Health & Welfare Plans Newsletter

Supplement to
February 25, 2016 logo logo LinkedIn logo Twitter logo Facebook logo
Get Retirement News | Advertise | Previous Issues | Search

[Official Guidance]

Text of Proposed New Template and Accompanying Materials for Summary of Benefits and Coverage
Posted for public comment; includes:

  1. Summary of Benefits and Coverage (SBC) Template [PDF] [MS Word]
  2. Sample Completed SBC [PDF] [MS Word]
  3. Instructions for Completing the SBC -- Group Health Plan Coverage
  4. Instructions for Completing the SBC -- Individual Health Insurance Coverage
  5. Why This Matters language for "Yes" Answers
  6. Why This Matters language for "No" Answers
  7. Proposed Guide for Coverage Examples Calculations -- Maternity Scenario, Diabetes Scenario, and Foot Fracture
  8. Proposed Coverage Examples Narrative -- Maternity Scenario
  9. Proposed Coverage Examples Narrative -- Diabetes Scenario
  10. Proposed Coverage Examples Narrative -- Foot Fracture
  11. Uniform Glossary of Coverage and Medical Terms
Comment request was filed today, and is scheduled to be published in the Federal Register tomorrow.

(Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL] and Center for Consumer Information & Insurance Oversight [CCIIO], Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS])  

Connect   LinkedIn logo   Twitter logo   Facebook logo, Inc.
1298 Minnesota Avenue, Suite H
Winter Park, Florida 32789
(407) 644-4146

Lois Baker, J.D., President <>
David Rhett Baker, J.D., Editor and Publisher <>
Holly Horton, Business Manager <>

BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2016, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of, Inc., or in the case of third party materials, the owner of that content. You may not alter or remove any trademark, copyright or other notice from copies of the content.

Links to web sites other than and are offered as a service to our readers; we were not involved in their production and are not responsible for their content.

Privacy Policy