Section 4714. Transition


Latest version.
  • 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
      cooperation agreement authorized under article  five-G  of  the  general
      municipal  law,  the  reserve  and  surplus requirements in section four
      thousand seven hundred six of this article  may  be  phased  in  over  a
      period of up to five plan years, provided that:
        (a)  the  amount  for  the  reserve  described  in  paragraph  one  of
      subsection (a) of section  four  thousand  seven  hundred  six  of  this
      article:
        (1)  at  the end of the first plan year on or after the effective date
      of this article shall not  be  less  than  twelve  percent  of  expected
      incurred claims and expenses thereon for such plan year; and
        (2) at the end of each subsequent plan year during the phase-in period
      shall  not  be  less  than  the actual percentage amount in the previous
      year, plus an  amount  equal  to  the  difference  between  such  actual
      percentage  amount  and  the  percentage amount otherwise required under
      section four thousand seven hundred six of this article, divided by  the
      number of years remaining in the phase-in period;
        (b) the amount of surplus:
        (1)  at  the end of the first plan year on or after the effective date
      of this article shall not be less than two  percent  of  the  annualized
      earned premium equivalents during such plan year; and
        (2) at the end of each subsequent plan year shall not be less than the
      actual percentage amount in the previous plan year, plus an amount equal
      to  the  difference  between  such  actual  percentage  amount  and  the
      percentage otherwise required under section four thousand seven  hundred
      six  of  this  article,  divided by the number of years remaining in the
      phase-in period; and
        (c) the superintendent may reduce the aggregate or specific  stop-loss
      retention  amounts  or  attachment  points,  referred to in section four
      thousand seven hundred seven of this article, during the phase-in period
      for any municipal cooperative health  benefit  plan  which  consists  of
      fewer  than  five  municipal  corporations or which covers less than two
      thousand employees and retirees.