The Standard Benefit Guide

Health Insurance Marketplace

Notice of Medical Coverage Options:

THE NEW HEALTH INSURANCE MARKETPLACE OPEN ENROLLMENT DATES: November 1, 2022 – January 31, 2023

Under federal law, beginning January 1, 2014, individuals will be required to have minimum essential health coverage, or else be subject to a penalty. This is referred to as the “individual mandate. ” New York State of Health is intended to help individuals meet the individual mandate requirement by providing another marketplace to purchase coverage, and possibly qualify for federal assistance. Individuals who have insurance through their employers (or who are eligible for insurance through their employers) may opt out of the employer plan during their renewal period and go to New York State of Health to purchase health insurance (note employers are not required to pass on their employer contribution towards an employee's coverage election in New York State of Health). Based upon your specific income level and household size, you may receive more affordable coverage for yourself and/or dependents through New York State of Health . Individuals who have insurance through their employers (or who are eligible for insurance through their employers) are not eligible for federal assistance through the individual mandate. The New York State of Health website will help people find out whether they qualify for federal financial assistance that will reduce their costs for medical coverage. You do not need to purchase coverage through New York State of Health if you already have medical coverage. However, you have the option to do so if you wish. If you are interested in looking at the plans and potential costs with New York State of Health medical plans, please visit the link below. By using the “Health Plan Calculator,” you can see what your options are and how much

Please note: The Standard medical plans meet the affordability and minimal value of coverage tests, and are in full compliance with the requirements of large group employers required by the Affordable Care Act. The Standard medical plans do qualify as coverage required to fulfill individual mandate requirements. The Standard full- time employees and dependents are NOT eligible for tax subsidies through New York State of Health.

coverage would likely cost you. www.nystateofhealth.ny.gov

If you have questions, please visit the New York State of Health website at www.nystateofhealth.ny.gov , or call 311 or 1-855-355-5777

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