New York Small Group Employer Application 2025

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the individual must be a New York State resident. the individual or the individuals spouse must have worked at some point within the last 12 months. the individuals employer must not arrange for and contribute to the cost of comprehensive insurance. the individual must not be eligible for Medicare.
Pay at least 50% towards your employees available lowest cost individual medical coverage. Offer coverage to all full-time employees working at least 30 hours per week.
Most states define a small group as an organization with between two and 50 employees. However, some states consider a company with between two and 100 employees a small group. The Affordable Care Act (ACA) only requires employers with 50 or more full-time equivalent employees (FTEs) to offer health insurance.
In New York, the new hire paperwork collection looks similar to that of other states: I-9 employment eligibility verification form (not required for volunteers, independent contractors, or unpaid interns) W-4 federal tax collection form. IT-2104 New York state tax withholding form.
To be eligible for Health Home services, an individual must have either two chronic conditions (see Appendix A - Health Home Chronic Conditions List) or one single qualifying condition, as follows: HIV/AIDS, or. Serious Mental Illness (SMI) (Adults), or. Sickle Cell Disease (both Adults and Children), or.
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The Healthy NY program, in partnership with CDPHP and other insurance companies in New York State, provides comprehensive and affordable health insurance to small businesses. Individuals and sole proprietors are no longer eligible for Healthy NY.
Qualified Health Plans are available through NY State of Health to individuals who are: New York State residents. Citizens, lawfully present applicants, and DACA recipients. Not eligible for Medicaid, the Essential Plan or Child Health Plus.

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