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ARTICLE · 09 MARCH 2012

Summary Of Benefits And Coverage: Final Rules Issued, Requirement Effective Beginning September 23, 2012

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
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The Affordable Care Act (Act) creates a new disclosure requirement for group health plans and issuers: the summary of benefits and coverage (SBC). On February 14, 2012, the Departments of Labor, Treasury, and Health and Human Services (the Departments) published final regulations setting forth the required content, timing, and appearance of the SBC.

United StatesEmployment and HR
Patricia Moran
Patricia Moran
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The Affordable Care Act (Act) creates a new disclosure requirement for group health plans and issuers: the summary of benefits and coverage (SBC). On February 14, 2012, the Departments of Labor, Treasury, and Health and Human Services (the Departments) published final regulations1 setting forth the required content, timing, and appearance of the SBC.

Background

Section 2715 of the Public Health Service Act (PHSA), added by the Act, sets forth the SBC requirement and directs the Departments to develop standards for SBCs, including standard definitions. The goal of the SBC is to standardize health insurance information in a way that allows consumers to make informed and efficient decisions.

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