On April 1, NY State of Health is planning to notify current Essential Plan 200-250 members about the plan discontinuance scheduled for June 30, 2026. The health plan is planning on sending follow-up letters and emails to these impacted members on April 3.

As a reminder, Univera Healthcare will complete the required pharmacy benefit and prescription drug cost reporting for all fully insured and self-funded groups that have both our medical and pharmacy coverage. However, you or your clients must submit premium contribution information for the 2025 reference year using the online Prescription Data Collection (RxDC) form by April 10, 2026.

In this quarter’s Legislative Update, we highlight key political, legislative, and regulatory developments that may impact our industry.