United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2014_register executive 2014-12-30 article Part II Proposed Rules D09002ee1c7f81790 D09002ee1c7f818e4 United States Department of the Treasury originator org United States Government Agency or Subagency United States Internal Revenue Service originator org United States Government Agency or Subagency United States Department of Labor originator org United States Government Agency or Subagency United States Employee Benefits Security Administration originator org United States Government Agency or Subagency United States Department of Health and Human Services originator org United States Government Agency or Subagency This document contains proposed regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It proposes changes to the regulations that implement the disclosure requirements under section 2715 of the Public Health Service Act to help plans and individuals better understand their health coverage, as well as to gain a better understanding of other coverage options for comparison. It proposes changes to documents required for compliance with section 2715 of the Public Health Service Act, including a template for the SBC, instructions, sample language, a guide for coverage example calculations, and the uniform glossary. 79 FR 78578 https://www.govinfo.gov/app/details/FR-2014-12-30/2014-30243 2014-30243 fr30de14-23 RIN 1545-BM53 RIN 1210-AB69 RIN 0938-AS54 4830-01-P; 4150-28-P; 4120-01-P REG-145878-14 CMS-9938-P https://www.govinfo.gov/app/details/FR-2014-12-30/2014-30243 https://www.govinfo.gov/content/pkg/FR-2014-12-30/html/2014-30243.htm https://www.govinfo.gov/content/pkg/FR-2014-12-30/pdf/2014-30243.pdf Excise Taxes Health Care Health Insurance Pensions Reporting and Recordkeeping Requirements Continuation Coverage Disclosure Employee Benefit Plans Group Health Plans Medical Child Support State Regulation of Health Insurance 34 p. 78578 78611 79 FR 78578 Title 26 Part 54 26 CFR Part 54 Title 29 Part 2590 29 CFR Part 2590 Title 45 Part 147 45 CFR Part 147 RIN 1545-BM53 RIN 1210-AB69 RIN 0938-AS54 Summary of Benefits and Coverage and Uniform Glossary; Federal Register Vol. 79, Issue PRORULE 2014-30243 II DEPARTMENT OF THE TREASURY Internal Revenue Service DEPARTMENT OF LABOR Employee Benefits Security Administration DEPARTMENT OF HEALTH AND HUMAN SERVICES 2015-03-02 REG-145878-14 CMS-9938-P 4830-01-P; 4150-28-P; 4120-01-P 2014-30243 Notice of proposed rulemaking.

This document contains proposed regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It proposes changes to the regulations that implement the disclosure requirements under section 2715 of the Public Health Service Act to help plans and individuals better understand their health coverage, as well as to gain a better understanding of other coverage options for comparison. It proposes changes to documents required for compliance with section 2715 of the Public Health Service Act, including a template for the SBC, instructions, sample language, a guide for coverage example calculations, and the uniform glossary.

Comment date. Comments are due on or before March 2, 2015. Amy Turner or Beth Baum, Employee Benefits Security Administration, Department of Labor, at (202) 693- 8335; Karen Levin, Internal Revenue Service, Department of the Treasury, at (202) 622-6080; Heather Raeburn or Tricia Beckmann, Centers for Medicare & Medicaid Services, Department of Health and Human Services, at (301) 492-4224 or (301) 492-4328. Excise Taxes Health Care Health Insurance Pensions Reporting and Recordkeeping Requirements Continuation Coverage Disclosure Employee Benefit Plans Group Health Plans Medical Child Support State Regulation of Health Insurance Summary of Benefits and Coverage and Uniform Glossary , ebsa.opr@dol.gov Paperwork@cms.hhs.gov HealthCare.gov http://cciio.cms.gov http://cciio.cms.gov/programs/consumer/summaryandglossary/index.html http://prescriptionforchange.org/wordpress/wp-content/uploads/2011/08/A_New_Way_of_Comparing_Health_Insurance.pdf http://www.bls.gov/news.release/ecec.t02.htm http://www.bls.gov/news.release/eci.nr0.htm http://www.bls.gov/news.release/pdf/ocwage.pdf http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs10.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs14.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs19.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs20.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs22.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs7.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs8.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca_implementation_faqs9.html http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/2009-13-CLAS-County-Data_12-05-14_clean_508.pdf http://www.cms.gov/cciio/Resources/forms-reports-and-other-resources/index.html#sbcug http://www.cms.gov/PaperworkReductionActof1995/PRAL/list.asp#TopOfPage http://www.dol.gov/ebsa http://www.dol.gov/ebsa/faqs/faq-aca8.html http://www.dol.gov/ebsa/faqs/faq-aca9.html http://www.dol.gov/ebsa/healthreform/regulations/summaryofbenefits.html http://www.dol.gov/ebsa/newsroom/tr13-03.html http://www.dol.gov/ebsa/pdf/coveragebulletin2013.pdf http://www.dol.gov/ebsa/pdf/faq-aca20.pdf http://www.dol.gov/ebsa/pdf/faq-aca22.pdf http://www.healthcare.gov http://www.hhs.gov/ocr/civilrights/resources/specialtopics/lep/policyguidancedocument.html http://www.irs.gov/pub/irs-drop/n-13-54.pdf http://www.naic.org/documents/committees_b_consumer_information_101012_ahip_focus_group_summary.pdf http://www.reginfo.gov/public/do/PRAMain http://www.regulations.gov https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/cms-hra-notice-9-16-2013.pdf reginfo.gov site.com/SBC www.cms.gov/cciio www.dol.gov/ebsa/faqs/faq-aca10.html www.dol.gov/ebsa/faqs/faq-aca14.html www.dol.gov/ebsa/faqs/faq-aca19.html www.dol.gov/ebsa/faqs/faq-aca7.html www.dol.gov/ebsa/faqs/faq-aca8.html www.dol.gov/ebsa/faqs/faq-aca9.html www.dol.gov/ebsa/healthreform www.dol.gov/ebsa/publications/ghpfiduciaryresponsibilities.html www.irs.gov/uac/Newsroom/Employer-Health-Care-Arrangements www.naic.org/committees_b_consumer_information.htm Vol. 79, no. 249 Office of the Federal Register, National Archives and Records Administration 2014-12-30 continuing daily deposited born digital 413 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2014-12-30 P0b002ee18a86e07a 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr30de14 https://www.govinfo.gov/app/details/FR-2014-12-30 https://www.govinfo.gov/content/pkg/FR-2014-12-30/pdf/FR-2014-12-30.pdf https://www.govinfo.gov/content/pkg/FR-2014-12-30/xml/FR-2014-12-30.xml fdlp 78287 78688 DGPO 2014-12-30 2024-06-02 FR-2014-12-30 machine generated eng FR FR-2014-12-30 79 249