Posts Categorized: Health Benefits

Summary of Benefits and Coverage (SBC)

in Affordable Care Act, Health Benefits

This morning the agencies released proposed regulations that establish the requirement to distribute a uniform explanation of coverage.  This uniform document is being referred to as the “SBC” or Summary of Benefits and Coverage.  A link to the press release and a link to the SBC template form is provided below.  The agencies also released over 30 pages of “instructions” on how to complete the SBC.  Because these are proposed regulations, changes in the regulations and in the draft template are possible when the regulations are finalized.  Employers should consider submitting comments in appropriate situations. The SBC is a standard… Continue Reading

EBSA Electronic Distribution Rules

in Health Benefits, Retiree Benefits, Welfare Benefits

Today, EBSA posted all of the public comments received with respect to electronic distribution of benefit plan information. There are many great comments in this listing, including Kilpatrick’s comments listed as Number 32.  Although DOL is still reviewing the comments, DOL is apparently focusing on other plan materials (such as 401k statements for example) that can be delivered electronically, rather than SPDs and SMMs.  It’s unclear whether this is because DOL already has decided to adopt separate rules depending on the type of document to be transmitted.  DOL has said that proposed regulations could be issued by the end of… Continue Reading

New CMS Medicare Access Rules

in Health Benefits

Today, CMS proposed new regulations that would provide access to Medicare data.  The new rules will allow organizations that meet certain qualifications access to patient-protected Medicare data to produce public reports on physicians, hospitals and other health care providers.  The news release is linked below. Major New Effort to Give Consumers and Employers Better Information About Quality of Care