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Group Health Plan Notices for New Hires/Enrollees

The following group health plan notices are often provided in connection with initial enrollment:

  • Exchange (or Marketplace) Notice – Must provide all new hires with a written notice about the ACA’s Exchanges.
  • SPD – Must be provided within 90 days of when group health coverage begins. For insured plans, the SPD is often made up of an ERISA wrap document and the underlying insurance certificate(s).
  • Summary of Benefits and Coverage (SBC) – Must be provided with any written application materials distributed for enrollment.
  • Grandfathered Plan Notice – Employers with grandfathered plans must include information about the plan’s grandfathered status in plan materials describing the coverage under the plan, such as SPDs and open enrollment materials.
  •  Initial/General COBRA Notice – Must be provided within 90 days of when group health plan coverage begins.
  • Medicare Part D Notice – Must provide to Medicare Part D eligible individuals who are covered by the health plan’s prescription drug coverage.

For more information or help with these notices contact our sales department here at RP Riley.

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