Government Agencies Propose Rule for Summaries of Health Plan Benefits, Coverage

New standards have been proposed for health plans to disclose a summary of their benefits under the Patient Protection and Affordable Care Act, according to a proposed rule from the departments of Health and Human Services, Labor and Treasury.

Under the proposed rule, health plans would have to provide a summary of benefits and coverage, as well as a glossary of terms, that "accurately describes the benefits and coverage" under each applicable plan. Insurers would have to give enrollees at least 60 days notice of any significant change in their plan or coverage during the policy year.

The document also implements disclosure requirements to help plans and individuals to better understand their health coverage and compare different plans and coverage levels.

Comments will be accepted until 60 days after its Aug. 22 publishing.

Read the proposed rule on health plan benefit summaries (pdf).

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