Marketplace Privacy Resources

Notices of Privacy Practices

The NY State of Health Marketplace is part of the New York State Department of Health (the "Department").

Notices of Privacy Practices are notices from the Department’s HIPAA covered programs, which describe how the program uses, shares and protects individually identifiable information maintained or collected by the program. The Notices also inform the reader of their rights with respect to the information and how the reader may exercise such rights, for example: the right to access the information, the right to request an amendment of the information, the right to restrict uses of the information, etc. The Notices are not forms to be completed, but rather are educational documents.

NY State of Health Marketplace

New York Medicaid Program

Child Health Plus Program

The Essential Plan

Summary of Privacy Practices

The Marketplace cares about your privacy. You may provide personal information to the Marketplace to determine whether you qualify for an insurance affordability program such as Medicaid, Child Health Plus, the Essential Plan or for premium tax credits and to enroll in these programs if you are eligible. You may provide personal information to shop for and enroll in a health plan. "Personal information" means information that can be used to identify you, including your full name, address or telephone number.

Also, the Small Business Marketplace allows small businesses to see if they qualify for the Small Business Health Care Tax Credit, shop for Marketplace certified health and dental plans, and enroll in coverage directly with an insurer or Marketplace-certified broker.

The information provided by you, including your personal information, is collected and used by the Marketplace only for the purposes for which you provided it. The Marketplace will only disclose your information if you have consented to the disclosure for particular purposes. For example, if you have provided personal information to check your eligibility for insurance affordability programs, the Marketplace will check your information against other government data sources to determine eligibility for the programs. When you select a health plan, the Marketplace will send your enrollment information to the plan and the plan will verify that they received the information.

The Marketplace limits access to personal information to only those employees and subcontractors who need access to perform their official duties. Employees and subcontractors are required to follow appropriate procedures to protect personal information.

The Marketplace has procedures to safeguard its information technology assets including authentication, monitoring, auditing and encryption. These security procedures have been integrated into the design, implementation and day-to-day operations of the Marketplace.

The full Privacy Policy is available at Notice of Marketplace Privacy Practices

Important Information Before You Apply

Children can apply for coverage any time during the year. Low-income adults who may be eligible for Medicaid or the Essential Plan can also apply at any time during the year. (Visit here to see if you are eligible.)

Other individuals and families can apply for coverage in a Qualified Health Plan only during Open Enrollment Period which begins November 1 every year, unless they have a life event, such as loss of coverage, marriage or birth of a child, that qualifies them for a Special Enrollment Period. Individuals must apply within 60 days of the Qualifying Life Event.

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Important Information Before You Apply

Children can apply for coverage any time during the year. Low-income adults who may be eligible for Medicaid or the Essential Plan can also apply at any time during the year. (Visit here to see if you are eligible.)

Other individuals and families can apply for coverage in a Qualified Health Plan only during Open Enrollment Period which begins November 1 every year, unless they have a life event, such as loss of coverage, marriage or birth of a child, that qualifies them for a Special Enrollment Period. Individuals must apply within 60 days of the Qualifying Life Event.

Continue