Insights

CMS Provides 2021 SBC Materials and Supporting Documents


On November 8, 2019, CMS provided the 2021 Summary of Benefits and Coverage (SBC), instructions, SBC Calculator Guide, and Narratives. As background, the ACA requires group health plans and insurers to provide an SBC to applicants and enrollees whenever they are deciding whether to enroll in health plan coverage.

The updated SBC will be used for plan years beginning on or after January 1, 2021. Although insurers will complete this form for insured clients, employer plan sponsors should familiarize themselves with the updated forms.

Updated SBC Materials »