Three-Tier SBCs for 2 to 50 Employees

Summaries of Benefits and Coverage

The Summary of Benefits and Coverage (SBC) is a standard document produced by all health insurance companies to help employers and employees understand their benefits and/or compare plans. 

The following SBCs reflect coverage dates beginning on or after 1/1/2015. These SBCs should be used for all pre-ACA options for groups with 2015 renewal dates:

Plans w/ Maternity Coverage (for groups w/ 2015 renewal dates)

Option 201          Option 205
Option 202 Option 206
Option 203 Option 207
Option 204

Plans w/o Maternity Coverage (for groups w/ 2015 renewal dates)

Option 201          Option 205
Option 202 Option 206
Option 203 Option 207
Option 204


The following SBCs reflect coverage dates beginning on or after 5/1/2013. These SBCs should be used for all pre-ACA options for groups with 2013 and 2014 renewal dates:

Plans w/ Maternity Coverage (for groups w/ 2013-14 eff. dates)

Option 201          Option 205
Option 202 Option 206
Option 203 Option 207
Option 204

Plans w/o Maternity Coverage (for groups w/ 2013-14 eff. dates)

Option 201          Option 205
Option 202 Option 206
Option 203 Option 207
Option 204