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FAQs on Summary of Benefits and Coverage
The Patient Protection and Affordable Care Act (Affordable Care Act or ACA) requires health plans and health insurance issuers to provide a summary of benefits and coverage (SBC) to applicants and enrollees. The SBC is limited to four double-sided pages and provides straightforward and consistent information about health plan benefits and coverage. Its purpose is to help health plan consumers better understand the coverage they have and to help them make easy comparisons of different options when shopping for new coverage. On Feb. 14, 2012, the Departments of Labor, Health and Human Services (HHS), and the Treasury (Departments) issued final
HealthCare Reform: Pay or Play Calculator
Beginning in 2014, new rules go into effect that may have a significant effect on employer-sponsored health plans, and employers are confused by how these changes will impact them. Compounding the uncertainty is the fact that the rules will have dramatically different effects on different employers based on factors such as the employer size, employee demographics, and current plan designs. Now there is a tool to help employers analyze how various health reform changes will affect their unique situation. The Horton Group’s Health Reform Impact Analysis Tool uses the employer’s unique employee and plan information to estimate the financial impact
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