Small business health coverage made easy....SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP) W . Small business health coverage made easy. 2019 Premium Rate Information

SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP)

NOW HIRING.

Small business health coverage made easy.

2019 Premium Rate Information

2019 Rate InformationP

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Plan Name

QUARTER 1 RATES by Type of Coverage QUARTER 2 RATES by Type of Coverage QUARTER 3 RATES by Type of Coverage QUARTER 4 RATES by Type of Coverage

Individual

Individual +

Spouse

Parent +

Child(ren) Family Individual

Individual +

Spouse

Parent +

Child(ren) Family Individual

Individual +

Spouse

Parent +

Child(ren) Family Individual

Individual +

Spouse

Parent +

Child(ren) Family

BR

ON

ZE

ST $521.34 $1,042.69 $886.28 $1,485.83 $529.15 $1,058.29 $899.55 $1,508.07 $537.07 $1,074.13 $913.01 $1,530.64 $545.10 $1,090.21 $926.67 $1,553.54

ST - DP $537.40 $1,074.80 $913.58 $1,531.59 $545.44 $1,090.88 $927.25 $1,554.51 $553.60 $1,107.21 $941.13 $1,577.77 $561.89 $1,123.78 $955.21 $1,601.38

ST - DP - FP $521.34 $1,042.69 $886.28 $1,485.83 $529.15 $1,058.29 $899.55 $1,508.07 $537.07 $1,074.13 $913.01 $1,530.64 $545.10 $1,090.21 $926.67 $1,553.54

ST - FP $537.40 $1,074.80 $913.58 $1,531.59 $545.44 $1,090.88 $927.25 $1,554.51 $553.60 $1,107.21 $941.13 $1,577.77 $561.89 $1,123.78 $955.21 $1,601.38

ST + Dep29 - DP - FP $520.88 $1,041.76 $885.49 $1,484.50 $528.67 $1,057.35 $898.75 $1,506.72 $536.59 $1,073.17 $912.20 $1,529.27 $544.62 $1,089.23 $925.85 $1,552.16

ST + Dep29 - FP $536.92 $1,073.84 $912.76 $1,530.22 $544.95 $1,089.91 $926.42 $1,553.12 $553.11 $1,106.22 $940.29 $1,576.36 $561.39 $1,122.77 $954.36 $1,599.95

ST + Dep29 $520.88 $1,041.76 $885.49 $1,484.50 $528.67 $1,057.35 $898.75 $1,506.72 $536.59 $1,073.17 $912.20 $1,529.27 $544.62 $1,089.23 $925.85 $1,552.16

ST + Dep29 - DP $536.92 $1,073.84 $912.76 $1,530.22 $544.95 $1,089.91 $926.42 $1,553.12 $553.11 $1,106.22 $940.29 $1,576.36 $561.39 $1,122.77 $954.36 $1,599.95

SIL

VE

R

ST $579.02 $1,158.04 $984.33 $1,650.21 $587.69 $1,175.37 $999.07 $1,674.90 $596.48 $1,192.96 $1,014.02 $1,699.97 $605.41 $1,210.81 $1,029.19 $1,725.41

ST - DP $596.86 $1,193.73 $1,014.67 $1,701.06 $605.80 $1,211.59 $1,029.85 $1,726.52 $614.86 $1,229.72 $1,045.26 $1,752.36 $624.06 $1,248.13 $1,060.91 $1,778.58

ST - DP - FP $579.02 $1,158.04 $984.33 $1,650.21 $587.69 $1,175.37 $999.07 $1,674.90 $596.48 $1,192.96 $1,014.02 $1,699.97 $605.41 $1,210.81 $1,029.19 $1,725.41

ST - FP $596.86 $1,193.73 $1,014.67 $1,701.06 $605.80 $1,211.59 $1,029.85 $1,726.52 $614.86 $1,229.72 $1,045.26 $1,752.36 $624.06 $1,248.13 $1,060.91 $1,778.58

ST + Dep29 - DP - FP $578.50 $1,157.01 $983.46 $1,648.73 $587.16 $1,174.32 $998.17 $1,673.41 $595.95 $1,191.90 $1,013.11 $1,698.45 $604.87 $1,209.73 $1,028.27 $1,723.87

ST + Dep29 - FP $596.33 $1,192.66 $1,013.76 $1,699.54 $605.25 $1,210.51 $1,028.93 $1,724.97 $614.31 $1,228.62 $1,044.33 $1,750.79 $623.51 $1,247.01 $1,059.96 $1,776.99

ST + Dep29 $578.50 $1,157.01 $983.46 $1,648.73 $587.16 $1,174.32 $998.17 $1,673.41 $595.95 $1,191.90 $1,013.11 $1,698.45 $604.87 $1,209.73 $1,028.27 $1,723.87

ST + Dep29 - DP $596.33 $1,192.66 $1,013.76 $1,699.54 $605.25 $1,210.51 $1,028.93 $1,724.97 $614.31 $1,228.62 $1,044.33 $1,750.79 $623.51 $1,247.01 $1,059.96 $1,776.99

GO

LD

ST $692.73 $1,385.45 $1,177.63 $1,974.27 $703.09 $1,406.19 $1,195.26 $2,003.81 $713.61 $1,427.23 $1,213.15 $2,033.80 $724.29 $1,448.59 $1,231.30 $2,064.24

ST - DP $714.09 $1,428.19 $1,213.96 $2,035.17 $724.78 $1,449.56 $1,232.13 $2,065.62 $735.63 $1,471.25 $1,250.57 $2,096.54 $746.64 $1,493.27 $1,269.28 $2,127.91

ST - DP - FP $692.73 $1,385.45 $1,177.63 $1,974.27 $703.09 $1,406.19 $1,195.26 $2,003.81 $713.61 $1,427.23 $1,213.15 $2,033.80 $724.29 $1,448.59 $1,231.30 $2,064.24

ST - FP $714.09 $1,428.19 $1,213.96 $2,035.17 $724.78 $1,449.56 $1,232.13 $2,065.62 $735.63 $1,471.25 $1,250.57 $2,096.54 $746.64 $1,493.27 $1,269.28 $2,127.91

ST + Dep29 - DP - FP $692.11 $1,384.21 $1,176.58 $1,972.50 $702.46 $1,404.93 $1,194.19 $2,002.02 $712.98 $1,425.95 $1,212.06 $2,031.98 $723.65 $1,447.29 $1,230.20 $2,062.39

ST + Dep29 - FP $713.46 $1,426.91 $1,212.87 $2,033.35 $724.13 $1,448.26 $1,231.02 $2,063.78 $734.97 $1,469.94 $1,249.45 $2,094.66 $745.97 $1,491.94 $1,268.15 $2,126.01

ST + Dep29 $692.11 $1,384.21 $1,176.58 $1,972.50 $702.46 $1,404.93 $1,194.19 $2,002.02 $712.98 $1,425.95 $1,212.06 $2,031.98 $723.65 $1,447.29 $1,230.20 $2,062.39

ST + Dep29 - DP $713.46 $1,426.91 $1,212.87 $2,033.35 $724.13 $1,448.26 $1,231.02 $2,063.78 $734.97 $1,469.94 $1,249.45 $2,094.66 $745.97 $1,491.94 $1,268.15 $2,126.01

PL

AT

INU

M

ST $805.92 $1,611.84 $1,370.06 $2,296.87 $817.98 $1,635.96 $1,390.57 $2,331.25 $830.22 $1,660.44 $1,411.38 $2,366.13 $842.65 $1,685.29 $1,432.50 $2,401.54

ST - DP $830.80 $1,661.60 $1,412.36 $2,367.77 $843.23 $1,686.46 $1,433.49 $2,403.21 $855.85 $1,711.70 $1,454.95 $2,439.17 $868.66 $1,737.32 $1,476.72 $2,475.68

ST - DP - FP $805.92 $1,611.84 $1,370.06 $2,296.87 $817.98 $1,635.96 $1,390.57 $2,331.25 $830.22 $1,660.44 $1,411.38 $2,366.13 $842.65 $1,685.29 $1,432.50 $2,401.54

ST - FP $830.80 $1,661.60 $1,412.36 $2,367.77 $843.23 $1,686.46 $1,433.49 $2,403.21 $855.85 $1,711.70 $1,454.95 $2,439.17 $868.66 $1,737.32 $1,476.72 $2,475.68

ST + Dep29 - DP - FP $805.20 $1,610.40 $1,368.84 $2,294.82 $817.25 $1,634.50 $1,389.32 $2,329.16 $829.48 $1,658.96 $1,410.11 $2,364.02 $841.89 $1,683.79 $1,431.22 $2,399.39

ST + Dep29 - FP $830.05 $1,660.11 $1,411.09 $2,365.65 $842.48 $1,684.95 $1,432.21 $2,401.06 $855.08 $1,710.17 $1,453.64 $2,436.99 $867.88 $1,735.76 $1,475.40 $2,473.46

ST + Dep29 $805.20 $1,610.40 $1,368.84 $2,294.82 $817.25 $1,634.50 $1,389.32 $2,329.16 $829.48 $1,658.96 $1,410.11 $2,364.02 $841.89 $1,683.79 $1,431.22 $2,399.39

ST + Dep29 - DP $830.05 $1,660.11 $1,411.09 $2,365.65 $842.48 $1,684.95 $1,432.21 $2,401.06 $855.08 $1,710.17 $1,453.64 $2,436.99 $867.88 $1,735.76 $1,475.40 $2,473.46

Key to Abbreviations: ST = Standard [includes DP (Domestic Partnership), FP (Family Planning) and Dep25 (Dependent Coverage through age 25)] Dep29 = Dependent Coverage through age 29

the plan of choice for over half a million new yorkers!

MKT 18.211

SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP)