Getting Started with MVP!

NYS Open Enrollment Period

Individuals can enroll in a plan directly through MVP or the New York State of Health™ — The Official Health Plan Marketplace. Open Enrollment has been extended through the end of the COVID-19 Public Health Emergency.

Do you qualify for tax credits?

Find out at nystateofhealth.ny.gov. If you qualify, you can enroll through the New York State of Health website. If you have questions, we are here to help! Contact our Small Business & Individual Service Unit at 1-844-865-0250 or SBIU@mvphealthcare.com.

Choose Your Plan and Enroll

You can enroll with MVP in one of two ways:

1. Use the Shop for a Plan tool at mvphealthcare.com/shop
2. Complete and return the enclosed Individual Enrollment Application and One-Time Direct Payment Plan Authorization form or your first month’s premium via a check made payable to MVP Health Care. These completed materials can be sent to:

Materials must be received by the 15 of the month to guarantee an effective date of coverage for the first of the next month.

Need Help? We’ve Got You Covered!

If you have questions or need additional assistance, please contact our Small Business & Individual Service Unit at 1-844-865-0250 or SBIU@mvphealthcare.com.

To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through New York State of Health—The Official Health Plan Marketplace— visit www.nystateofhealth.ny.gov or call 1-855-355-5777.

Health benefit plans are issued or administered by MVP Health Plan, Inc.; MVP Health Insurance Company; MVP Select Care, Inc.; and MVP Health Services Corp.

Eligibility Documentation

The following documentation is required upon enrollment with MVP:

• Form NYS-45 Quarterly Combined Withholding, Wage Reporting, and Unemployment Insurance Return or comparable documentation listing all currently enrolled employees
• Certificate of Incorporation and payroll records for newly formed business
• A copy of the most recent 1065 K-1 with income amount stricken (for partnerships)
• New York State Certificate of Assumed Name for groups using a Doing Business As (DBA)

Choose Your Plan and Enroll

1. Choose your plan online using the Shop for a Plan tool at mvphealthcare.com/shop
2. Complete and return the enclosed HMO Plans Product Application and/or EPO/PPO Plans Product Application and the HMO Health Plan Enrollment or Change form and/or EPO/PPO Health Plan Enrollment or Change form (for covered employees and their dependents)
3. Completed materials can be sent to:

Materials must be received by the 15 of the month to guarantee an effective date of coverage for the first of the next month.

Need Help? We’ve Got You Covered!

If you have questions or need additional assistance, please contact our Small Business & Individual Service Unit at 1-844-865-0250 or SBIU@mvphealthcare.com.

Eligibility Documentation

The following documentation is required upon enrollment with MVP:

• Form NYS-45 Quarterly Combined Withholding, Wage Reporting, and Unemployment Insurance Return or comparable documentation listing all currently enrolled employees
• Certificate of Incorporation and payroll records for newly formed business
• A copy of the most recent 1065 K-1 with income amount stricken (for partnerships)
• New York State Certificate of Assumed Name for groups using a Doing Business As (DBA)

Do you qualify for tax credits?

The Healthy NY Gold Plan is Marketplace certified. This means that you can access the federal small business health care tax credit if your business meets IRS guidelines. New York State of Health™ — The Official Health Plan Marketplace — determines New York State Small Business employer eligibility. Visit nystateofhealth.gov to learn more.

Choose Your Plan and Enroll

1. Choose your plan online using the Shop for a Plan tool at mvphealthcare.com/shop
2. Complete and return the enclosed Healthy NY Small Group Product Application and the Healthy NY Health Plan Enrollment form (for covered employees and their dependents)

3. Completed materials can be sent to:

Materials must be received by the 15 of the month to guarantee an effective date of coverage for the first of the next month.

Need Help? We’ve Got You Covered!

If you have questions or need additional assistance, please contact our Small Business & Individual Service Unit at 1-844-865-0250 or SBIU@mvphealthcare.com.

To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through New York State of Health—The Official Health Plan Marketplace— visit www.nystateofhealth.ny.gov or call 1-855-355-5777.