What are the requirements to establish a New York DBL private plan?
If an employer decides to implement a self-insured “Private” plan, the plan and the employer must meet the following requirements: The employer must have an insurance policy in place before self-insurance will be granted; No employee consent or enrollment is necessary; The plan must offer benefits at least equal to the state mandated DBL benefit; The employer can charge the employees the same or less than the DBL mandated contribution level, however, employees can not be charged more unless there have been improvements in coverage, in which case a higher contribution may be permitted. The employer must agree to cover the balance of the DBL level of plan costs that are in excess of employee contributions; The employer must agree to provide a guarantee bond, if so required by the state; and The employer must agree to pay all obligations, including benefits, fines, expenses, and assessments imposed pursuant to the DBL.
