2024 Invitation for Participation in NY State of Health

On May 5, 2023, NY State of Health issued its invitation to insurers to participate for the 2024 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 2024 Essential Plan Model Subscriber Contract is available here.

The 2024 Essential Plan Model Plan Contract is available here.

 

Resource Type
Policies
Attachment Size
NYStateofHealth2024PlanInvitation.pdf 879.13 KB
Attachment A - 2024 QHP Essential Health Benefits.pdf 175 KB
Attachment B Standard Schedule of Benefits 2024 7.20.2023.pdf 518.91 KB
Attachment C - 2024 QHP and SADP Rating Regions by County.pdf 110.42 KB
Attachment D - 2024 QHP and SADP Rating Regions Map.pdf 211.25 KB
Attachment E - 2024 Letter of Interest.docx 29.79 KB
Attachment F (1) - 2024 QHP and SADP Participation .docx 53.01 KB
Attachment F (2) - 2024 QHP Products Offered by County and Market.xls 59 KB
Attachment F (3) - 2024 SADP Products Offered by County and Market.xls 89 KB
Attachment G - EP Benefits and Cost-Sharing_Revised 6 20 2023.pdf 212.21 KB
Attachment H - 2024 EP Rating Regions.pdf 238.44 KB
Attachment I - 2024 EP Rating Regions Map.pdf 260.95 KB
Attachment J (1)- 2024 EP Participation Proposal.docx 44.17 KB
Attachment J (2) - 2024 EP Products Offered by County.xls 49 KB
Attachment K - 2024 EP Template Instructions.pdf 214.58 KB
Attachment L - 2024 EP Admin Template.xls 17 KB
Attachment M - 2024 EP Plans Template.xls 23.5 KB
Attachment N - 2024 EP Rates Template.xls 169 KB
Attachment O - 2024 EP Service Area.xls 3.3 MB
Attachment P - 2024 Provider Network Submission Instructions.pdf 140 KB
Attachment Q - 2024 URL Template Instructions.pdf 87.22 KB
Attachment R - 2024 URL Template.xls 25 KB
Attachment S 2024 QDP and QHP with EmbedDntl Benes Cost-Sharing Filing Instructions revised 6 19 2023.pdf 224.32 KB
Attachment T 2024 QDP and QHP with Embedded Dental Benefits Cost-Sharing Template Rev 5.24.23.xlsm 306.43 KB
Publication Date