Changes to our underwriting guidelines were recently filed for reference with the Department of Financial Services. There are changes in several areas including group and subscriber eligibility. Please contact your account consultant with any questions.
Please refer to the attached underwriting guidelines recently filed for reference by the Department of Financial Services.
Changes to the guidelines include the following:
- Further clarity around headquartered locations (1st bullet on page 2 under Group Eligibility).
- Professional Employer Organization (PEO) guidance (7th bullet on page 2 under Group Eligibility).
- Multiple location guidance (8th bullet on page 2 under Group Eligibility).
- Further clarification regarding employees who do not live, work, or reside in our service area (First paragraph of Eligible Subscriber section on page 4).
Small Group Enrollment Checklist (PDF)Open a PDF
Medical Commercial Community Rated Underwriting Guidelines – Small Group (PDF)Open a PDF
Healthy New York Enrollment Checklist (PDF)Open a PDF