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2021 Prior Approval NYSOH and Outside NYSOH

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

  • Template - 2021 Rate adjustment notices (Word, updated 03/20/2020)
    • Initial (Group Certificate Holder)
    • Initial (Group Policyholder)
    • Initial (Individual Policyholder)
  • 2021 Prior Approval Exhibits (Zip)
  • Instructions for the Filing of 2021 Premium Rates
  • Checklist for the Filing of 2021 Individual Premium Rates
  • updated! 2021 Standard Plans
  • 2021 Alternate Standard Plans
  • updated! Attachment B - Standard Benefit Design Cost Sharing Description Chart
  • Attachment C - Standard Benefit with 3 PCP Visits Design Cost Sharing Description Chart

Insurance Industry Questions

If you are unable to find the answer to your insurance question here, check our FAQs. If you have a question or need assistance, call (800) 342-3736 (M-F, 8:30 AM to 4:30 PM). Local calls can be made to (212) 480-6400 or (518) 474-6600.

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The Department of Financial Services supervises many different types of institutions. Supervision by DFS may entail chartering, licensing, registration requirements, examination, and more.
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Department of Financial Services

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