Kelly Smith

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NY State of Health
The Official Health Plan Marketplace
“ What’s Been Accomplished?
What’s Next?
October 24th, 2014
AGENDA
 2014 Enrollment Recap
 Getting Ready for 2015
 Health Plan Updates
 Important Dates
 Update on the Small Business Marketplace
Open Enrollment Dates
NYSOH Tools and Resources
SBM Regions and Contacts
nystateofhealth.ny.gov
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Getting Ready for 2015
• Continuing education for NY State of Health assistors
• Increase knowledge and enhance skills
o Cultural Competency o Renewal Process
o Young Adults
o 2015 Health Plan
o How to Select a
Lineup
Health Plan
nystateofhealth.ny.gov
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New for 2015
Themed
Campaigns
Advertising
Campaign
Sponsorships
2015 Open
Enrollment
Calendar
of Events
Educational
Materials
Mobile
Campaigns
nystateofhealth.ny.gov
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2015 Qualified Health Plans
SBM
Plans
http://info.nystateofhealth.ny.gov/PlansMap
Important QHP Dates
Important
Individuals and Families
Small Businesses
November 15, 2014
Open enrollment begins for
coverage on 1/1/15
November 1, 2014
Open enrollment begins for
coverage on 1/1/15
December 15, 2014
Last day to enroll for 1/1/15
coverage
November 30, 2015
Last day to enroll for 1/1/15
coverage
12/15/14 extension available
February 15, 2015
Open enrollment for
individuals/families ends
Enroll by the end of any
month for coverage that
begins the first of the next
following month
nystateofhealth.ny.gov
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Small Business Marketplace
• New creative campaign
• Small business outreach
• Broker training and
resources
nystateofhealth.ny.gov
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Small Business Marketplace:
Value for Small Employers
Choice
•Employers and employees regard expanded choice as a key advantage to using the
Marketplace.
Administrative Simplicity
•The Marketplace provides monthly billing to employers along with other
administrative simplifications.
Tax Credits
•The Marketplace will be the exclusive place to access small business tax credits in
2014.
Contribution Options
•Many business owners believe this feature helps predict costs.
No Minimum Participation or Contribution
•NYSOH does not require a minimum number of employees be enrolled in a QHP
nor require an employer to contribute an amount towards premium.
nystateofhealth.ny.gov
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Tools & Resources Available on NYSOH Website:
• Broker Administrative Guide
• Anonymous Shopping Tool (Small Business)
• Tax Credit and Premium Calculator (Individuals)
• Summary of Benefits
• “Find a Broker” Search Function
• Consumer Education Materials
• Available in English, Spanish, Haitian Creole, French, Korean, Russian,
Italian, and Chinese
• Map of Health Plans by County
nystateofhealth.ny.gov
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Western NY Contact:
Joe Muldoon, SHOP Regional Director
Phone: 518-486-2504
joseph.muldoon@health.ny.gov
Questions?
nystateofhealth.ny.gov
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