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Model Notices: Health Plan

For the many employers in the midst of open enrollment planning, we've compiled model health plan notices from federal government agencies. Where possible, we also provide related reading.

The fine print: These links to sources for model notices were retrieved on September 7, 2023. This chart is intended to indicate general notice requirements applicable to employer sponsored health plans. It does not cover all special requirements that may apply in a particular year due to an extraordinary event or that may apply only to a particular employer or employee. As with all matters involving legal interpretation, plan sponsors should rely on their attorneys for legal advice on questions of specific application to their plans and any additional notice requirements.

Coverage Options Notice (formerly known as Exchange Notice)

Related readingWhat is the health insurance marketplace notice requirement under the Affordable Care Act (ACA)?

COBRA Election Notice

Related reading: Takeaways from a Recent COBRA Notice Class Action Settlement
McDermott | Sep 2023

HIPAA: Notice of Privacy Practices

Related readingWhat are the HIPAA privacy notice requirements for employers that sponsor a group health plan?

Summary of Benefits & Coverage and Uniform Glossary

Related readingSummary of Benefits and Coverage

Medicare Part D Annual Notice

Related readingMedicare Part D Notice Deadline Coming Soon
HUB International | Aug 2023

Medicaid and the Children's Health Insurance Program Reauthorization Act (CHIPRA)

Related reading:  DOL Releases New Model Employer CHIP Notice
Amwins | Aug 2023

Mental Health Parity

Multiple Notices (see below)


Model Special Enrollment Notice (page 2 on the PDF reader)
Wellness Program Disclosure (page 3 on the PDF reader)
Newborns' Act Disclosure (page 4 on the PDF reader)
Women's Health and Cancer Rights Act of 1998 (pages 5 & 6 on the PDF reader)
Model Notice for Grandfathered Health Plans (page 13 on the PDF reader)
Patient Protection Model Disclosure (page 14 on the PDF reader)

Related Resources

The 2024 Required Annual Notices to Employees
Newfront | Aug 2023

Gimme, Gimme, Gimme, My Required Notices
Holland & Hart | Oct 2022

Navigating Open Enrollment Notice Requirements
Faegre Drinker | Oct 2022

Guide: General Compliance Assistance: Health Plans
Chart: Reporting & Disclosure Guide for Employee Benefit Plans
DOL | 


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