Section 4709. Plan benefits and disclosure  


Latest version.
  • (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  insurance.  Municipal corporations
      participating in the  municipal  cooperative  health  benefit  plan  are
      subject to contingent assessment liability."