2016 Invitation for Participation in NY State of Health

On April 17, 2015, NY State of Health issued its invitation to insurers to participate for the 2016 plan year.  The invitation and related documents are listed below.

All questions about the application process should be directed to the Invitation Administrator at Nyhxpm@health.ny.gov. Answers to common questions that have been received are located in the "Questions and Answers" file listed below and posted on 5/15/15.

 

The Essential Plan contract template is available here.

 

Information about the 2015 plan invitation is available here.

 

Information about the 2017 plan invitation is available here. 

 

recertification

Resource Type
Policies
Audience
Insurers
Attachment Size
Questions and Answers, 5-15-15.pdf 337.58 KB
2016 Invitation to Participate in NYSOH, 5-15-15.pdf 598.1 KB
Attachment A - QHP - 2016 Essential Health Benefits REVISED June 2015.pdf 222.47 KB
Attachment B - QHP - 2016 Standard Plans.pdf 107.85 KB
Attachment C - QHP and SADP Rating Regions Map.pdf 158.5 KB
Attachment C - QHP and SADP Rating Regions.pdf 184.74 KB
Attachment D - QHP and SADP - 2016 Letter of Interest.docx 27.33 KB
Attachment E - QHP and SADP 2016 Participation Proposal.docx 51.03 KB
Addendum E.1 - QHP - 2016 Counties.xls 81 KB
Addendum E.2 - QHP - 2016 Non-standard Descriptions.xls 57.5 KB
Addendum E.3 - SADP - 2016 Counties.xls 80 KB
Attachment F - BHP - Benefits and Cost-Sharing, 5-15-15.pdf 296.64 KB
Attachment G - BHP - Rating Regions.pdf 184.37 KB
Attachment H - BHP - Letter of Interest.docx 31.3 KB
Attachment I - BHP - 2016 Participation Proposal.docx 44.69 KB
Addendum I.1 - BHP - 2016 Counties.xls 49 KB
Attachment J - Provider Network Submission Instructions 2016.pdf 279.38 KB
EPP Template Instructions.pdf 364.68 KB
EPP Admin Template - Due 5.29.15.xls 23 KB
EPP Plans Template - Due 5.29.15.xls 25.5 KB
EPP Service Area Template - Due 5.29.15.xls 261.5 KB
EPP Rates Template - Due 8.31.15.xls 39 KB
Publication Date