Data Submission and Filing Resources
- Healthy NY Monthly Data Submissions
- Health Equity Data Submissions
- Qualified Health Plan (QHP) 2026 Filing Instructions in SERFF (PDF)
Common Forms
- Contraceptive Exception Request Form (PDF)
- Court Ordered Treatment Certification Form (MS Word)
- Discontinuance and Renewal Model Notices and Requirements
- Network Adequacy and OON Model Forms and Disclosures
Select Information and Guidance
- Network Adequacy and Out-of-Network Guidance
- Definition of Sepsis for Purposes of Health Insurance Coverage
- Guidance Regarding Rate Guarantees and New Business Discounts (PDF)
- Guidance for Individual and Small Group Comprehensive Policy Forms Offered Inside and Outside NYSOH (PDF)
- Guidance for Large Group Comprehensive Medical Policy Form Filings (PDF)
- Decision: Implementation of the Market Stabilization Pool for 2017 (PDF)
- Mandated & Make Available Benefit Listing as of 2018
- Market Rules Guidance on Guaranteed Availability and Renewability
- Special Enrollment Period for Victims of Domestic Abuse or Spousal Abandonment
- 2018 Uniform Modification Policy Changes Guidance
New York State of Health (NYSOH) Coverage Resources
- NY Standardized Rating Regions for Individual and Small Group Health Insurance (PDF)
- NY Standardized Rating Regions Map (PDF)
- Grace Period Guidance
- Consumer Grace Period Notices
- Provider Pend Notices
Frequently Asked Questions
- Early Intervention Services Coverage FAQs
- Health Equity Data FAQ
- Insulin Cost-Sharing Limit FAQs
- IVF and Fertility Preservation Law FAQs
- Network Adequacy and Access Standards for Behavioral Health Services (11 NYCRR 38) FAQs
- Substance Use Disorder Treatment FAQs
- Telehealth Services Coverage FAQs
- Opioid treatment, PrEP, colorectal cancer screening, rabies, prescription drug coverage, and Donate Life Registry FAQs
- Association Health Plan (AHP) FAQs
- Circular Letter No. 20 (2017) FAQs and FAQs About Supplement No. 1 to Circular Letter No. 20 (2017)
- Court Ordered Treatment FAQs
- Mental Health and Substance Use Disorder (MHSUD) FAQs
- Step Therapy Legislation FAQs
- Small Group Expansion to 1-100 Employees FAQs
SERFF Public Access to Accident & Health Insurance Form Filings
The Department makes certain accident & health insurance policy form filings and Plan Management binder filings available for public viewing online, via the NAIC SERFF State Filing Access website. Filings disposed of on and after February 27, 2018 are available through SERFF Public Access. The public may also obtain access to filings by submitting a Freedom of Information Law (FOIL) request to the Department. Note that filings may be updated or changed by a subsequent filing. You should search for the most recent version of the filing. The Department is not responsible for any errors in or omissions from the filings. Filings may contain or incorporate material that is protected by U.S. or foreign copyright laws, and no person may reproduce, redistribute, or make commercial use of any such material in violation of those laws.