ACA Updates: Summary of Benefits and Coverage

ACA Updates: Summary of Benefits and Coverage

The following information was received from The Department of Labor, Employee Benefits Security Administration on 6/12/15

Below you will find links to final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. This information finalizes changes to the regulations that implement the disclosure requirements under section 2715 of the Public Health Service Act to help plans and individuals better understand their health coverage, as well as to gain a better understanding of other coverage options for comparison. Today’s final regulations amend the final regulations published on February 14, 2012 (2012 final regulations). – See previous FosterThomas Blog posts on SBC under the Additional Information header below.

Key policies in today’s final rules include:

  • Provision to Require Online Access to Individual Underlying Policy or Group Certificate
  • Provisions to Reduce Unnecessary Duplication
  • Provision to Require Certain Disclosures by QHP Issuers

The purpose of these updated final regulations is to implement streamlined processes to help health insurance issuers and group health plans provide consumers easy to understand information and to increase transparency for consumers shopping for health insurance coverage.

Summary of Benefits and Coverage (SBC) Helpful Links




Additional Information on Summary of Benefits and Coverage

At FosterThomas HR we have written several blog articles encompassing the necessary parameters of what must be provided in the standardized Summary of Benefits and Coverage (SBC). Additionally, we have shared articles from our partner organizations that detail SBC regulations. Please click the link below to review this important information:


Health Care Reform and HR Compliance from FosterThomas

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Since 1993, FosterThomas has delivered cost-effective, proactive, custom employee benefits solutions. We address them through the design and delivery of the perfectly loaded benefits package that will help you attract and retain employees, while implementing alternative wellness & risk management ideas to contain health care costs. Let’s talk.



About the Author

FosterThomas is a leading professional services company that provides solutions in the areas of Human Resources Consulting and Outsourcing, HR Staffing, Outsourced Recruiting, Employee Benefits Brokerage, Payroll Implementation and Services, HR for Government Contractors, Business Insurance, HR Compliance and Risk Management. We help organizations by providing solutions designed with a focus on cost containment strategies and increasing HR efficiency. FosterThomas HR Consulting was established in 1993 with offices in Annapolis, Maryland (Corporate), McLean, Virginia and Raleigh, North Carolina. Today, FosterThomas occupies a unique position as a full service provider of HR services.

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