2019 New York Laws
ISC - Insurance
Article 47 - Municipal Cooperative Health Benefit Plans
4709 - Plan Benefits and Disclosure.

§  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 corporations
and  to  unions  which   are   the   exclusive   collective   bargaining
representatives  of  employees  covered by the plan and the summary plan
description to every employee  or  retiree  of  participating  municipal
corporations covered by the plan.
  (b)  The summary plan description shall be subject to regulation as if
it were a health insurance subscriber  certificate,  provided  that  the
superintendent  may  modify  or suspend any provision of this chapter or
regulation  promulgated  thereunder  pertaining  to  scope  or  type  of
coverage, if the superintendent determines:
  (1)  such  provision of this chapter or regulation to be inappropriate
for municipal cooperative health benefit plans;
  (2) such modification or suspension  not  to  be  prejudicial  to  the
interests of covered employees, retirees or dependents; and
  (3)   such  modification  or  suspension  not  to  be  destructive  of
competition.
  (c) Conspicuously printed on the first page of the plan  document  and
summary plan description, in at least ten point bold-face type, shall be
the following statement:
  "This  municipal  cooperative  health  benefit  plan is not a licensed
insurer. It operates under  a  more  limited  certificate  of  authority
granted   by   the   superintendent  of  financial  services.  Municipal
corporations participating in the municipal cooperative  health  benefit
plan are subject to contingent assessment liability."