Summary of Benefits. (“SBC”) means a concise document detailing, in plain language, simple and consistent information about health plan benefits and coverage. The SBC helps consumers better understand the coverage they have and allow them to easily compare different coverage options. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions and coverage limitations and exceptions. Members will receive the summary when shopping for coverage, enrolling in coverage, at each new plan year and within seven business days of requesting a copy from their insurance issuer or group health plan.
Summary of Benefits. (“SBC”) means a concise document detailing, in plain language, simple and consistent information about health plan benefits and coverage. The SBC helps consumers better understand the coverage they have and allow them to easily compare different coverage options. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions and coverage limitations and exceptions. Insureds will receive the summary when shopping for coverage, enrolling in coverage, at each new plan year and within seven business days of requesting a copy from their insurance issuer or group health plan.
Summary of Benefits means the Member document that contains a list of the most commonly used Covered Benefits and applicable Cost Shares for the specific benefit plan(s) purchased by Employer Group. The Summary of Benefits may also be referred to as a Health Plan Benefits and Coverage Matrix and is included as Attachment B to this Agreement.
Examples of Summary of Benefits in a sentence
Distribution – certain Patient Protection and Affordable Care Act (ACA) requirements You shall distribute two documents required by the federal ACA: • Summary of benefits and coverage (SBC) • Notices of material modifications You shall distribute them to your employees and their dependents, in accordance with the federal delivery, timing, and trigger requirements.
Indemnification – federal law requirements You shall indemnify us and hold us harmless for our liability that is directly caused by your: • Negligence • Breach of the HMO agreement • Breach of federal or state laws that apply or • Willful misconduct and your act or failure to act was related to or arose out of your obligation to deliver the Summary of benefits and coverage and Notices of material modification.
More Definitions of Summary of Benefits
Summary of Benefits means a written document available during each FEHB open season that describes the flexible spending arrangement benefits under the Plan.
Summary of Benefits. (12-month benefit period) IN-NETWORK YOU PAY EYE EXAMINATIONS Routine Eye Examination with dilation $10 FRAMES1 Priced up to $70 retail $40 Priced above $70 retail $40, plus 90% of the amount over $70 SPECTACLE LENSES2 Single Vision $35 Bifocal $55 Trifocal $65 Lenticular $110 Standard Progressive Addition Lenses $75 CONTACT LENSES1 Contact Lens Evaluation and Fitting 85% of retail price Conventional 80% of retail price Disposable/Planned Replacement 90% of retail price Lens 1-2-3® Mail Order Contact Lens Replacement Program Up to 40% off retail prices LASER VISION CORRECTION1 Up to 25% off allowed amount or 95% of advertised special2 1 CareFirst BlueChoice does not underwrite lenses, frames and contact lenses in this program. This portion of the Plan is not an insurance product.
Summary of Benefits means the written materials required by Section 59A-57-4 NMSA 1978 to be given to the grievant by the health care insurer or group contract holder.
Summary of Benefits means any and all summary of benefits or coverage, schedule of benefits or coverage, explanation of benefits or coverage, subscriber certificates, or any other summary of benefits available to You with respect to any Plan Agreement or Group Insurance Policy Agreement. The term “Summary of Benefits” shall include any amendments thereto.
Summary of Benefits means a summary of the benefits and exclusions, required to be given prior to or at the time of enrollment to a prospective subscriber by the health care insurer or group contract holder.
Summary of Benefits sheet is enclosed for your review.
Summary of Benefits means a summary of the benefits and exclusions required to be given prior to or at the time of enrollment to a prospective subscriber or covered person by the health insurance carrier.