2023 Prior Approval NYSOH and Outside NYSOH

Unless noted otherwise, the following items are in PDF format.

• Template - 2023 Rate adjustment notices (Word)
  • Initial (Group Certificate Holder)
  • Initial (Group Policyholder)
  • Initial (Individual Policyholder)
• 2023 Prior Approval Exhibits (Zip)
• Instructions for the Filing of 2023 Premium Rates
• Checklist for the Filing of 2023 Individual Premium Rates
• 2023 - AV Screenshots - Standard Plans
• Attachment B - Standard Benefit Design Cost Sharing Description Chart (Revised 07/13/2022)