Benefits Compliance

Benefits Notices for Your 2020 Open Enrollment

By August 15, 2019 No Comments
Open Enrollment

Employers that sponsor group health plans should provide certain benefit notices in connection with their plans’ open enrollment periods.

Some of these notices must be provided at open enrollment time, such as the summary of benefits and coverage (SBC).

Other notices, such as the Women’s Health and Cancer Rights Act (WHCRA) notice, must be distributed annually. 

Although these annual notices may be provided at different times throughout the year, employers often choose to include them in their open enrollment materials for administrative convenience.

In addition, employers should review their open enrollment materials to confirm that they accurately reflect the terms and cost of coverage.

In general, any plan design changes for 2020 should be communicated to plan participants either through an updated summary plan description (SPD) or a summary of material modifications (SMM).

Download the compliance bulletin, which includes a chart summarizing the benefit notices employers should provide at open enrollment time.

Need Additional Resources?

  • Click here for the Department of Labor’s (DOL) website on compliance assistance for health plans, which includes links to many model notices.
  • Click here for the Center for Medicare and Medicaid Services’ (CMS) website on Medicare Part D disclosures