2021 Invitation for Participation in NY State of Health

Apr 30, 2020

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.  

 

Downloads: 
AttachmentSize
PDF icon 2021 NY State of Health Plan Invitation, revised 5-8-20.pdf539.85 KB
PDF icon 2021 Plan Invitation FAQs.pdf197.19 KB
PDF icon Attachment A - 2021 QHP Essential Health Benefits.pdf165.94 KB
PDF icon Attachment B - Standard Products 2021 (Cost Sharing Chart) Updated 5-7-20.pdf184.58 KB
PDF icon Attachment C - Standard Products 2021 (Cost Sharing Chart).pdf152.55 KB
PDF icon Attachment D - QHP and SADP Rating Regions by County_pdf.pdf63.88 KB
PDF icon Attachment E - QHP and SADP Rating Regions Map_0_0.pdf167.04 KB
File Attachment F - 2021 Letter of Interest .docx29.47 KB
File Attachment G (1) - 2021 QHP and SADP Participation Pr... docx.docx56.94 KB
Office spreadsheet icon Attachment G (2) 2021 QHP Non Standard Product.xls57.5 KB
Office spreadsheet icon Attachment G (3) - 2021 QHP Products Offered by County and Market.xls83.5 KB
Office spreadsheet icon Attachment G (4) - 2021 SADP Products Offered by County and Market .xls88.5 KB
PDF icon Attachment H - EP Benefits and Cost-Sharing_.pdf137.52 KB
PDF icon Attachment I - EP Rating Regions_0_0.pdf190.45 KB
PDF icon Attachment J - EP Rating Regions Map_0_0.pdf239.53 KB
File Attachment K (1)- 2021 EP Participation Proposal docx.docx45.32 KB
Office spreadsheet icon Attachment K (2) - 2021 EP Products Offered by County .xls50 KB
PDF icon Attachment L - 2021 EP Template Instructions_.pdf199.91 KB
Office spreadsheet icon Attachment M - 2021 EP Admin Template (1).xls23 KB
Office spreadsheet icon Attachment N - 2021 EP Plans Template .xls23 KB
Office spreadsheet icon Attachment O - 2021 EP Rates Template .xls169 KB
Office spreadsheet icon Attachment P - 2021 Service Area.xls2.53 MB
PDF icon Attachment Q - 2021 Provider Network Submission Instructions_.pdf157.38 KB
PDF icon Attachment R 2021 URL Template Instructions .pdf86.95 KB
Office spreadsheet icon Attachment S 2021 URL Template.xls25 KB
Resource Type: 
Policies