These required notices are crucial for you to communicate effectively with clients and ensure compliance with regulations.
- 2025 Open Enrollment Checklist: Benefit Notices
- Summary of Benefits and Coverage: ACA requires health plans and health insurance issuers to provide an SBC to applicants and enrollees.
- Medicare Part D Notices: This creditable coverage notice alerts individuals about whether their prescription drug coverage is at least as good as the Medicare Part D coverage.
- Annual CHIP Notices: This notice shows available assistance to employees who receive a premium subsidy (low-income children and their families).
- Initial COBRA Notices: This notice shares information to help employees understand their rights and responsibilities under COBRA.
- Summary Plan Descriptions: This is the primary source of information for employees who participate in an employment-based health care plan.
- Notices of Patient Protections: This tells individuals how health care providers and health plans may use and share health information.
- Grandfathered Plan Notices: The notice informs participants that their plan may not include certain consumer protections that apply to non-grandfathered plans.
- Notices of HIPAA Special Enrollment Rights: This notice is provided to employees who have become eligible to participate in a group health plans subject to the Employee Retirement Income Security Act (ERISA).
- HIPAA Privacy Notices: This notice is provided to patients on first contact, and to health plan members on enrollment, and it outlines how a HIPAA covered entity can use or disclose Protected Health Information (PHI) and the rights individuals have to obtain copies of their PHI.
- Special Rules for Fully Insured Plans: This document lists the main federal requirements that apply to group health plans based on their design, size, and funding status.
- Summary Annual Reports: This notice provides participants with a narrative summary.
- HIPAA Wellness Program Notice: This notice highlights what information will be collected, how it will be used, who will receive it, and what will be done to keep it confidential.
- Americans with Disabilities Act (ADA) Wellness Program Notice: This notice highlights what information will be collected, how it will be used, who will receive it, and what will be done to keep it confidential.
- ICHRA Notices: Prior to each plan year, a 90-day notice must be provided to employees to inform them that they can participate. it must include how Individual coverage impacts the premium tax credits, who is eligible, and the employer contribution amounts.
- Newborns & Mothers Protection Notice: This notice informs employee about protections for hospital stays related to childbirth, ensuring mothers and newborns receive adequate care.
- Surprise Billing Notice: This notice explains protections against unexpected medical bills from out-of-network providers, helping employees avoid financial surprises.
- Michelle’s Law Notice: This notice informs employees about the extension of health coverage for dependent students who take a medically necessary leave of absence, ensuring continued access to healthcare.