NY Office - 516-352-7000

NJ Office - 973-257-5558

fna@fnainsurance.com

UHC Oxford 2015

We wanted to ensure that you were aware of the 12/15/2018 deadline to submit enrollments for New York Essential Plan members for an effective date of 1-1-19. As a reminder the New York Essential Plan offering is a gap product for individuals above the Medicaid threshold and below the ACA Bronze affordability threshold. It may be a great opportunity for clients with a large population of part time employees. This product allows qualified individuals to enroll if they earn between 138% and 200% of the federal poverty level. 


Please also note that it is commissionable to brokers at $15PEPM if you are appointed on the New York individual exchange. 

  • Premium either $20, or $0 (depending upon income)
  • Eligible for ages 19-64
  • Must be an NY resident
  • Part Timers, 1099’s, Hourly Employees are eligible if they fit income requirements
  • Dental and Vision rider available for additional premium
  • Not eligible for Medicaid or minimum essential coverage
  • $200 Gym reimbursement
  • Network is “Essential Plan Program” on provider search (mirrors our Medicaid network with the exception of no Stonybrook)

Below, please find the NY Essential Plan Proposal, Fact Sheet, & and an "At A Glance" look at the plan. For any questions please let us know.