Rate Increases in New York

Rate Increases have started to come out for NY Small group and individuals for January 1, 2019.  Note that these are requests, not approvals.  That won’t happen until sometime in the fall.  Also note that these are averages across all that companies products. With the elimination of the individual mandate under ObamaCare, the individual market is getting very large increases.  …

New York releases Paid Family Leave Claim Forms

New York State has released generic claim forms for the Paid Family Leave Act.  There are different claim forms for bonding, care-giving, and military.  Call your DBL carrier or our office with any questions.   Download Generic PFL claim forms from the State of New York here: PFL Claim Form  – Bonding PFL Claim Form – Providing Care PFL Claim Form – …

CIGNA NY Fined $2,000,000 by Insurance Department

DFS SUPERINTENDENT VULLO ANNOUNCES $2 MILLION FINE AGAINST CIGNA FOR VIOLATIONS OF NEW YORK INSURANCE LAW DFS Investigation Discovered That Cigna Illegally Sold Stop-Loss and Fully Insured Health Insurance Policies Outside of New York to New York-Based Small Groups Cigna Cherry-Picked Risks, Undermining the Integrity of New York’s Health Insurance Market Financial Services Superintendent Maria T. Vullo today announced that …

Gov. Cuomo announces new state shift pay rules

From News 12: PLAINVIEW – Gov. Andrew Cuomo announced Friday new protections for hourly workers across the state: They’ll have to be paid extra if their employers put them on call. Along with the announcement, the state Department of Labor released a list of employment guidelines designed to protect and compensate workers who are asked to adjust their schedules on …

Major Changes to NY Empire and Oxford plans for 2017

Empire Blue Cross Network Changes- EPO/PPO (i.e. “BlueCard”) –this is Empire’s best-in-class legacy BlueCard network Blue Priority – full BlueCard hospital network with a narrowed practitioner (doctor) network when in Empire’s 28-county service area. Plans are non-gated with National BlueCard access for folks living and traveling outside of NY.  Most of Northwell doctors now are non-participating in the Blue Priority …

Oxford pulling HMO and POS from NY Market

Beginning with January renewals, Oxford will no longer make the Oxford HMO and POS plans available.  the PPO and EPO plans will continue to be available.  This impacts a lot of groups, as the LIberty HMO was the “affordable” alternative for a company that wanted to keep Oxford. The company also has indicated it is leaving the individual off-exchange market …

Summary of New York Rate Increase Filings

INDIVIDUAL MARKET Company Name 2017 Requested Rate Change Aetna Life Insurance Company 19.4% Affinity Health Plan, Inc.* 20.7% Capital District Physicians’ Health Plan* 11.2% Crystal Run Health Plan, LLC 89.1% Empire HealthChoice HMO, Inc.* 24.0% Excellus Health Plan, Inc.* 15.9% Health Insurance Plan of Greater New York* 14.0% Healthfirst PHSP, Inc.* 6.6% HealthNow New York Inc.* 6.1% Independent Health Benefits …