268-C – Functions of the Marketplace.
§ 268-c. Functions of the Marketplace. The Marketplace shall: 1. (a) Perform eligibility determinations for federal and state insurance affordability programs including medical assistance in accordance with section three hundred sixty-six of the social services law, child health plus in accordance with section twenty-five hundred eleven of this chapter, the basic health program in accordance […]
268-D – Special Functions of the Marketplace Related to Health Plan Certification and Qualified Health Plan Oversight.
§ 268-d. Special functions of the Marketplace related to health plan certification and qualified health plan oversight. 1. Health plans certified by the Marketplace shall meet the following requirements: (a) The insurer offering the health plan: (i) is licensed or certified by the superintendent or commissioner, in good standing to offer health insurance coverage in […]
268-E – Appeals and Appeal Hearings; Judicial Review.
§ 268-e. Appeals and appeal hearings; judicial review. 1. Any applicant or enrollee, or any individual authorized to act on behalf of any such applicant or enrollee, may appeal to the department from determinations of department officials or failures to make determinations upon grounds specified in subdivision four of this section. The department must review […]
268-F – Marketplace Advisory Committee.
§ 268-f. Marketplace advisory committee. 1. There is hereby created the marketplace advisory committee, which shall consider and advise the department and commissioner on matters concerning the provision of health care coverage through the NY State of Health or Health Plan Marketplace. 2. The marketplace advisory committee shall be composed of up to twenty-eight members […]
268-G – Funding of the Marketplace.
§ 268-g. Funding of the Marketplace. 1. The Marketplace shall be funded by state and federal sources as authorized by applicable law, including but not limited to applicable law authorizing the respective insurance affordability programs available through the Marketplace. 2. The accounts of the Marketplace shall be subject to supervision of the comptroller and such […]
268-H – Construction.
§ 268-h. Construction. Nothing in this article, and no action taken by the Marketplace pursuant hereto, shall be construed to: 1. preempt or supersede the authority of the superintendent or the commissioner; or 2. exempt insurers, insurance producers or qualified health plans from this chapter or the insurance law and any regulations promulgated thereunder.
269 – Hunger Prevention and Nutrition Assistance Program.
§ 269. Hunger prevention and nutrition assistance program. 1. The commissioner shall annually assess changing economic indicators impacting service levels within the hunger prevention nutrition assistance program in all regions of the state. Such assessment may include, but not be limited to, the average cost per meal, personnel costs, transportation costs, fuel costs and storage […]
268 – Statement of Policy and Purposes.
* § 268. Statement of policy and purposes. The purpose of this title is to codify the establishment of the health benefit exchange in New York, known as NY State of Health, The Official Health Plan Marketplace (Marketplace), in conformance with Executive Order 42 (Cuomo) issued April 12, 2012. The Marketplace shall continue to perform […]
268-A – Definitions.
§ 268-a. Definitions. For purposes of this title, the following definitions shall apply: 1. “Commissioner” means the commissioner of health of the state of New York. 2. “Marketplace” means the “NY State of Health, The official health plan Marketplace” or “Marketplace” established as a health benefit exchange or “marketplace” within the department of health pursuant […]
268-B – Establishment of Ny State of Health, the Official Health Plan Marketplace.
§ 268-b. Establishment of NY State of Health, The Official Health Plan Marketplace. 1. There is hereby established an office within the department of health to be known as the “NY State of Health, The official health plan Marketplace”. 2. The purpose of the Marketplace is to facilitate enrollment in health coverage and the purchase […]