Compliance Material

ACA Summary of Benefits and Coverage Requirement

The ACA generally requires group health plans and health insurance issuers that offer group health coverage to prepare and distribute to plan participants and beneficiaries a brief standard summary of the plan’s benefits and coverage. This summary is called the summary of benefits and coverage (SBC). In order to help employers fulfill their administrative responsibilities in connection with the SBC requirement, this publication provides information regarding the types of plans subject to the requirement, the content, timing, and delivery of the SBC (including when material modifications to the SBC occur outside of the policy renewal cycle), and the penalties for noncompliance with the SBC content and delivery requirements.

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