Summary of Benefits and Coverage - Anthem Health Care Reform ...

Electronic Delivery
Distribution of SBC to
beneficiaries living at
a different address
The rules for electronic delivery in the individual market were
relaxed somewhat.
Summary for all Lines of Business:
E-delivery to group itself - no change
E-delivery to group (both self-funded and fully
insured) pre-enrollees – new rules similar to the
electronic delivery requirements for providing the
SBC to a group health plan.
E-delivery to group enrollees – no change – must
comply with ERISA safe harbor requirements for
distribution of electronic documents
E-delivery to individual consumer market –
liberalized distribution rules
The agencies made no changes to this requirement
Seven (7) day
distribution period
The 7-day period was expanded slightly to be seven
business days.
We are working diligently to finalize our approach to SBC implementation and how we will support our
clients based on the final rules. We will continue to update you.
This content is provided solely for informational purposes. It is not intended as and does not constitute legal advice. The information contained herein should not
be relied upon or used as a substitute for consultation with legal, accounting, tax and/or other professional advisers.
Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route
123. Anthem Blue Cross and Blue Shield and its affiliated HMO HealthKeepers, Inc. are independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance
Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.
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