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Network Adequacy and Out-of-Network Guidance

Guidance, filing instructions, and materials for implementation of the out-of-network law, Part H of Chapter 60 of the Laws of 2014.
(Documents in this section are in PDF format unless indicated otherwise)

General Health Insurance Filing Instructions

All insurers are encouraged to set their SERFF configuration to accept state generated messages from New York to receive notification of changes that affect filings.

Health Insurance Checklists, Model Language & Guidance

(comprehensive medical, accident, long term care, disability & specified disease)

New York State of Health (NYSOH) Coverage

Model Notices

Dental Filings

Student Health Insurance Filings

Medicare Supplement Rate Adjustment Filings – Instructions/Checklist & Exhibits

Rate Adjustment Filings - Instructions, Exhibits and Checklists

2015 Prior Approval NYSOH & Outside NYSOH

2014 NYSOH & Outside the NYSOH Checklists and Exhibits

Prior Approval Checklist and Exhibits

Reporting Requirements

Health Insurance Laws, Regulations, Circular Letters, Mandated & Make Available Benefits

Updated 04/16/2015

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