Changes to SBC Forms


As required by the Affordable Care Act (ACA), there is a new version of the Summary of Benefits and Coverage (SBC) that all health insurers need to provide to their group health plan clients.

The new SBC template includes an additional coverage example as well as language and terms to improve individuals’ understanding of their health coverage. The updated template improves readability and includes more information about cost sharing, enhanced language to explain deductibles, and requires plans to address individual and overall out-of-pocket limits.

The new version of the SBC must be distributed to all eligible individuals and beneficiaries beginning on the first day of the first open enrollment period that begins on or after April 1, 2017.  This means that upon your next renewal, the new SBC’s should be distributed to your employees.