participating municipal corporation shall provide that every municipal corporation participating in the municipal...
• 4709 - Plan Benefits and Disclosure.
  (a) The governing board of the municipal cooperative health benefit plan shall deliver or cause to be delivered the plan document to all participating municipal...
• 4710 - Additional Filing Requirements and Annual Report.
  (a) The governing board of the municipal cooperative health benefit plan shall: (1) file for approval with the superintendent a description of material changes in...
• 4711 - Examinations.
  (a) The superintendent may examine the affairs of a municipal cooperative health benefit plan as often as deemed necessary, but not less than once in...
• 4712 - Suspension or Revocation of Certificate of Authority.
  (a) The superintendent may suspend or revoke a certificate of authority issued to a municipal cooperative health benefit plan under the following circumstances: (1) for...
• 4713 - Plan Dissolution.
  (a) In any case in which the governing board of a municipal cooperative health benefit plan determines that there is reason to believe that the...
• 4714 - Transition.
  For municipal cooperative health benefit plans that provided medical, surgical or hospital services on or before January first, nineteen hundred ninety-three pursuant to a municipal...

Last modified: February 3, 2019