Resources

Jan 31, 2013

On January 31, 2013 the New York Health Benefit Exchange issued its invitation to health insurers and dental plans to participate in the New York Health Benefit Exchange.  The invitation and related documents are listed below.   Please note that the invitation is comprised of 13 documents.  Each document is posted in PDF format as well as Microsoft Word/Excel format for ease of use.

Resource Type: 
Policies
Jan 31, 2013

KPMG conducted an analysis to assess the needs of employers, producers, insurers, employees and the Small Business Health Options (SHOP) Exchange to assist in planning for the design, implementation, and operation of a successful SHOP Exchange in New York State. 

Resource Type: 
Reports & Data
Jan 31, 2013

This study, prepared by Health Management Associates (HMA), describes the current state of New York’s individual and small group insurance markets, including the market concentration of insurers, geographic distribution of enrollment, cost sharing and actuarial value of plans offered, and the distribution channels for accessing insurance in these markets. 

Resource Type: 
Reports & Data
Jan 17, 2013

On November 20, 2012, New York submitted a Level 2 Exchange Establishment Grant application to support the establishment and on-going development of New York's Exchange through December 31, 2014.  The State received an award of $185.8 million for this grant on January 17, 2013.  New York received a supplemental award of $41 million for this grant on September 20, 2013.

Resource Type: 
Grant Awards
Oct 26, 2012

On October 26, 2012, New York submitted its Blueprint application to HHS for approval to operate a state-based health benefit exchange.

Resource Type: 
Policies
Sep 25, 2012

The NYS Health Benefit Exchange submitted a series of documents to HHS in advance of the state's in-person design review scheduled for October 9th and 10th in Bethesda, MD.  The sections covered during the design review correspond with requirements of the State's Exchange Blueprint Application for Exchange Certification due November 16, 2012. A copy of the Blueprint application can be found here.

Resource Type: 
Policies
Sep 24, 2012

This report was prepared by Milliman, Inc.  This report identifies the issues around the selection of the essential health benefits (EHB) benchmark and discusses the implications that the EHB choice will have on consumers, businesses, and the state. The report examines the implications of the EHB choice on mandated benefits and the policies offered to the individual and small group markets both in and out of the exchange.

Resource Type: 
Reports & Data
Sep 19, 2012

It is important to understand how health insurance works.  Definitions of key health insurance and health care terms such as co-payment, deductible and coinsurance can be found in this glossary.

Resource Type: 
Materials (English)
Aug 23, 2012

On June 28, 2012, New York submitted a Level One application for the federal Exchange Establishment grant. The State received an award of $95.5 million for this grant on August 23, 2012.  New York received a supplemental award of $19 million for this grant on September 20, 2013.

Resource Type: 
Grant Awards
Aug 2, 2012

On August 2, 2012, the Health Benefit Exchange convened stakeholders to discuss preliminary results of Milliman's Essential Health Benefits study. There was an open public comment period and attendees were invited to provide feedback.

Resource Type: 
Public Comments

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