Beginning Monday June 8th health insurance carriers will begin to send notices to individual and group health insurance customers notifying them of the 2021 rates they are requesting.  PLEASE NOTE: these rates are not final and are subject to change.  The State of New York Department of Financial Services can come back to the carrier to adjust their request and the new rate would be communicated as the “final rate” for 2021 at a later date.  Once the group gets the notice from the carrier it is their responsibility to distribute it to any employee in that specific plan (note each plan may have a different rate change).  In addition these notices can be sent in either hard copy form or electronically to the employees.  If you have any questions please don’t hesitate to reach out to any member of our Employee Benefits team for help.  Thank you!

Compliance With New York State Insurance Law and Small Group Eligibility

As part of our ongoing commitment to maintain compliance with New York State Insurance Law 4317(a)(1), we will continue to verify that our small groups are receiving community rates. As has been our practice, this process will include our request for confirmation of the number of full-time equivalent employees from our customers in the form of an Annual Group Information Form (AGIF).  Since this information is required in order to renew the group’s coverage, we will work closely with you to obtain the AGIFs for all of your groups who have not responded in the current year.  This will include additional reach-out letters to the non-responders requiring their reply.

Please contact the Employee Benefit department at KAFL with questions and for assistance with completing and submitting your AGIF (annual group information form).

On May 13, 2019, an application was submitted requesting 2020 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 2020 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

You will receive an encrypted e-mail notification with copies of the initial notification letters being sent to your groups starting May 20.  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.

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.

Resources:

 

Carrier Link with additional information.

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