Tag: SBC

Question: Do I need to provide employees who are not on the medical plan but eligible for our medical plan with a copy of the Summary of Benefits and Coverage? Answer: It is our understanding that under the final SBC rules, you must provide a written SBC without charge to a participant or beneficiary with…

Question: Are SBC’s required for all lines of coverage or just medical? Answer: The requirements for SBCs(Summaries of Benefits & Coverage) under health care reform apply to group health plans.  If you are unclear as to whether a plan meets the criteria for group health plans, discuss it with your benefits broker or attorney.  Here…

Question:  For a Summary of Benefits and Coverage, if a plan’s dental plan is bundled with medical, does the SBC for dental need to be a separate SBC from the medical or can it be integrated with the SBC for the medical plan? Answer: While the SBC requirement applies to both insured and self-insured group…