Self-Insured Employers Must Provide Health Plan Benefits Summary Beginning Sept. 23
The required content of the SBC includes: uniform definitions of standard insurance terms and medical terms so that consumers may compare health coverage and understand the terms of (or exceptions to) their coverage; a description of the coverage, including cost sharing-- deductible, coinsurance, and copayment obligations; the exceptions, reductions, and limitations on coverage; the renewability and continuation of coverage provisions; and a contact number to call with questions and an Internet web address where a copy of the actual individual coverage policy or group certificate of coverage can be reviewed and obtained. The U.S. Dept. of Labor’s Employee Benefits Security Administration has a fill-in-the-blank template that can be used, as well as FAQs Part VII; Part VIII; and Part IX on the required notification as well as other tools on their ADA webpage.
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