Members - Consumer tools

Body

Time frames for delivery of Summary of Benefits and Coverage (SBC)

There are different time frames in place involving SBC distribution, depending on when enrollment occurs.
 

Time frames for Blue Cross and Blue Shield of Kansas providing SBCs to group

 
New business No later than seven business days after receipt of application. The SBC must be distributed by the first day of coverage IF information in the SBC has changed between the time the group applies for coverage and the first day of coverage.
At renewal No later than when renewal materials are distributed
Upon request No later than seven business days after the request

 

Time frames for group providing SBCs to employees and dependents

Initial enrollment SBC should be sent with enrollment application materials. If application materials are not provided for enrollment, each employee and dependent must be provided an SBC no later than the first date of enrollment eligibility. If SBC information changes between the time the group applies for coverage and the first day of coverage, each employee must be provided an updated SBC by first day of coverage.
Renewal SBC should be provided when renewal materials are delivered no later than 30 days prior to the group’s renewal date.
Special enrollment Provide SBC within 90 days of enrollment.
Upon request Provide SBC no later than seven business days after the request.