United Benefit Advisors News and Press Releases

UBA Offers Analysis of Summary of Benefits and Coverage Requirement

Posted by: Bill Olson    April 18, 2013 at 10:20 AM

Employer Support Tools on SBC Requirements Available in UBA PPACA Resource Center.

[INDIANAPOLIS, IN.], April 18, 2013 - Employers have a number of obligations under the Patient Protection and Affordable Care Act (PPACA), including how they inform employees about their health plans. Most importantly, employers must provide a Summary of Benefits and Coverage (SBC) for group health plans, with several underlying requirements that the SBC must meet.

All employers, regardless of size or type (private, government, not-for-profit), including grandfathered plans, must meet the SBC requirements. UBA has added two papers to its PPACA Resource Center, breaking the SBC requirements down into easy-to-understand language employers can utilize at no cost.

In addition to knowing how to treat different employees throughout the year (new hires, open enrollment employees, retirees, special enrollees), the SBC requirement contains very detailed information about:

  • How an SBC can be distributed (electronic vs. paper).
  • Penalties if an employer fails to provide an SBC.
  • Alternate language requirements.
  • Content that the SBC must contain, including coverage examples.
  • Which types of plans are required to provide an SBC, and which benefits must be covered.
  • When an SBC is NOT needed.

UBA’s PPACA Resource Center includes up-to-date information on a number of elements, including Counting Employees, Exchange Eligibility/IRS Non-calendar-year plans, Wellness Proposed Rules, FSA and SBC Highlights, W-2 Reporting Requirements, Medicare Withholding Summary, Essential Benefits/Actuarial Value, and more.

The resource center can be found on UBA’s website at http://bit.ly/11iepGW.

In addition to the PPACA Resource Center, UBA provides customized benchmarking data to help businesses compare their employee health benefits to competitors, and find savings through plan design. UBA’s 2012 Health Plan Survey, the largest in the nation with nearly 12,000 employers participating, along with the collective wisdom of its 140 industry leading Partner Firms, helps business owners and human resource executives make informed decisions that directly impact the bottom line by controlling the upward spiral of health care costs.


United Benefit Advisors is the nation’s leading independent employee benefits organization with more than 200 offices throughout the U.S., Canada and the U.K. Visit http://www.UBAbenefits.com.

MEDIA CONTACT: Carina Sammartino, (650) 477-4839, csammartino (at) fishervista (dot) com

Topics: health care costs, UBA, employee benefits, hr consulting, health care reform, health care, PPACA