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Individual & Small Group – NYS Prior Approval of Rate Changes

We know the focus for everyone the past two months has been the coronavirus pandemic. And now, our attention is turning to efforts to reopen businesses in accordance with state and local guidelines. While all of this is happening, there are still mandates set by New York state that we are required to adhere to, including setting premium rates for next year.

On May 18, an application was submitted requesting 2021 premium rate changes in accordance with New York state prior approval law. This rate application applies to Community Rated Individual and Small Group products.

The following products are included in this 2021 rate filing:

  • Direct Pay Metal Plans and Base (catastrophic)
  • Bassett Preferred
  • CNY Preferred
  • Healthy NY EPO
  • SimplyBlue Plus
  • Excellus BCBS HMO

Employer Group Communication
Initial notification letters will be mailed to community-rated employer groups and direct pay members enrolled in the products listed above. The letter will include our requested rate percentage changes.

Broker Communication
Beginning on May 26, you will receive an encrypted e-mail notification with copies of the initial notification letters being sent to your groups. The encrypted emails* will expire if not read within the specified timeframe as indicated in your email notification.

Your groups will receive an annual rate notification with the actual, approved rates 60 days prior to their renewal date. The annual rate notices will be available to Brokers on Information Connection.

It’s important that the groups receive the notification and distribute the individual letters to their employees with any additional information explaining the rate changes which may be different from the rates in the initial notification letters (e.g., shared expense).

Please contact your account representative if you have any questions.

* Please Note: Encrypted files expire after a specified time from the send date. You will not be able to access the information in the file if the email isn't opened and read within that time. You will also be prompted to create a password associated with your email address to access the encrypted file.

 
 
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