Health Plans | U.S. Department of Labor

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</li> <li> <a href="/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance" class="usa-breadcrumb__link">Plan Administration and Compliance</a> </li> </ul> </nav> </div> </div> <div id="block-pagetitle-2"> <div class="basic-title-banner-title-container"> <h1> <span>Health Plans</span> </h1> </div> </div> <div data-drupal-messages-fallback class="hidden"></div> <div id="block-gtmpixeldolbahcontainer">  <noscript aria-hidden="true"> <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-KDX77HR" height="0" width="0" style="display:none;visibility:hidden"></iframe> </noscript><noscript aria-hidden="true"> <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5VM7ZD" height="0" width="0" style="display:none;visibility:hidden"></iframe> </noscript> </div> </div> <main role="main" class="cd-main-content ebsa-content"> <div id="page-title-area"> <div id="block-footercss"> <div class="field field--name-body field--type-text-with-summary field--label-hidden clearfix"><p> <style type="text/css">.manual-search-block #edit-actions--2 {order:2;} #block-googletagmanagerheader .field { padding-bottom:0 !important; } #block-googletagmanagerfooter .field { padding-bottom:0 !important; } #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} .agency-blurb-container .agency_blurb.background--light { padding: 0; } .h1 {font-family:'Merriweather';font-weight:700;} p.usa-alert__text {margin-bottom:0!important;} .manual-search ul.usa-list li {max-width:100%;} .usa-footer .container {max-width:1440px!important;} .usa-footer .grid-container {padding-left: 30px!important;} @media 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paragraph--view-mode--default row" style="background-color:;"> <div class="field field--name-field-bundles field--type-entity-reference-revisions field--label-hidden clearfix"> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="general-compliance-assistance"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a1"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">General Compliance Assistance</div> </button> </span> <div id="a1" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/key-topics/retirement-benefits/cybersecurity/compliance-assistance-release-2024-01">Compliance Assistance Release No. 2024-01 | U.S. Department of Labor (dol.gov)</a></li><li><a href="/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/health-plans/hbec/checksheets">Health Benefits Laws Self Compliance Tools</a></li><li><a href="https://webapps.dol.gov/elaws/ebsa/health/employer/r1.htm">Health Benefits Advisor interactive Website</a> assists employers in understanding and complying with federal group health plan laws</li><li><a href="/agencies/ebsa/about-ebsa/our-activities/programs-and-initiatives/outreach-and-education/hbec">Health Benefits Education Campaign</a></li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/reporting-and-disclosure-guide-for-employee-benefit-plans.pdf">Reporting/Disclosure Guide For Employee Benefit Plans</a> – A quick reference tool for certain basic reporting and disclosure requirements under ERISA</li><li><a href="/agencies/ebsa/about-ebsa/our-activities/resource-center/publications/understanding-your-fiduciary-responsibilities-under-a-group-health-plan">Understanding Your Fiduciary Responsibilities Under A Group Health Plan</a> provides an overview of the basic fiduciary responsibilities applicable to health plans under ERISA</li><li><a href="/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/correction-programs">Correction Programs</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion2"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a2"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Affordable Care Act</div> </button> </span> <div id="a2" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers">Regulations and Guidance</a></li><li><a href="/agencies/ebsa/about-ebsa/our-activities/programs-and-initiatives/outreach-and-education/hbec">Making Your Health Benefits Work for You - The Health Benefits Education Campaign</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion3"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a3"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">COBRA</div> </button> </span> <div id="a3" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/laws-and-regulations/laws/cobra">Consolidated Omnibus Budget Reconciliation Act (COBRA)</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion4"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a4"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">HIPAA</div> </button> </span> <div id="a4" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/laws-and-regulations/laws/hipaa">Health Insurance Portability and Accountability Act (HIPAA)</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion5"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a5"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Genetic Information Nondiscrimination Act of 2008</div> </button> </span> <div id="a5" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/laws-and-regulations/laws/gina">Genetic Information Nondiscrimination Act (GINA)</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion6"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a6"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Mental Health Parity and Addiction Equity Act of 2008</div> </button> </span> <div id="a6" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/laws-and-regulations/laws/mental-health-and-substance-use-disorder-parity">Mental Health and Substance Use Disorder Parity</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion7"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a7"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Children's Health Insurance Program</div> </button> </span> <div id="a7" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/laws-and-regulations/laws/chipra">Children’s Health Insurance Program Reauthorization Act (CHIPRA)</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="mewa"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a8"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Multiple Employer Welfare Arrangements</div> </button> </span> <div id="a8" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/mewa-under-erisa-a-guide-to-federal-and-state-regulation.pdf">Multiple Employer Welfare Arrangements Under ERISA (MEWA)</a> – A booklet addressing many questions concerning the effect of ERISA on federal and state regulation of MEWAs</li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/fact-sheets/how-to-protect-your-employees-when-purchasing-health-insurance.pdf">How to Protect Your Employees when Purchasing Health Insurance </a>– Tips that employers can use to help ensure that employees have the health care coverage they need</li><li><a href="https://www.askebsa.dol.gov/mewa">The Form M-1 Online Filing System</a> is an electronic filing system for the Form M-1 annual report for multiple employer welfare arrangements. The system allows filers to complete the form and submit it at no cost. This system is an example of an E-Government initiative which uses improved technology to make it easier for citizens and businesses to interact with the government</li><li><a href="/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/forms/requests#section2">Form M-1 Annual Report</a> – This form is required to be filed under section 101(g) and section 734 of the Employee Retirement Income Security Act of 1974, as amended (ERISA), and 29 CFR 2520.101-2</li><li><a href="/agencies/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/mewas">MEWA regulations/guidance under the ACA</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="accordion9"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a9"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Claims Procedure</div> </button> </span> <div id="a9" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/agencies/ebsa/key-topics/health-and-other-employee-benefits/claiming-benefits">Claiming Benefits</a></li><li><a href="/agencies/ebsa/key-topics/health-and-other-employee-benefits/disability-benefits">Disability Benefits</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="model-notices-and-disclosures"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a10"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Model Notices & Disclosures</div> </button> </span> <div id="a10" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/cobra/model-general-notice.docx">COBRA Model General Notice</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/cobra/model-general-notice-spanish.docx">En Español</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/cobra/model-election-notice.docx">COBRA Model Election Notice</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/cobra/model-election-notice-spanish.docx">En Español</a></li><li>Model Notice for Employers Regarding Premium Assistance Opportunities <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/chipra/model-notice.doc">MS Word Format</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/chipra/model-notice.pdf">Printer Friendly Version</a>. Also available in Spanish <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/chipra/model-notice-spanish.doc">MS Word Format</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/chipra/model-notice-spanish.pdf">Printer Friendly Version</a></li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/compliance-assistance-guide-appendix-c.pdf">Model HIPAA, Newborns', WHCRA Notices</a></li><li>GINA <a href="/sites/dolgov/files/EBSA/employers-and-advisers/plan-administration-and-compliance/health-plans/notice-of-research-exception-under-gina.pdf">Research Exception Form</a></li><li>Extension of Coverage for Adult Children <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/extension-of-coverage-for-adult-children-model-notice.doc">Model Notice</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/extension-of-coverage-for-adult-children-model-notice-spanish.doc">En Español</a></li><li>Grandfathered health plans <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/grandfathered-health-plans-model-notice.doc">Model Notice</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/grandfathered-health-plans-model-notice-spanish.doc">En Español</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/revised-model-notice-of-adverse-benefit-determination.doc">Revised Model Notice of Adverse Benefit Determination</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/revised-model-notice-of-final-internal-adverse-benefit-determination.doc">Revised Model Notice of Final Internal Adverse Benefit Determination</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/revised-model-notice-of-final-external-review-decision.doc">Revised Model Notice of Final External Review Decision</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/revised-model-notice-of-final-external-review-decision-spanish.doc">En Español</a></li><li>Model Notice for employers who offer a health plan to some or all employees | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees.doc">MS Word Format</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees.pdf">Printer Friendly Version</a> | En Español <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees-spanish.doc">MS Word Format</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees-spanish.pdf">Printer Friendly Version</a></li><li>Model Notice for employers who do not offer a health plan | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-do-not-offer-a-health-plan.doc">MS Word Format</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-do-not-offer-a-health-plan.pdf">Printer Friendly Version</a> | En Español <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-do-not-offer-a-health-plan-spanish.doc">MS Word Format</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-do-not-offer-a-health-plan-spanish.pdf">Printer Friendly Format</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/patient-protection-model-notice.doc">Patient Protection Model Notice</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/patient-protection-model-notice-spanish.doc">En Español</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/lifetime-limits-model-notice.doc">Lifetime Limits Model Notice</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/lifetime-limits-model-notice-spanish.doc">En Español</a></li><li><a href="/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/forms/model-forms-under-mhpa">Mental Health Parity Act Model Forms</a></li><li><a href="/sites/dolgov/files/EBSA/employers-and-advisers/plan-administration-and-compliance/health-plans/national-medical-support-notice-part-b.pdf">National Medical Support Notice - Part B</a></li><li><a href="/sites/dolgov/files/EBSA/employers-and-advisers/plan-administration-and-compliance/form-sar-welfare-plan.docx">Form for Summary Annual Report Relating to Welfare Plans</a></li></ul><h2>Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials – Currently Applicable</h2><ul><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-template.pdf">Summary of Benefits and Coverage (SBC) Template</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-template.doc">MS Word Format</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-completed-sample.pdf">Sample Completed SBC</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-completed-sample.doc">MS Word Format</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-instructions-for-completing-the-group-health-plan-coverage.pdf">Instructions for Completing the SBC – Group Health Plan Coverage</a> and <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/consumer-assistance-programs.doc">Consumer Assistance Programs</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-instructions-for-completing-the-individual-health-insurance-coverage.pdf">Instructions for Completing the SBC – Individual Health Insurance Coverage</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-why-this-matters-language-for-yes-answers.pdf">Why This Matters language for "Yes" Answers</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-why-this-matters-language-for-no-answers.pdf">Why This Matters language for "No" Answers</a></li><li><a href="https://www.cms.gov/cciio/Resources/forms-reports-and-other-resources/index.html">HHS Information For Simulating Coverage Examples</a></li><li><a href="https://www.cms.gov/cciio/Resources/forms-reports-and-other-resources/index.html">HHS Coverage Example Calculator and Related Information</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-uniform-glossary-of-coverage-and-medical-terms.pdf">Uniform Glossary of Coverage and Medical Terms</a></li></ul><h2>Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials – for use on or after 04/01/17 (Final)</h2><ul><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-template-final.pdf">Summary of Benefits and Coverage (SBC) Template</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-template-final.doc">MS Word Format</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-completed-final.pdf">Sample Completed SBC</a> | <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-completed-final.doc">MS Word Format</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-instructions-for-completing-the-group-health-plan-coverage-final.pdf">Instructions for Completing the SBC - Group Health Plan Coverage</a> and <a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/consumer-assistance-programs.doc">Consumer Assistance Programs</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-instructions-for-completing-the-individual-health-insurance-coverage-final.pdf">Instructions for Completing the SBC - Individual Health Insurance Coverage</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-why-this-matters-language-for-yes-answers-final.pdf">Why This Matters language for "Yes" Answers</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-why-this-matters-language-for-no-answers-final.pdf">Why This Matters language for "No" Answers</a></li><li><a href="https://www.cms.gov/cciio/Resources/Forms-Reports-and-Other-Resources/index.html#Summary%20of%20Benefits%20and%20Coverage%20and%20Uniform%20Glossary">HHS Information For Simulating Coverage Examples</a></li><li><a href="https://www.cms.gov/cciio/Resources/Forms-Reports-and-Other-Resources/index.html#Summary%20of%20Benefits%20and%20Coverage%20and%20Uniform%20Glossary">HHS Coverage Example Calculator and Related Information</a></li><li><a href="https://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/sbc-glossary-anchors.xlsx">List of anchors for SBC Uniform Glossary terms</a></li><li><a href="/sites/dolgov/files/EBSA/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/sbc-uniform-glossary-of-coverage-and-medical-terms-final.pdf">Uniform Glossary of Coverage and Medical Terms</a></li><li><a href="https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2016-Press-releases-items/2016-04-06.html">HHS News Release</a></li></ul></div> </div> </div> </div> </div> <div> <div class="paragraph paragraph--type--accordion-item paragraph--view-mode--default dol-accordion dol-accordion-border" role="tablist" aria-multiselectable="true"> <div class="usa-accordion card" id="publications"> <span class="mb-0 usa-accordion__heading card"> <button class="usa-accordion__button" aria-controls="a11"> <i class="fa fa-angle-right" aria-hidden="true"></i> <div class="field field--name-field-p-accordion-header field--type-string field--label-hidden clearfix">Publications</div> </button> </span> <div id="a11" class="usa-accordion__content" hidden> <div class="field field--name-field-p-accordion-body field--type-text-long field--label-hidden clearfix"><ul><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/compliance-assistance-guide.pdf">Compliance Assistance Guide</a> – Health Benefits Coverage Under Federal Law includes general descriptions of the four health care laws and FAQs. It also includes a self-compliance tool that can help to determine compliance with HIPAA, MHPA, the Newborns' Act, and WHCRA with compliance tips that relate to common mistakes. This publication also includes a chart summarizing the laws' notice requirements and provides model language that can be used to comply</li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/reporting-and-disclosure-guide-for-employee-benefit-plans.pdf">Reporting/Disclosure Guide For Employee Benefit Plans</a> – A quick reference tool for certain basic reporting and disclosure requirements under ERISA</li><li><a href="/agencies/ebsa/about-ebsa/our-activities/resource-center/publications/understanding-your-fiduciary-responsibilities-under-a-group-health-plan">Understanding Your Fiduciary Responsibilities Under A Group Health Plan</a> provides an overview of the basic fiduciary responsibilities applicable to health plans under ERISA</li><li><a href="/agencies/ebsa/about-ebsa/our-activities/resource-center/publications/an-employers-guide-to-group-health-continuation-coverage-under-cobra">An Employer's Guide to Group Health Continuation Coverage Under COBRA</a> – The Consolidated Omnibus Budget Reconciliation Act of 1986 | <a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/an-employers-guide-to-group-health-continuation-coverage-under-cobra-spanish.pdf">En Español</a></li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/mewa-under-erisa-a-guide-to-federal-and-state-regulation.pdf">Multiple Employer Welfare Arrangements Under ERISA (MEWA)</a> – A booklet addressing many questions concerning the effect of ERISA on federal and state regulation of MEWAs</li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/fact-sheets/how-to-protect-your-employees-when-purchasing-health-insurance.pdf">How to Protect Your Employees when Purchasing Health Insurance </a>– Tips that employers can use to help ensure that employees have the health care coverage they need</li><li><a href="/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/group-health-and-disability-plans-benefit-claims-procedure-regulation.pdf">Group Health and Disability Plans Benefit Claims Procedure Regulation</a> – A booklet on the rules that apply to group health and disability benefit claims</li></ul></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </article> </div> </div> </div> </main> <footer class="ebsa-footer usa-footer usa-footer--big" role="contentinfo"> <div class="usa-footer__return-to-top container"> <a href="#" class="footer-scroll-to-top"><span>Scroll to Top</span> <i class="fa fa-arrow-circle-o-up" aria-hidden="true"></i></a> </div> <section class="dol-footer-nav"> <div> <div class="panel"> <ul block="block-menu-block-ebsa-footer-menu" class="clearfix dol-footer-nav-menu container"> <li> <a href="/agencies/ebsa/key-topics" class="dol-footer-nav-link" data-drupal-link-system-path="node/104091">Topics</a> </li> <li> <a 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