- Compliance Assistance Release No. 2024-01
- Health Benefits Laws Self Compliance Tools
- Health Benefits Advisor interactive Website assists employers in understanding and complying with federal group health plan laws
- Health Benefits Education Campaign
- Reporting/Disclosure Guide For Employee Benefit Plans – A quick reference tool for certain basic reporting and disclosure requirements under ERISA
- Understanding Your Fiduciary Responsibilities Under A Group Health Plan provides an overview of the basic fiduciary responsibilities applicable to health plans under ERISA
- Correction Programs
- Multiple Employer Welfare Arrangements Under ERISA (MEWA) – A booklet addressing many questions concerning the effect of ERISA on federal and state regulation of MEWAs
- How to Protect Your Employees when Purchasing Health Insurance – Tips that employers can use to help ensure that employees have the health care coverage they need
- The Form M-1 Online Filing System 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
- Form M-1 Annual Report – 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
- MEWA regulations/guidance under the ACA
- Model general notice: English (EN) | En Español (ES) | Kreyòl Ayisyen (HT) | 한국어 (KO)
- Model election notice: English (EN) | En Español (ES) | Kreyòl Ayisyen (HT) | 한국어 (KO)
- Model Notice for Employers Regarding Premium Assistance Opportunities MS Word Format | Printer Friendly Version. Also available in Spanish MS Word Format | Printer Friendly Version
- Model HIPAA, Newborns', WHCRA Notices
- GINA Research Exception Form
- Extension of Coverage for Adult Children Model Notice | En Español
- Grandfathered health plans Model Notice | En Español
- Revised Model Notice of Adverse Benefit Determination
- Revised Model Notice of Final Internal Adverse Benefit Determination
- Revised Model Notice of Final External Review Decision | En Español
- Model Notice for employers who offer a health plan to some or all employees (Updated February 2024): English (EN) • Printer Friendly Version | En Español (ES) • Version para imprimir | Kreyòl Ayisyen (HT) • Vèsyon enprimant-zanmitay | 한국어 (KO) • 인쇄용 버전
- Model Notice for employers who do not offer a health plan (Updated February 2024): English (EN) | Printer Friendly Version | En Español • Version para imprimir | Kreyòl Ayisyen (HT) • Vèsyon enprimant-zanmitay | 한국어 (KO) • 인쇄용 버전
- Patient Protection Model Notice | En Español
- Lifetime Limits Model Notice | En Español
- Mental Health Parity Act Model Forms
- National Medical Support Notice - Part B
- Form for Summary Annual Report Relating to Welfare Plans
Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials – for plan years beginning on or after 1/1/21
- Summary of Benefits and Coverage (SBC) Template | MS Word Format
- Sample Completed SBC | MS Word Format
- Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs
- Instructions for Completing the SBC - Individual Health Insurance Coverage
- Why This Matters language for "Yes" Answers
- Why This Matters language for "No" Answers
- HHS Information For Simulating Coverage Examples
- HHS Coverage Example Calculator and Related Information
- List of anchors for SBC Uniform Glossary terms
- Uniform Glossary of Coverage and Medical Terms
- SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo
Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials – for plan years beginning on or after 4/1/17
- Summary of Benefits and Coverage (SBC) Template | MS Word Format
- Sample Completed SBC | MS Word Format
- Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs
- Instructions for Completing the SBC - Individual Health Insurance Coverage
- Why This Matters language for "Yes" Answers
- Why This Matters language for "No" Answers
- HHS Information For Simulating Coverage Examples
- HHS Coverage Example Calculator and Related Information
- List of anchors for SBC Uniform Glossary terms
- Uniform Glossary of Coverage and Medical Terms
- SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo
- HHS News Release
Archived Materials - for plan years beginning prior to 4/1/17
- Summary of Benefits and Coverage (SBC) Template | MS Word Format
- Sample Completed SBC | MS Word Format
- Instructions for Completing the SBC – Group Health Plan Coverage and Consumer Assistance Programs
- Instructions for Completing the SBC – Individual Health Insurance Coverage
- Why This Matters language for "Yes" Answers
- Why This Matters language for "No" Answers
- HHS Information For Simulating Coverage Examples
- HHS Coverage Example Calculator and Related Information
- Uniform Glossary of Coverage and Medical Terms
- Compliance Assistance Guide – 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
- Reporting/Disclosure Guide For Employee Benefit Plans – A quick reference tool for certain basic reporting and disclosure requirements under ERISA
- Understanding Your Fiduciary Responsibilities Under A Group Health Plan provides an overview of the basic fiduciary responsibilities applicable to health plans under ERISA
- An Employer's Guide to Group Health Continuation Coverage Under COBRA – The Consolidated Omnibus Budget Reconciliation Act of 1986 | En Español
- Multiple Employer Welfare Arrangements Under ERISA (MEWA) – A booklet addressing many questions concerning the effect of ERISA on federal and state regulation of MEWAs
- How to Protect Your Employees when Purchasing Health Insurance – Tips that employers can use to help ensure that employees have the health care coverage they need
- Group Health and Disability Plans Benefit Claims Procedure Regulation – A booklet on the rules that apply to group health and disability benefit claims