Under federal rules, state Marketplaces are required to undergo an annual independent external financial and programmatic audit. NY State of Health's Programmatic and Financial Audits are available here.
Navigators provide enrollment assistance to individuals, families, small businesses and their employees who would like help applying for health insurance through the Marketplace.
Health Insurance Scam Alert Flyer
Your best protection against fraud and scams is being informed! Starting in Spring 2023, New York State will resume eligibility reviews and renewals for people enrolled in Medicaid, Child Health Plus, or the Essential Plan. While you may need to take action to renew your health insurance or the insurance of your family members, say no to scammers who might try to charge you to renew your health insurance.
Unwinding from the COVID-19 Public Health Emergency: A Communications Tool Kit to Keep New Yorkers Covered
2023 Coverage Year Enrollment Data
Essential Plan Guidance for COVID-19 Testing and Immunization After the Conclusion of the Federal Public Health Emergency
On May 11, 2023, the Public Health Emergency (“PHE”) declared by the U.S. Department of Health and Human Services expires. This update is provided to address coverage for COVID-19 testing and immunizations in Essential Plan following the expiration of the PHE.
Coronavirus (COVID-19) Information
Protect yourself and your family. Get Your COVID-19 Booster. The New York State Department of Health and the Centers for Disease Control and Prevention (CDC) recommend individuals 12 and older get the new bivalent COVID-19 booster. All New Yorkers, including children 6 months of age and older, should stay up to date with all recommended vaccine doses. Booster doses will maximize your protection and are free and available statewide. If you have questions, talk to your healthcare provider or vaccine administrator.
Broker Tools and Resources
Welcome to the NY State of Health Broker Tool Kit.
The administrative guides below will provide information for agents, brokers, and other assistors as they help small groups in the Small Business Marketplace. They provide general guidance and define important policies. The guides may be downloaded and printed or used as desktop resources.
Click on these headings for more information:
Information for Employers on Unwinding from the COVID-19 Public Health Emergency
The New York State Department of Health and NY State of Health are committed to ensuring that every New Yorker has access to quality, affordable health insurance.
NY State of Health 1332 Waiver Information Page
Updated: May 12, 2023
On May 12, 2023, New York submitted its final Section 1332 State Innovation Waiver application to expand the Essential Plan to New Yorkers with incomes up to 250% of the Federal Poverty Level to the U.S. Departments of Health and Human Services and Treasury. Through this expansion of Essential Plan coverage, the State seeks to increase access to high quality, affordable health insurance for low- and moderate-income individuals.