Chaz Posted June 28, 2010 Posted June 28, 2010 The interim final rule on grandfathered plans has a requirement that, in order to maintain status as a grandfathered plan, a plan or insurer must include a statement in "any plan materials provided to a participant or beneficiary describing the benefits provided under the plan or health insurance coverage" that the plan believes it is a grandfathered plan. The interim final rule provides a model notice to use. What exactly is encompassed by "any plan materials provided to a participant or beneficiary describing the benefits"? Obviously, this would include an SPD or a certificate of coverage. But what about other communications, such as an EOB, summary of benefits, open enrollment information, COBRA notices, etc.? Do these documents have to include the statement?
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