11 CRR-NY 362-2.9NY-CRR
STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 11. INSURANCE
CHAPTER XIV. INDIVIDUAL AND SMALL GROUP HEALTH INSURANCE AND FAMILY LEAVE BENEFITS COVERAGE
PART 362. THE HEALTHY NEW YORK PROGRAM AND THE DIRECT PAYMENT STOP LOSS RELIEF PROGRAM
SUBPART 362-2. RULES GENERALLY APPLICABLE TO THE HEALTHY NEW YORK PROGRAM
11 CRR-NY 362-2.9
11 CRR-NY 362-2.9
362-2.9 Healthy New York enrollment limitation.
(a) With respect to coverage effective on or after January 1, 2012, a health maintenance organization or a participating insurer may enroll new applicants in the Healthy New York Program only in the high deductible health plans set forth in section 362-2.8 of this Subpart.
(b) With respect to existing enrollees who are in non-high deductible health plans with coverage effective prior to January 1, 2012, a health maintenance organization or a participating insurer shall:
(1) permit qualifying individuals to add dependents to or remove dependents from their qualifying health insurance contracts; and
(2) permit qualifying small employers to add employees and dependents to or remove employees and dependents from their qualifying health insurance contracts.
(c) A health maintenance organization or participating insurer shall permit qualifying individuals and qualifying employers enrolled in non-high deductible plans to change their benefit packages to other non-high deductible plans with the same health maintenance organization or participating insurer at the time of annual recertification or a change in the premium rate.
11 CRR-NY 362-2.9
Current through May 31, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.