Foreign Language Counties List for SBCs Updated Nov 2023
Jan 2, 2024
Summaries of Benefits and Coverage (SBCs) and claims and appeals notices of non-grandfathered health plans are required to include foreign language tag lines in certain counties identified by federal regulators as having 10% or more of the population literate only in the same non-English language. These tag lines let these individuals know how they can get a full SBC, other notices, and live assistance in the specified non-English language.
The list of counties is periodically updated based on American Community Survey (ACS) data published by the United States Census Bureau. The last county list was issued in January 2016, but a new county list is now available in FAQs Part 63. Group health plans must use the 2023 county list starting with plan years beginning on/after January 1, 2025.
Along with the original four languages which remain (Spanish, Chinese, Navajo, and Tagalog), the 2023 update includes four new foreign languages:
Employers will want to review the 2023 county list which is sorted alphabetically by state/territory, then alphabetically by county. Some notable Spanish language updates include:
IMA will continue to monitor regulator guidance and offer meaningful, practical, timely information. This material should not be considered as a substitute for legal, tax and/or actuarial advice. Contact the appropriate professional counsel for such matters. These materials are not exhaustive and are subject to possible changes in applicable laws, rules, and regulations and their interpretations.