Summary of Healthcare Benefits and Coverage

Image of an SBCThe federal Patient Protection and Affordable Care Act (PPACA) requires the University of Vermont provide healthcare plan participants and their beneficiaries with a Summary of Benefits and Coverage (SBC) describing each available group health insurance plan. The format, content and language of the SBC is defined by applicable federal regulations so that individuals can easily compare available plans—in preparation for a variety of plans being made available on the Vermont Health Benefit Exchange (the statewide health insurance marketplace).

The first distribution of the SBC coincided with Open Enrollment for the health plan year beginning July 1, 2013. Subsequently, a new SBC will be published whenever coverage changes, or for each new plan year.

There are currently four distinct Summaries of Benefits and Coverage, depending on your relationship to the University. Read the descriptions below, then check the Group Number on your Blue Cross and Blue Shield of Vermont insurance card to be certain you are reviewing the appropriate Summary.

For July 1, 2014 through December 30, 2015 (anticipated; end date subject to change):

  1. Group Number begins with 80894. (SBC for all active faculty and staff plus many retirees under age 65)
  2. Group Number begins with 80892. (SBC for retirees on the J and J-Carve Out plans)
  3. Group Number begins with 80893. (SBC for retirees on MediComp III)
  4. Group Number begins with 80895. (SBC for United Academics Part-Time Unit)

For July 1, 2013 through June 30, 2014:

  1. Group Number begins with 80894. (SBC for all active faculty and staff plus many retirees under age 65)
  2. Group Number begins with 80892. (SBC for retirees on the J and J-Carve Out plans)
  3. Group Number begins with 80893. (SBC for retirees on MediComp III)
  4. Group Number begins with 80895. (SBC for United Academics Part-Time Unit)

If you have questions about a Summary of Benefits and Coverage or require a printed copy, visit HRS in Waterman 228, e-mail HRSinfo@uvm.edu, or call 802-656-3150.