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2019 Invitation for Participation in NY State of Health

Apr 24, 2018

On April 24, 2018, NY State of Health issued its invitation to insurers to participate for the 2019 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 2018 Essential Plan Model Subscriber Contract is available here.

 

On March 5, 2018, NY State of Health issued a Supplemental 2018 Plan Invitation to all New York State licensed insurers.  It is available here.

 

Information about the 2018 plan invitation is available here.

 

Downloads: 
AttachmentSize
PDF icon 2019 NYSoH Insurer Invitation to Participate - REVISED 5.22.18 .pdf419.54 KB
PDF icon 2019 Plan Invitation Revised 05.14.18 FAQs.pdf110.97 KB
PDF icon Attachment A - 2019 QHP Essential Health Benefits.pdf229.88 KB
PDF icon Attachment B - Standard Products 2019 (Cost Sharing Chart).pdf113.65 KB
PDF icon Attachment C - Standard Benefit with 3 PCP Visits Design Cost Sharing Description 2019 (Cost Sharing Chart).pdf110.18 KB
PDF icon Attachment D - QHP and SADP Rating Regions by County.pdf63.88 KB
PDF icon Attachment E - QHP and SADP Rating Regions Map.pdf167.04 KB
File Attachment F - 2019 Letter of Interest.docx28.76 KB
File Attachment G (1) - 2019 QHP and SADP Participation Pr... (1).docx52.78 KB
Office spreadsheet icon Attachment G (2) - 2019 QHP Non-Standard Product Offer... (1).xls56 KB
Office spreadsheet icon Attachment G (3) - 2019 QHP Products Offered by County and Market (2).xls83.5 KB
Office spreadsheet icon Attachment G (4) - 2019 SADP Products Offered by County and Market (3).xls89 KB
PDF icon Attachment H - EP Benefits and Cost-Sharing.pdf314.79 KB
PDF icon Attachment I - EP Rating Regions.pdf190.45 KB
PDF icon Attachment J - EP Rating Regions Map.pdf239.53 KB
File Attachment K (1)- 2019 EP Participation Proposal (1).docx44.87 KB
Office spreadsheet icon Attachment K (2) - 2019 EP Products Offered by County (2).xls50 KB
PDF icon Attachment L - 2019 EP Template Instructions.pdf340.22 KB
Office spreadsheet icon Attachment M - 2019 EP Admin Template.xls23 KB
Office spreadsheet icon Attachment N - 2019 EP Plans Template (2).xls23 KB
Office spreadsheet icon Attachment O - 2019 EP Rates Template.xls169 KB
Office spreadsheet icon Attachment P 2019 EP Service Area Template.xls2.54 MB
File Attachment Q - 2019 Provider Network Submission Instructions (1).docx31.05 KB
Resource Type: 
Policies