Deadline for Applications is Monday, July 14, 2014, 5pm.

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Candice Kelly
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1 7 th Inning Stretch Awards for Assistors Instructions & Application In-person assistors, Navigators and Certified Application Counselors (CACs), are the face of NY State of Health in communities across the state. Thanks in large part to the work of in-person assistors, nearly one million New Yorkers gained coverage through the Marketplace during the first open enrollment period. The best way to learn about innovative and new ideas is to share them with each other. That s why, with the help of the New York State Health Foundation (NYSHealth), we created the 7 th Inning Stretch Awards as part of our Spring Training series. Here are the rules of the game: There are five categories of awards (see application below). Awards will be given to both a Navigator organization and a CAC organization in each category. Assistor organizations will submit applications for the awards. Organizations can apply in one or more categories. (For navigator organizations, lead navigator agency or subcontractor can apply.) Use one form per entry, per category. The Marketplace will compile the entries and distribute them to assistors for voting. Assistors will vote for winners in each category. Marketplace staff will not vote. NY State of Health reserves the right to reject nominations containing inappropriate or inaccurate information or that describe strategies that do not conform to Marketplace rules. Winners will be announced during the 7 th Inning of Spring Training. Funding from the New York State Health Foundation will support the production of the awards. Completed applications should be returned to: exchangerac@health.state.ny.us Questions should be ed to: exchangerac@health.state.ny.us. Deadline for Applications is Monday, July 14, 2014, 5pm. 1

The best way to learn about innovative and new ideas is to share them with each other.

2 7 th Inning Stretch Awards - Application Name of the Organization that is applying: Contact person at the organization that is applying: Name: Phone Number: Address: The organization that is applying is a (check one): Navigator Certified Application Counselor What regions of the state does this organization serve? Check all that apply. Western NY Central NY/Finger Lakes Capital District/Mid-Hudson/Northern NY New York City Long Island 2

one): Navigator Certified Application Counselor What regions of the state does this organization serve?

3 Award Categories Category 1 - Most innovative enrollment strategy Explain the enrollment strategy that was used and why you think it was innovative. Discuss how the enrollment strategy was developed and implemented. Was the strategy targeted to a specific audience (Young Adults, Immigrants, African Americans, Hispanics, etc.)? If yes, why was that audience selected (research)? Describe the successful results of the strategy, including the number of people enrolled or the number of appointments scheduled, if available. 300 words or less. Please enter text below. 3

Was the strategy targeted to a specific audience (Young Adults, Immigrants, African Americans, Hispanics, etc.)?

4 Category 2 - Most unique location where consumers were enrolled Explain the location that was used and why you think it was unique. Describe the successful results of using this location, including the number of people enrolled or the number of appointments scheduled, if available. 300 words or less. Please enter text below. 4

Describe the successful results of using this location, including the number of

5 Category 3 - Best tip/advice for new assistors Based on your experience during the first open enrollment period, share your best tip or advice for a new assistor. How does your tip/advice directly relate to getting New Yorkers enrolled in coverage through the Marketplace? Be specific and explain why your advice should be voted as the best. 300 words or less. Please enter text below. 5

How does your tip/advice directly relate to getting New Yorkers enrolled in coverage through the

6 Category 4 - Best co-branded brochure, pamphlet, advertisement or other material Nominate your co-branded brochure, pamphlet, advertisement or other piece of material educating consumers about the Marketplace. Where and how was this material distributed? Was it produced in languages other than English? What was the measurable impact of the material? Attach or provide a link to the material in the you use to submit your application. 300 words or less. Please enter text below. 6

Where and how was this material distributed? Was it produced in languages other than English?

7 Category 5 Marketplace Wildcard Please use this space to discuss why you feel your organization went above and beyond to help consumers in some other way than those listed above. Explain exactly what was done, why and the outcome, including the number of people enrolled or the number of appointments scheduled. 300 words or less. Please enter text below. 7

A healthier business starts with. healthier employees.

A healthier business starts with healthier employees. NY State of Health s Small Business Marketplace Overview for Small Business Owners Call us at 1-855-355-5777 TTY: 1-800-662-1220 nystateofhealth.ny.gov