"Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy years) that begin on or after January 1, 2021, with respect to coverage for plan or policy years beginning on or after that date." [Note:  On Feb. 3, 2020, CMS issued corrected versions of some of the SBC documents, as described in ACA FAQ 41.  Links below are to those corrected versions.]

• Summary of Benefits and Coverage (SBC) Template -- (DOCX) and (PDF)
• Uniform Glossary (PDF)
  • List of anchors (XLSX) for SBC Uniform Glossary terms on HealthCare.gov
• Sample Completed SBC -- (DOCX) and (PDF)
  • AI/AN Zero Cost Sharing (PDF)
  • AI/AN Limited Cost Sharing (PDF)
• Instructions for Completing the SBC
  • Group Health Plan Coverage (PDF)
  • Individual Health Insurance Coverage (PDF)
• 'Why This Matters' language for SBC
  • 'Yes' Answers (PDF)
  • 'No' Answers (PDF)
• Guide for Coverage Examples Calculations
  • Maternity Scenario
    • Calculator -- (XLSX) and (PDF)
    • Narrative (PDF)
  • Diabetes Scenario
    • Calculator -- (XLSX) and (PDF)
    • Narrative (PDF)
  • Simple Foot Fracture Scenario
    • Calculator -- (XLSX) and (PDF)
    • Narrative  (PDF)
• Coverage Examples Calculator (October 2019 revision, for use on and after January 1, 2021)
  • Instructions (PDF)
  • Calculator (XLSM)
• Crosswalk of Changes (PDF) (describes updates made to the October 2019 version of the Coverage Examples Calculator)

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