Month: October 2015


Open Enrollment Begins November 1st!


Open Enrollment for the New York State of Health Marketplace begins this Sunday, November 1, 2015 and runs through January 31, 2016. During Open Enrollment, consumers can switch plans or enroll for the first time.

New this year is the Essential Plan, a low or no cost health insurance option available to those who are over the income limit for Medicaid but still struggling with healthcare costs, despite subsidies. Depending on income, Essential Plan premiums range from $0 to $20 per month.

Consumers enrolled in Qualified Health Plans will renew their coverage between November 16, 2015 and December 15, 2016. At renewal, consumers will have the opportunity to compare plan options for 2016 coverage.

Applications and renewals can be completed online at https://nystateofhealth.ny.gov/ or by calling 1-855-355-5777


HWCLI November Membership Meeting: Adaptive Positioning – Nov. 19


Adaptive Positioning: Components of Non-Profit Sustainability
A conversation with David Greco


Thursday, November 19

Bank of America Building, 300 Broadhollow Road, Lower Level, Melville, NY 11747
8:30 am – Registration and breakfast
9:00 am – Meeting

Join HWCLI in a conversation about “adaptive positioning”, the strengthening and flexing of organizations to adapt and, thus, increase impact in our local communities.

David Greco, Managing Director of Social Sector Partners, is a senior nonprofit leader with more than 25 years of strategy, finance, fundraising and operations experience. David will lead a discussion on Barriers to Enterprise Availability, Business Model Repositioning, and The Role of Change Capital.

This will be a conversation that you won’t want to miss.

We welcome and encourage you to bring a member of your Board of Directors and/or your senior development/finance staff.

To register, please click here or copy and paste this link into your browser: http://conta.cc/1MqKdp0


NY State of Health Announces 2016 Health and Dental Plans


The New York State of Health Marketplace has announced the insurers that will offer health and dental plans to individuals and small businesses in 2016. This list also includes the insurers that will offer the new Essential Plan.

Health Republic, which was offered in 2014 and 2015, will not be offered in 2016. Consumers with Health Republic will be instructed to choose a new plan during their re-certification.

The full list of available plans for 2016 can be found here


Resource and Referral Guide – Services for Newly Arrived Immigrant Children and Their Families – Fall 2015


The Resource and Referral Guide (available in English and Spanish) is a coordinated list of services located on Long Island to assist schools, advocates, and others working with newly arrived immigrant children and their families.

Services offered by agencies include: Basic Needs (food, clothing, housing, etc.), Legal Services, Health Services (health insurance coverage, medical and dental services, and mental health services), Child and Family Welfare, Education, Faith-Based Services, and Advocacy.

The information contained in the guide was provided by individual agencies to Long Island Wins and the Health and Welfare Council of Long Island.


Coming Soon: The Essential Plan


More than 2.1 million people in New York State, nearly 12 percent of who live in Nassau and Suffolk counties, were enrolled in health insurance through the New York State of Health Marketplace by the close of the second open enrollment period, which ended on February 28, 2015. However, many people remain uninsured or struggle to pay for coverage, even with financial assistance. Starting November 1, 2015 a new, comprehensive and affordable option will be available through the New York State of Health Marketplace, known as the Essential Plan.

The Essential Plan will cover the same Essential Health Benefits covered by Qualified Health Plans, which includes emergency services, prescriptions, primary and preventive care, lab work, hospitalization, mental health services, habilitative and rehabilitative services, pediatrics and maternity and newborn care. Eligibility for the Essential Plan will be based on yearly income, with some consumers paying no premium and some consumers paying 20$ per month. There is no deductible for the Essential Plan but some consumers may have small co-payments for doctor visits, hospitals visits, prescriptions drugs and other services. The Essential Plan will be available to U.S Citizens under the age of 65 who earn too much to be eligible for Medicaid (more than $16,243 a year for single person, or more than $33,465 a year for a family of four) and lawfully present non-citizens with income below 200% of Federal Poverty Levels (less than $23,540 a year for a single person or less than $48,500 a year for a family of four).

Enrollment for the Essential Plan begins November 1, 2015 for coverage starting January 1, 2016 and enrollment is available all year long. Enrollment in the Essential Plan is not limited to new enrollees- those with current Marketplace coverage may switch during their recertification period, if eligible.

To enroll in health insurance through the New York State of Health Marketplace or to learn more about your insurance options visit https://nystateofhealth.ny.gov/ or call 1-855-355-5777 to enroll over the phone.


Oct. 15 deadline to request flood insurance review


Policyholders who submitted a flood insurance claim following Sandy have the opportunity to have their file reviewed if they feel that they were underpaid. FEMA reopened this review process after engineering firms were found to have altered or falsified documents to intentionally underpay policyholders.

The deadline to opt in to this process is tomorrow, October 15.

For more information, or to submit a request for a review, please click here.