A Summary of Benefits cciio.cms.gov 

is now required of All Insurance Plans aetna.com/ to provide a standard format for easier understanding and comparison.  This document written in plain language will give you  clear, consistent and comparable information about your health plan benefits and coverage.  I will grant that the format is consistent, but I like the real company brochures better.   6.19.2015 Blog from Friendly competitor.

  Individual & Family

Small Employer Group

The SBC will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions.

Coverage Examples

The summary of benefits and coverage will include a new, standardized health plan comparison tool for consumers called “coverage examples,” much like the Nutrition Facts label required for packaged foods. The coverage examples would illustrate how a health insurance policy or plan would cover care for common benefits scenarios.

Uniform Glossary of Terms

Insurance companies and group health plans will be required to make available upon request a uniform glossary of terms commonly used in health insurance coverage such as “deductible” and “co-payment”.


Explanation of the rules and triggers.

Blue Cross Guide FAQ’s

Health Net Instructions

Aetna’s Explanation

Electronic Media Disclosure 29 CFR 2520.104 b

Send us an Email to get your Summary of Benefits for any of the Insurance Companies that we represent.

Technical Links


Summary of Benefits and Coverage and Uniform Glossary

Regulations and Guidance

Templates, Instructions, and Related Materials

national underwriter.comCopyrightedEmail us your question.

White House.Gov  Affordable Health Care Act   YouTube Channel

Sibling Pages


are now as of 9.23.12 renewal/open enrollment

Leave a Reply

Your email address will not be published.