Insurers and Brokers

Guidance Memos

The Department of Financial Services issues guidance memoranda to the insurance companies participating in Healthy NY to assist them in program implementation. Below are links to a selection of Healthy NY guidance memoranda. This is not an exhaustive list of all guidance memos. Each memo below is in PDF format, which requires the Adobe Acrobat Reader for viewing and printing.

• February 7, 2013
  1. New Healthy NY Program Website
  2. Federal Health Care Reform Benefit and Annual Limit Updates
  3. Spouse as the Primary Policyholder
  4. 2013 High Deductible Health Plan (HDHP) Deductible Amounts
  5. Current Wage Level for Small Employers
  6. 2013 Individual Income Eligibility Levels
     
• October 25, 2011
  1. NYS Insurance Department and NYS Banking Department Merge
  2. New Enrollment Restriction for the Healthy NY Program
  3. Option to Switch to a non-Grandfathered Plan at Annual Recertification
  4. 2012 High Deductible Health Plan (HDHP) Deductible Amounts
• January 11, 2010
  1. Healthy NY Program Update
  2. New 2009 Healthy NY Annual Study
  3. 2010 Federal Poverty Limits and Income Eligibility
  4. Determining Household Size and Income Eligibility When a Young Adult Dependent is Covered Under a Parent’s Policy
  5. 2010 High Deductible Health Plan (HDHP) Deductible Amounts
  6. Reminder Regarding Policy Form Amendments
• September 23, 2009
  1. 2010 High Deductible Health Plan (HDHP) Amounts
  2. New Law: Continuation (COBRA) Coverage Extension to 36 Months
  3. New Law: Dependent Coverage Extension
  4. How Medicare Eligibility Affects Healthy NY Applicants and Members
  5. New Guidebooks for Individuals and Small Businesses
  6. Healthy NY Advertising and Outreach by Health Plans
• May 22, 2009
  1. Clarification of 11 NYCRR §362-2.3(d) Regarding Application Processing
  2. New Small Employer Wage Level
• February 6, 2009
  1. Increase in Income Levels for Individuals and Sole Proprietors
  2. Coverage for Chemotherapy Drugs
  3. Upstate Pilot Project
• November 16, 2007
  1. The Annual Recertification Process
  2. Healthy NY Broker Commissions
  3. Pregnancy as a Pre-Existing Condition
  4. Final Adoption of Third Amendment to Regulation 171
  5. More Healthy NY Web Site Changes
  6. Obtaining Publications
  7. 2008 Income Levels
  8. Recently Asked Questions
• February 13, 2007
  1. Timothy’s Law
  2. Changes to Federal Law Concerning Health Savings Accounts
  3. Post-Hospitalization and Post-Surgical Physical Therapy and Home Health Benefit
  4. Healthy NY Hotline
  5. Healthy NY Web Site Updates
  6. Small Employers
  7. Household Employees
  8. Proof of Income and Employment
• October 25, 2006

  Additional Guidance on the Healthy New York High Deductible Health Plan and the Additional Benefits

• October 5, 2006

  Healthy New York Program to Offer High Deductible Health Plan Option and Additional Benefits

• November 9, 2005

  Department Releases Circular Letter Concerning Medicare Part D Prescription Drug Benefits

• August 18, 2005
  1. Increase in Wage Level for Small Employer Participants
  2. Premium Increases Posted
  3. Advertising Campaign to Begin Fall 2005
  4. New Call Center Retained
  5. FAQs
• October 26, 2004
  1. Allowing Members to Change Selection of Benefit Package
  2. New Regulatory Changes
  3. New Healthy NY Web Site
  4. FAQs
• December 12, 2003
  1. New Income Limits Announced for 2004
  2. Enrollment News
  3. Reminder – Address to Direct Consumers/Complaints
  4. Some of the Questions You Have Asked
• April 1, 2003

  Changes to the Healthy NY Program

• Guidance on Medicare