![]() |
New York Codes Rules Regulations (Last Updated: March 27,2024) |
![]() |
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 |
Sec. 362-2.9. Healthy New York enrollment limitation
Latest version.
- (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.