The Center for Consumer Information & Insurance Oversight

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Summary of Benefits and Coverage and Uniform Glossary

SBC Materials and Supporting Documents (Authorized for use for plan or policy years that begin on or after January 1, 2021)

Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy years) that begin on or after January 1, 2021, with respect to coverage for plan or policy years beginning on or after that date.

Forms

Instructions/Guidance

SBC Materials and Supporting Documents (Authorized for use prior to January 1, 2021)

Applicability: Health plans and issuers that maintain an annual open enrollment period will be required to use the April, 2017 edition of the SBC template and associated documents beginning on the first day of the first open enrollment period that begins on or after April 1, 2017 with respect to coverage for plan years (or, in the individual market, policy years) beginning on or after that date. For plans and issuers that do not use an annual open enrollment period, this SBC template and associated documents is required beginning on the first day of the first plan year (or, in the individual market, policy year) that begins on or after April 1, 2017 and before January 1, 2021.

Forms

Instructions/Guidance

SBC Materials and Supporting Documents (Authorized for use prior to April 1, 2017)

Forms

Instructions/Guidance

Content Requirements for Plan Finder

Q&A

Instructions/Guidance

Pre-Existing Condition Insurance Plan (PCIP)

Data

Reports

Early Retiree Reinsurance Program (ERRP)

Reports

Health Insurance Marketplaces

Presentations

Marketplace Year 3: Issuer Insights and Innovation - June 9, 2016

Forum Agenda (PDF)
CMS Acting Administrator Andy Slavitt Remarks"> CMS Acting Administrator Andy Slavitt Remarks - Opens in a new window  
HHS Secretary Burwell Remarks"> HHS Secretary Burwell Remarks - Opens in a new window  
Marketplace Success Stories Blog by CEO Kevin Counihan"> Marketplace Success Stories Blog by CEO Kevin Counihan - Opens in a new window  

Forum Recording:

Session Slides:

Marketplace Year 3: Issuer Insights and Innovation – October 5, 2016

Forum Agenda (PDF)
CMS Acting Administrator Andy Slavitt Remarks"> CMS Acting Administrator Andy Slavitt Remarks - Opens in a new window
HHS Secretary Burwell Remarks"> HHS Secretary Burwell Remarks - Opens in a new window

Forum Recordings (Forthcoming)

Session Slides

Forms

Reports

 

Planning and Establishment Grants

Pre-Application Conference Calls (Upcoming)

  • June 29, 2012
    Dates and Times of Pre-Application Conference Calls for Exchange Establishment FOA:
    • July 19, 2012 – 1:30-3:00pm EST
    • October 4, 2012 - 2:00-3:30pm EST
    • January 10, 2013 - 2:00-3:30pm EST
    • April 10, 2013 - 1 -2:30 PM EST
      Call in: 1 877 267 1577; Meeting ID: 0360

Consumer Operated and Oriented Plan (CO-OP) Program

Presentations

Health Insurance Market Reforms

Annual Limits

Application Information

Coverage for Young Adults

Data

Excepted Benefits

Medical Loss Ratio

Forms

 

Reports:

Mental Health Parity

Forms

Reports

Patient’s Bill of Rights

Q&A

Data

Methodology

Reports

Prevention

Forms

Review of Insurance Rates

Forms

Reports

 

Self-Funded Non-Federal Governmental Plans

Compliance Checklists

Presentations

HIPAA Opt-Out Materials

 

Premium Stabilization Programs

White Papers

Risk Adjustment Spring Meeting (May 7-8, 2012)

Instructions

Forms

COBRA

Forms

 

Reports

GAO

State High Risk Pool Grant Program