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United States Department of Labor
U.S. Department of Labor
Employee Benefits Security Administration
ESPAÑOL Contact EBSA

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  • TOPICS

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      • Health Benefits
        • Surprise Billing and Price Transparency
        • COBRA Health Continuation Coverage
        • Claiming Health Benefits
        • Affordable Care Act
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        • Health Benefits Compliance Assistance
        • Children's Health Insurance Program Reauthorization Act (CHIPRA)
      • Retirement Benefits
        • Special Financial Assistance - Multiemployer Plans
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        • Funding Status Notices
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      • Reporting and Filing
        • Forms
        • Form 5500
        • Delinquent Filer Voluntary Compliance Program (DFVCP)
        • Audit Quality
        • Form M-1
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      • Compliance Assistance

        • Educational Seminars and Webinars
        • Compliance Assistance Guides
  • WORKERS

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      • Workers
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  • EMPLOYERS AND ADVISERS

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  • LAWS AND REGULATIONS

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      • Laws and Regulations
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  • ABOUT

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Breadcrumb
  • EBSA
  • Employers and Advisers
  • Plan Administration and Compliance

Health Plans

  • 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
  • Regulations and Guidance
  • Making Your Health Benefits Work for You - The Health Benefits Education Campaign
  • Consolidated Omnibus Budget Reconciliation Act (COBRA)
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Genetic Information Nondiscrimination Act (GINA)
  • Mental Health and Substance Use Disorder Parity
  • Children’s Health Insurance Program Reauthorization Act (CHIPRA)
  • 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
  • Claiming Benefits
  • Disability Benefits
  • COBRA Model General Notice | En Español
  • COBRA Model Election Notice | En Español
  • 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 | MS Word Format | Printer Friendly Version | En Español MS Word Format | Printer Friendly Version
  • Model Notice for employers who do not offer a health plan | MS Word Format | Printer Friendly Version | En Español MS Word Format | Printer Friendly Format
  • 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 – Currently Applicable

  • 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

Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials – for use on or after 04/01/17 (Final)

  • 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
  • HHS News Release
  • 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
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United States Department of Labor
Employee Benefits Security Administration

An agency within the U.S. Department of Labor

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Washington, DC 20210
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