When must insurers provide a Summary of Benefits and Coverage (SBC) to customers?

Insurers are required to provide a Summary of Benefits and Coverage (SBC) at specific intervals and circumstances as part of the Affordable Care Act (ACA) regulations. The SBC is designed to help consumers understand their health insurance options clearly and is a critical tool for transparency.

When customers enroll for the first time, insurers must provide the SBC to ensure that individuals understand their coverage options, including what is covered, the cost-sharing responsibilities, and any limitations or exclusions. This initial provision is crucial for informed decision-making when selecting a health plan.

Additionally, the SBC must be provided at the start of each new plan year. This requirement ensures that policyholders receive updated information about their benefits and coverage, reflecting any changes that may occur from one year to the next. This is important for consumers to remain aware of their entitlements and obligations under their health plans.

Insurers must also provide the SBC upon request by a customer. This provision allows individuals who have questions or need clarification on their coverage to obtain information readily, thereby promoting transparency and informed health care choices.

Considering these requirements, it is correct that insurers must provide the SBC at the beginning of enrollment, at the start of each new year, and upon customer request. Hence, the answer encompassing all these situations