The Affordable Care Act requires all health plan issuers and group health plans to provide eligible employees with a Summary of Benefits and Coverage (SBC). The SBC provides information to better understand your plan and allows you to compare coverage options.
This package is required due to one of the following plan coverage events:
At Employee Enrollment/Application:
SBCs must be given to eligible enrollees; including new hires at the time written application materials for enrollment are distributed. If no written application materials are distributed for enrollment, then the SBC must be given no later than the first date on which the subscriber is eligible to enroll.
Prior to Plan Renewal:
Upon your health plan renewal, 30 days prior to the renewal effective date the employer must:
- give enrolled employees and their dependents an SBC for the plan in which they are currently enrolled or,
- give enrolled employees and their dependents an SBC for the replacement plan in which they will be enrolled.
If you need more information on how to obtain a Summary of Benefits and Coverage of your current plan, please contact us. We’ll be happy to help you!