Maine Certificate of Group Health Plan Coverage
Description
How to fill out Certificate Of Group Health Plan Coverage?
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FAQ
An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. You can compare options based on price, benefits, and other features that may be important to you.
A certificate of coverage (CoC) is a contract that lists an individual's health insurance coverage with their payor. The CoC details the health benefits the beneficiary and their dependents have under their plan.
The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. SBCs also explain health plans' unique features like cost sharing rules and include significant limits and exceptions to coverage in easy-to- understand terms.
You can ask for a copy from your insurance company or group health plan any time. All health plans must provide the SBC at important points in the enrollment process, like when you apply for or renew your policy.
The SBC must include 12 content elements: Uniform definitions of standard insurance terms and medical terms so that consumers may compare health coverage and understand the terms of (or exceptions to) their coverage. A description of the coverage, including cost sharing, for each category of benefits.
Upon request. The SBC must be provided upon request for an SBC or summary information about the health coverage as soon as practicable but in no event later than seven business days following receipt of the request.
