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Summary of Benefits and Coverage and Uniform Glossary

SBC Materials and Supporting Documents (Authorized for use on and after April 1, 2017)
 

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.

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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
CMS Acting Administrator Andy Slavitt Remarks - Opens in a new window  
HHS Secretary Burwell Remarks - Opens in a new window  
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
CMS Acting Administrator Andy Slavitt Remarks - Opens in a new window
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

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Application Information

Coverage for Young Adults

Data

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

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Reports

Self-Funded Non-Federal Governmental Plans

Compliance Checklists

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