Availability of Summary Health Information: The Summary of Benefit and Coverage (SBC) Document(s)
The health benefits available to you represent a significant component of your compensation package. They also provide important protection for you and your family in the case of illness or injury.
As required by law, across the US, insurance companies and group health plans like ours are providing plan participants with a consumer-friendly SBC as a way to help understand and compare medical plan benefits. Choosing a health coverage option is an important decision. To help you make an informed choice, the Summary of Benefits and Coverage (SBC), summarizes
and compares important information in a standard format.
Each SBC contains concise medical plan information, in plain language, about benefits and coverage, including, what is covered, what you need to pay for various benefits, what is not covered and where to go for more information or to get answers to questions. SBC documents are updated when there is a change to the benefits information displayed on an SBC.
Government regulations are very specific about the information that can and cannot be included in each SBC. Plans are not allowed to customize very much of the SBC documents. There are detailed instructions the Plan had to follow about how the SBCs look, how many pages long the SBC should be, the font size, the colors used when printing the SBC and even which words were to be bold and underlined.
To get a free copy of the most current Summary of Benefits and Coverage (SBC) documents for our various medical plan options, go to the EUTF website at eutf.hawaii.gov or for a paper copy, contact the EUTF Office at (808) 586-7390 or toll-free at 1-800-295-0089.