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Do you have Questions on your Summary of Benefits and Coverage
(SBC) Document?

What is the SBC document?

The Summary of Benefits and Coverage (SBC) form summarizes health plan information and provides estimated costs of commonly used services. This form is a standardized document that was implemented as part of the Affordable Care Act and is intended to provide a consistent format across all health plans. We hope that the SBC document, along with helpful customer care resources, will make health plans clearer to understand and easier to manage.

If you are unclear about any of the bolded terms used in the SBC, you may reference a standard glossary provided by the Federal Government. The glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. You can view the Glossary at www.dol.gov/ebsa/pdf/SBCUniformGlossary.pdf or request a paper copy through the Customer Care Center at (800) 279-1301.

If you would like to obtain a copy of the Summary of Benefits and Coverage (SBC) Document for your health insurance plan or have questions about your payroll costs associated with your employer's health insurance, please select what option best describes your situation below:

I am not currently enrolled in my employer's health insurance

Please contact your Human Resources department for any questions, details or for a copy of your Summary of Benefits and Coverage Document.

I am currently enrolled in my employer's health insurance

Payroll Costs:
For questions pertaining to your payroll costs, please contact your Human Resource department.

Details on Coverage
The Summary of Benefits and Coverage (SBC) Document is only a summary. If you would like more details about the costs and coverage under the terms of your policy, please contact Customer Service at the number listed on you ID card.

You can obtian a copy of your SBC by contacting your Human Resources Department or logging into the Member Portal.