Family Health Plus
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1. adults between ages 19-94 who have income/resources too high to
qualify for Medicaid
2. available to single adults, couples without kids, parents who are residents
of NY, US citizens, or fall under many immigration categories
3. provides comprehensive coverage, including prevention, primary care,
hospitalization, prescriptions, other services
4. minimal copays and health care services provided through participating
managed care plans
if an insurer decides to discontinue offering hospital, surgical, or major medical
coverage in the individual market, it must: (4)
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, 1. give at least 90 days advance written notice to Superintendent
2. give at least 90 days written notice to each covered individual before
coverage is discontinued
3. offer each covered individual the option to purchase coverage in all
other hospital, surgical, and major medical coverage plans currently being
offered in individual market
4. act uniformly without regard to claims experience or any health status-
related factor
if an insurer decides to discontinue offering all hospital, surgical, and major medical
coverage in the individual market in NEW YORK, it must: (4)
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1. give at least 180 days advance written notice to Superintendent
2. give at least 180 days written notice to each covered individual before
coverage is discontinued
3. discontinue issuing and renewing all hospital, surgical, and major medical
coverage in this state in the individual market
4. provide the Superintendent with a written plan to minimize potential
disruption based on its withdrawal from the market
Examples of personally identifiable information (6)
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, 1. info a consumer provides on an insurance application
2. account balance info and payment history
3. fact that an individual is or has been one of the licensee's customers
4. any info about a consumer if it is disclosed in a manner that indicates
individual is or has been the licensee's customer
5. any information the licensee collects through an internet "cookie" to
extent the info constitutes personally identifiable information
6. info appearing on a consumer report
Solicit/Solicitation
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refers to attempt to sell insurance, or to ask or encourage a person to apply
for insurance from a particular licensed insurance company, fraternal
benefit society, or HMO
Nonpublic personal financial information
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1. personally identifiable financial information and any customer list,
description, or grouping that is derived using personally identifiable info
that isn't publicly available
2. doesn't include health info
Negotiate/Negotiation
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1. adults between ages 19-94 who have income/resources too high to
qualify for Medicaid
2. available to single adults, couples without kids, parents who are residents
of NY, US citizens, or fall under many immigration categories
3. provides comprehensive coverage, including prevention, primary care,
hospitalization, prescriptions, other services
4. minimal copays and health care services provided through participating
managed care plans
if an insurer decides to discontinue offering hospital, surgical, or major medical
coverage in the individual market, it must: (4)
Give this one a try later!
, 1. give at least 90 days advance written notice to Superintendent
2. give at least 90 days written notice to each covered individual before
coverage is discontinued
3. offer each covered individual the option to purchase coverage in all
other hospital, surgical, and major medical coverage plans currently being
offered in individual market
4. act uniformly without regard to claims experience or any health status-
related factor
if an insurer decides to discontinue offering all hospital, surgical, and major medical
coverage in the individual market in NEW YORK, it must: (4)
Give this one a try later!
1. give at least 180 days advance written notice to Superintendent
2. give at least 180 days written notice to each covered individual before
coverage is discontinued
3. discontinue issuing and renewing all hospital, surgical, and major medical
coverage in this state in the individual market
4. provide the Superintendent with a written plan to minimize potential
disruption based on its withdrawal from the market
Examples of personally identifiable information (6)
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, 1. info a consumer provides on an insurance application
2. account balance info and payment history
3. fact that an individual is or has been one of the licensee's customers
4. any info about a consumer if it is disclosed in a manner that indicates
individual is or has been the licensee's customer
5. any information the licensee collects through an internet "cookie" to
extent the info constitutes personally identifiable information
6. info appearing on a consumer report
Solicit/Solicitation
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refers to attempt to sell insurance, or to ask or encourage a person to apply
for insurance from a particular licensed insurance company, fraternal
benefit society, or HMO
Nonpublic personal financial information
Give this one a try later!
1. personally identifiable financial information and any customer list,
description, or grouping that is derived using personally identifiable info
that isn't publicly available
2. doesn't include health info
Negotiate/Negotiation
Give this one a try later!
