Tagged: Summary of Benefits and Coverage

Section 2715 of the Public Health Service Act, as added by the ACA, generally requires all group health plans and health insurance issuers offering group health insurance coverage to provide applicants, enrollees, and policyholders or certificate holders with a summary of benefits and coverage that “accurately describes the benefits and coverage under the applicable plan or coverage.” Willful failure to provide the information required under this section can result in a $1,000 fine plus a separate fine for each individual or entity for whom there is a failure to provide an SBC.