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New York’s Essential Health Benefit Base Benchmark Options

Jul 13, 2015

On July 1, 2015, New York State formally submitted its selection of its Essential Health Benefits benchmark plan to Health and Human Services. New York has selected the benefits of the State's largest small group plan, Oxford EPO, as the benchmark plan for 2017. According to an in-depth analysis by Milliman, Inc. for New York, this plan provides comprehensive benefit coverage to consumers while minimizing costs to both the individual and small group markets. See attached letter for details. For more information on the benefits covered by the Oxford EPO plan, see the final Milliman Report (available below).

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