Notices
Notice categories and copyable templates. The toolkit does not send notices.
Plan Documents & Reporting
Continuation Rights
Marketplace and ICHRA
Claims and Appeals
Enrollment and Family Rights
Medicare Coordination
Privacy and Data Sharing
Tax and Payroll
State, Wellness, and Transparency
Summary Plan Description (SPD)
Plan document or distribution timing requires participant-facing summary material.
Evidence: Final SPD, approval record, recipient list, delivery log.
Summary of Material Modification (SMM)
A plan amendment or material change must be communicated.
Evidence: Approval record, final SMM, affected participant list, delivery log.
Summary Annual Report (SAR)
Annual report information must be distributed where applicable.
Evidence: Filing confirmation, final SAR, distribution list, delivery log.
COBRA General Notice
Continuation rights materials are needed for covered participants.
Evidence: Model notice version, initial coverage records, delivery proof.
Notice of Special Enrollment Rights
Enrollment materials should explain special enrollment rights.
Evidence: Notice version, delivery evidence, special enrollment requests.
Individual Coverage HRA Notice
The employer is offering an ICHRA and must provide the ICHRA notice.
Evidence: Final notice, eligible employee list, delivery log, opt-out records, substantiation records.
Medicare Creditable or Non-Creditable Coverage Notice
Medicare-related coverage status communication is required or review-sensitive.
Evidence: Creditable status determination, model notice, recipient list, delivery log.
HIPAA Notice of Privacy Practices Cover Notice
Privacy materials or data-sharing support requires a clear cover communication.
Evidence: Notice copy, distribution evidence, privacy contact record.
Section 125 Pre-Tax Premium Election Notice
Pre-tax premium treatment is being discussed or used.
Evidence: Plan document, election form, payroll mapping, review notes.
State Exchange or Marketplace ICHRA Instructions Insert
State-specific exchange instructions may be needed.
Evidence: Instruction insert, exchange link, support log, state-specific version.