Tag: Summary of Benefits and Coverage

Question: Do Summaries of Benefits and Coverage (SBC) need to be provided to a new employee who is currently enrolled in Medicare and is electing to waive the group coverage. Small group under 50 employees. Answer: An SBC must be provided to all “participants and beneficiaries” without charge regardless of group size and/or the employee’s intent to…

Question:  Under the Health Care Reform rules, do small employers have any special reporting requirements for medical care right now? Answer: With respect to employer-sponsored group health coverage, the majority of requirements under the Affordable Care Act impact the insurance carrier that issues the group contract.  Thus, the carrier takes the required actions while the…