Compliance

EBSA Releases Final Summary of Benefits PPACA Regulations

By Tara Cantore editors@plansponsor.com | February 09, 2012
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February 9, 2012 (PLANSPONSOR.com) – The Department of Labor’s Employee Benefits Security Administration (EBSA) released the final regulations under the Patient Protection and Affordable Care Act (PPACA) regarding Summary of Benefits and Coverage disclosures.

The document implements 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 other coverage options. The final regulations apply for disclosures to participants and beneficiaries who enroll or re-enroll in group health coverage through an open enrollment period (including re-enrollees and late enrollees) beginning on the first day of the first open enrollment period that begins on or after September 23, 2012.

For disclosures to participants and beneficiaries who enroll in group health plan coverage other than through an open enrollment period (including individuals who are newly eligible for coverage and special enrollees), the requirements under PHS Act section 2715 and these final regulations apply beginning the first day of the first plan year that begins on or after September 23, 2012.

For disclosures to plans, and to individuals and dependents in the individual market, these requirements are applicable to health insurance issuers beginning September 23, 2012.

Read the final regulations in their entirety by visiting http://www.dol.gov/ebsa/pdf/SBCfinalreg.pdf.