Empire HealthChoice Assurance, Inc., and Empire HealthChoice HMO, Inc. (“Empire”) have submitted rate change requests to the New York Department of Financial Services (DFS) to modify premium rates for its small group products, starting on January 1, 2017, upon renewal or issuance.
The rates we have requested vary by product and geographic locations. The requested rate adjustment is from -1.9% to 19.2%, depending on the plan and rating region. Small groups with the products listed below will be impacted.
Effective January 1, 2017, for new business and upon renewal for existing small groups with 1–100 eligible employees:
(Note: A group of two includes the business owner and one eligible non-spouse employee; a group of 100 consists of the business owner plus 99 eligible employees.)
Empire Gold Healthy
New York Pathway
|1ST QUARTER 2017|
|Region 1: Albany||-1.9%||-1.8%||-1.6%|
|Region 3: Mid-Hudson||-1.8%||-1.7%||-1.5%|
|Region 4: NYC||5.1%||5.2%||5.4%|
|Region 7: Upstate||6.4%||6.5%||6.7%|
|Region 8: Long Island||16.3%||16.4%||16.6%|
|2ND QUARTER 2017|
|Region 1: Albany||-1.2%||-1.1%||-0.9%|
|Region 3: Mid-Hudson||-1.0%||-0.9%||-0.8%|
|Region 4: NYC||5.9%||6.0%||6.1%|
|Region 7: Upstate||7.2%||7.3%||7.4%|
|Region 8: Long Island||17.2%||17.3%||17.5%|
|3RD QUARTER 2017|
|Region 1: Albany||-0.4%||-0.3%||-0.2%|
|Region 3: Mid-Hudson||-0.3%||-0.2%||-0.1%|
|Region 4: NYC||6.6%||6.7%||6.9%|
|Region 7: Upstate||8.0%||8.1%||8.2%|
|Region 8: Long Island||18.0%||18.1%||18.3%|
|4TH QUARTER 2017|
|Region 1: Albany||0.3%||0.4%||0.5%|
|Region 3: Mid-Hudson||0.4%||0.5%||0.7%|
|Region 4: NYC||7.4%||7.5%||7.7%|
|Region 7: Upstate||8.8%||8.9%||9.0%|
|Region 8: Long Island||18.9%||19.0%||19.2%|
New York State law requires that groups and members be notified when carriers submit premium rate change requests, such as the above, to the DFS. It also requires that we explain the proposed rate change. A narrative explaining this proposed rate change request will be available on empireblue.com/priorapproval on or about May 16, 2016.
As a result, we want to make sure that you are aware of the following communications that we will send to group benefit administrators (GBAs) with the impacted products. Each communication includes both a filing notice/GBA letter and a notice for employers to share with their employees about the rate request.
Sample small group 2017 filing notification
January – May renewed small groups:
June – December renewing small groups:
We will mail a second notice to GBAs when final rates are approved by the DFS. Please note that the final, approved rates may differ from what is listed above and in the first notice, because the DFS may modify the proposed rates.
For all inquiries relating to existing small group business, call our GBA and Broker Call Center at 866-422-2583.
For small group product information, new business education and plan changes, call Broker Relations at 877-222-7666.