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February 12, 2012

On February 9, 2012, federal regulators released a final rule on the “Summary of Benefits and Coverage” that group health plans must provide to plan participants and beneficiaries. As required under the Patient Protection and Affordable Care Act, the summary must include certain information about health plan features—such as premium and deductible costs, covered benefits,
and coverage limitations and exceptions—so that “apples-to-apples” comparisons can be made when choosing plans. Health plan participants must receive the new disclosures either electronically or in print, along with a “uniform glossary” that
defines key terms such as copayment and deductible, by the start of the first open enrollment period beginning on or after Sept. 23, 2012. A companion document released with the final rule includes guidance on the creation of SBCs. Templates and related materials can also be found at www.dol.gov/ebsa/healthreform/.   02.12.2012

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