Healthy NY was authorized by the New York State Health Care Reform Act of 2000. Originally designed to encourage small businesses to offer health insurance coverage to their employees, it was also made available to uninsured workers, their dependents and other qualified individuals whose employers did not provide group health insurance. However, as a result of the implementation of the Affordable Care Act (ACA) in January 2014, Healthy NY no longer provides insurance coverage for individuals or sole proprietors; the program is limited to small employers only.
WHO ADMINISTERS THE PROGRAM
The State of New York Department of Financial Services administers Healthy NY. Health care is provided through Health Maintenance Organizations (HMO’s) or health plans that operate throughout NYS.
The premium cost of health insurance for small businesses is shared by the employer and employee. New York State regulation and sponsorship insures that premiums remain affordable.
Summary of Healthy NY
Healthy NY offers comprehensive health insurance through HMOs to qualified small businesses. The Healthy NY benefit package consists of health benefits covering essential health needs now required under the Affordable Care Act.
To participate in Healthy NY, small businesses must be located within NYS, have 50 or fewer employees, have at least 30% of their workforce receiving annual wages at or below $41,250 , and have not provided group health insurance during the 12 month period preceding application.