Free Samples of HRA SBC

From the Desk of

Gordon this is for you!

Free Sample SBCs for HRAs Available   

July 18, 2012

I have created two sample Summary of Benefits Coverages (SBCs) for an integrated Health Reimbursement Arrangement (HRA).   The first sample SBC uses the Department Of Labor’s template.  Where the benefits are provided by the employer’s insured group health plan, I reference it.    The second sample SBC can be used as an appendix for the SBC of the employer’s insured group health plan if it just covers those benefits provided by the HRA.   If you would like copies, please click on the links below:


SBC -Appendix

If the links does not work, please respond to this e-mail and I will send you copies.

For More Information: If you have any comments or questions regarding any of above information, please do not hesitate to call (708) 717-9638 or e-mail


Larry Grudzien Attorney-At-Law