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Zane Benefits Publishes New Information on Summary of Benefits and Coverage in 2014
Date:12/3/2013

Park City, Utah (PRWEB) December 03, 2013

Today, Zane Benefits, the number one online small business health benefits solution, published new information on summary of benefits and coverage in 2014.

According to Zane Benefits’ website, with the end of the year approaching and new plan years starting, it's time again for many employers to distribute the Summary of Benefits and Coverage (SBC).

The SBC summarizes the key features of the health plan, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions.

The requirement for plan or issuers to provide the SBC started last year. The SBC must be provided beginning on the first day of the first plan year that began on or after September 23, 2012.

Per HHS regulations, the SBC must be offered during the following events:

  • Upon open enrollment.
  • If there are any changes, by the first day of coverage.
  • Mid-year enrollees.
  • Upon renewal.
  • Upon request.

The SBC must contain specific information summarizing key features of the plan and coverage, including:

  • A description of the coverage
  • The exceptions, reductions, or limitations on coverage
  • The cost-sharing provisions of the coverage, including deductible, coinsurance, and copayment obligations
  • The renewability and continuation of coverage provisions
  • A coverage facts label or coverage examples
  • A statement that the SBC is only a summary and that the plan document, policy, or certificate of ins
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