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Introduction Consortium membership was initially offered to each municipal corporation within the geographical boundaries of Tompkins County and six contiguous counites of Cayuga, Chemung, Cortland, Schuyler, Seneca, and Tioga. On August 18, 2021 the New York State Department of Financial Services (DFS) approved a new Certificate of Authority expanding membership to include Broome, Chenango, Madison, Onondaga, Ontario, Oswego, Steuben, Wayne, and Yates Counties. In 2022 the Consortium has grown to having 53 municipal partners and approximately 6,500 covered lives. 
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