Explanation of "Summary of Benefits and Coverage"

All employers who are introducing or renewing an existing health insurance plan are required by the ACA to provide employees with an easy-to-understand Summary of Benefits and Coverage (SBC).

Each SBC will include key benefits, cost-sharing information, limitations, exceptions and other important aspects of a specific medical plan. By using a mandatory, standardized format, and including coverage examples, it will help employees make comparisons between their health insurance options.1

CareFirst will prepare these summaries and provide them in the clear, uniform format mandated by the ACA.


1 Centers for Medicare & Medicaid Services. Summary of Benefits & Coverage & Uniform Glossary. CareFirst accessed this information on August 21, 2013.