SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP)

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Small business health coverage made easy.

2019 Premium Rate Information

2019 Rate InformationP

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Lev

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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)