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Home Events Distribute Summary of Benefits and Coverage (SBC)

Date

Jan 01 2022

Time

All Day

Distribute Summary of Benefits and Coverage (SBC)

Who Does This Impact?

Group health plans and health insurers

Due Date Details

For groups that conduct open enrollment, this is to be provided annually with your open enrollment materials.

For groups that do not conduct open enrollment, this is to be provided 30 days prior to the start of the plan year

Of note, the SBC must also be provided to special enrollees within 90 days of enrollment and within 7 business days of a request from a participant or beneficiary.

Filing Requirement(s)?

No filing requirement.

Who Gets It?

Plan participants and beneficiaries

Get The Details
  • Plans must provide a summary of plan benefits, coverage and cost-sharing arrangements, including exceptions, reductions, limitations and continuation of coverage information.
  • The summary may not exceed four double-sided pages
  • This notice must be provided in addition to all other notices
    • SPD
    • Summary of Material Modifications (SMM)
    • Summary of Material Reduction in Covered Services/Benefits (SMR)
Is There a Template Available To Help Me?
DOL Summary of Benefit (SBC) Templates (source: DOL)

The Department of Labor has assembled resources to assist in meeting this requirement, include Microsoft Word templates. Please note, these templates reflect the new requirements for 2021 and must be used for any plan year beginning on or after January 1, 2021.

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Labels

Compliance

Organizer

Plan Administrator

Other Organizers

Health Insurance Carrier
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