2021 Invitation for Participation in NY State of Health

On April 30, 2020, NY State of Health issued its invitation to insurers to participate for the 2021 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.  

 

The 2021 Essential Plan Model Subscriber Contract is available here.

 

 

Resource Type
Policies
Attachment Size
2021 NY State of Health Plan Invitation, revised 5-8-20.pdf 539.85 KB
2021 Plan Invitation FAQs.pdf 197.19 KB
Attachment A - 2021 QHP Essential Health Benefits.pdf 165.94 KB
Attachment B - Standard Products 2021 (Cost Sharing Chart) Updated 5-7-20.pdf 184.58 KB
Attachment C - Standard Products 2021 (Cost Sharing Chart).pdf 152.55 KB
Attachment D - QHP and SADP Rating Regions by County_pdf.pdf 63.88 KB
Attachment E - QHP and SADP Rating Regions Map_0_0.pdf 167.04 KB
Attachment F - 2021 Letter of Interest .docx 29.47 KB
Attachment G (1) - 2021 QHP and SADP Participation Pr... docx.docx 56.94 KB
Attachment G (2) 2021 QHP Non Standard Product.xls 57.5 KB
Attachment G (3) - 2021 QHP Products Offered by County and Market.xls 83.5 KB
Attachment G (4) - 2021 SADP Products Offered by County and Market .xls 88.5 KB
Attachment H - EP Benefits and Cost-Sharing_.pdf 137.52 KB
Attachment H - EP Benefits and Cost-Sharing effective 6-1-21.pdf 178.68 KB
Attachment I - EP Rating Regions_0_0.pdf 190.45 KB
Attachment J - EP Rating Regions Map_0_0.pdf 239.53 KB
Attachment K (1)- 2021 EP Participation Proposal docx.docx 45.32 KB
Attachment K (2) - 2021 EP Products Offered by County .xls 50 KB
Attachment L - 2021 EP Template Instructions_.pdf 199.91 KB
Attachment M - 2021 EP Admin Template (1).xls 23 KB
Attachment N - 2021 EP Plans Template .xls 23 KB
Attachment O - 2021 EP Rates Template .xls 169 KB
Attachment P - 2021 Service Area.xls 2.53 MB
Attachment Q - 2021 Provider Network Submission Instructions_.pdf 157.38 KB
Attachment R 2021 URL Template Instructions .pdf 86.95 KB
Attachment S 2021 URL Template.xls 25 KB
Publication Date