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Requirements for providing the summary of benefits and coverage form

This fact sheet explains the federal requirement for health plans to provide a Summary of Benefits and Coverage (SBC) form describing the provisions of the plan. The fact sheet explains when the forms are required, what kinds of plans must provide them, and what information must be included in an SBC. Early experience with these forms suggests that health plans are not fully complying with all requirements. We hope that this additional clarity will help consumers and advocates exercise their rights to this information.

For the fact sheet, click here.

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