Requiring local government employees and retirees in New York to pay a share of health insurance premiums could save more than $1 billion annually, according to a think tank report released Monday.

Most municipalities and many school districts pay most or all of the medical insurance costs incurred by current employees, the Nelson A. Rockefeller Institute of Government report said. In contrast, state employees and retirees who retired after 1982 shoulder 10% of individual premiums and 25% of family coverage. The institute is an independent policy think tank affiliated with the State University of New York.

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