Health: Summary of Benefits and Coverage Requirements


Legislative — proposals, bills and analysis from 2006-present
Regulatory — administrative rules and information from U.S. offices and agencies
Judicial — current and past court cases and amicus briefs
Press Releases — Council statements and advisories to the news media
See Also — for related information


No new stories have been published on this topic. All pre-2014 stories can be found in the Benefits Byte Archive or by searching members-only documents. See also the list of issues for related topics.



(Items in italic are available only to Council members.)

Council Materials

For legislative items — source documents and council materials — released prior to enactment of PPACA on March 23, 2010, please go to the PPACA Archive Page.

Click here for the Council's comprehensive chart highlighting
PPACA regulatory developments.

Official Source Documents

April 23, 2013 — FAQS About Affordable Care Act Implementation Part XIV: Summary of Benefits & Coverage

June 5, 2012 — SBC Coverage Examples Calculator (XLSM document)

June 5, 2012 — SBC Coverage Examples Calculator Instructions

June 5, 2012 — SBC Coverage Examples Calculator Logic

May 11, 2012 — Corrected SBC Templates:

May 11, 2012 — DOL FAQs About Affordable Care Act Implementation Part IX, Summary of Benefits & Coverage Requirements

March 19, 2012 — DOL FAQs About Affordable Care Act Implementation Part VIII, Summary of Benefits & Coverage Requirements

February 14, 2012 — Final Regulations on Summary of Benefits and Coverage and Uniform Glossary under PPACA

February 14, 2012 — Guidance for Compliance with Summary of Benefits and Coverage and Uniform Glossary Requirements under PPACA (Templates, Instructions, Related Materials)

February 9, 2012 — Official Fact Sheet on Summary of Benefits and Coverage and Uniform Glossary Requirements under PPACA

November 17, 2011 — DOL FAQs About Affordable Care Act Implementation Part VII and Mental Health Parity Implementation

August 17, 2011 — Fact Sheet on NPRM Regarding PPACA Summary of Benefits and Coverage and the Uniform Glossary

August 17, 2011 — IRS Notice of Proposed Rulemaking on the Health Insurance Premium Tax Credit

August 17, 2011 — Notice of Proposed Rulemaking on PPACA Summary of Benefits and Coverage and the Uniform Glossary

August 17, 2011 — Solicitation of Comments on PPACA Summary of Benefits and Coverage and the Uniform Glossary

April 1, 2011 — FAQs on PPACA Implementation Part VI

December 22, 2010 — DOL FAQs About Affordable Care Act Implementation Part V and Mental Health Parity Implementation

November 1, 2010 — FAQs about the Affordable Care Act Implementation Part IV

October 18, 2010 — FAQS about the Affordable Care Act Implementation Part III

October 8, 2010 — FAQS about the Affordable Care Act Implementation Part II

September 20, 2010 — FAQS about the Affordable Care Act Implementation Part I

Official Source Documents
Council Materials

DOL's 'good faith' compliance standard for SBC rules fails to relieve burden on employer plan sponsors
March 19, 2012

Congress must consider critical health care reform implementation issues
March 9, 2010

Condition Critical: Ten Prescriptions for Reforming Health Care Quality, Cost and Coverage

Health Care Reform (PPACA)