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Jun 11, 2019

The following user guides will provide step-by-step guidance for brokers utilizing the Small Business Marketplace.

 

Broker User Guides

Resource Type: 
Policies
May 23, 2019

Welcome to the NY State of Health Assistor Tool Kit.

On this page you will find specific tools and resources to help you reach and assist consumers, and also stay up-to-date with the latest information from NY State of Health.  Many of these resources can also be downloaded and printed.

 

Click on these headings for more information:

 

Resource Type: 
Policies
May 13, 2019

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:

 

Resource Type: 
Policies
Apr 23, 2019

On April 23, 2019, NY State of Health issued its invitation to insurers to participate for the 2020 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.  

Resource Type: 
Policies
Jan 15, 2019
Information on Form 1095A is available here
 
Information on Form 1095B is available here
 
Information on the lowest cost bronze plan and the affordability exemption is available here
 
 
Resource Type: 
Policies
Sep 24, 2018

The Department of Health proposes to submit an amendment to the Centers for Medicare and Medicaid Services (CMS) of its Basic Health Program Blueprint.  The amendment updates Section 1 to reflect staffing changes in the Department of Health.  It also updates Section 5 to provide the list of issuers that will be offering the program in 2019.  The amendment makes no changes to the program as it has been operating since January 1, 2016.  There is no additional estimated annual change to state expenditures as a result of the proposed amendment. 

Resource Type: 
Policies
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.  

 

Resource Type: 
Policies
Mar 13, 2018
On March 09, 2018, NY State of Health issued an amended Supplemental 2018 Plan Invitation (Supplemental Invitation) to all New York State licensed insurers reflecting new Small Business Marketplace flexibility permitted by the federal Notice of Benefit and Payment Parameters for 2019.   This invitation provides insurers the opportunity to submit to NY State of Health additional small group products, previously approved by the NYS Department of Financial Services for issuance in 2018, for sale on the SHOP starting in April 2018 for coverage effective July 2018 and later.&nbs
Resource Type: 
Policies
Nov 28, 2017

The Department of Health proposes to submit an amendment to the Centers for Medicare and Medicaid Services (CMS) of its Basic Health Program Blueprint.  The amendment updates Section 3 to reflect staffing changes in the Department of Health.  It also updates Section 5 to provide the list of issuers that will be offering the program in 2018.  The amendment makes no changes to the program as it has been operating since January 1, 2016.  There is no additional estimated annual change to state expenditures as a result of the proposed amendment. 

Resource Type: 
Policies
Apr 18, 2017

On April 18, 2017, NY State of Health issued its invitation to insurers to participate for the 2018 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.  

Resource Type: 
Policies

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