State of Confusion
Federal Benefit Plan Notices
Form 5500 Facts
COBRA
Guess the acronym
100

Residents in this state could face penalties for not having MCC.

What is Massachusetts?

100

This notice explains mastectomy reconstruction rights.

What is WHCRA? 

100

This filing system is used to submit Form 5500.

What is EFAST2? 

100

Federal COBRA generally applies to employers with this many employees.

What is 20 or more? 
100

HIPAA

Health Insurance Portability and Accountability Act

200

Self-funded plans must report annually to the Public Goods Pool of this state to avoid higher surcharge on hospital charges.

What is New York?

200

This notice must be provided to new hires within 14 days.

What is Exchange (Marketplace) Notice? 

200

A calendar-year plan’s Form 5500 is generally due by this date.

What is July 31st? 

200

The initial COBRA General Notice must be provided within this timeframe.

What is 90 days? 

200

TiC

Transparency in Coverage

300

The Illinois disclosure must be provided to new hires, annually and upon request.

What is EHB or Essential Health Benefits disclosure? 

300

This notice must be reviewed annually before October 15.

What is Medicare Part D Notice of Creditable (NonCreditable) Coverage? 

300

This IRS form automatically grants a 2½-month filing extension.

What is Form 5528?

300

COBRA election notices must be sent within this many days of coverage loss.

What is 44 days? 

300

COBRA

Consolidated Omnibus Budget Reconciliation Act

400

This state has requires payroll deductions for long-term care insurance.

What is Washington?

400

This document summarizes health benefits in a standardized format.

What is an SBC? 

400

Plans with fewer than 100 participants may avoid filing unless funded through this.

What is a trust? 

400

A person covered by a group health plan who loses coverage due to a qualifying event is known by this two-word term.

What is a qualified beneficiaries? 

400

EAP
 

What is an EAP (Employee Assistance Program?

500

This state passed a law effective January 1, 2026 allowing parents to be covered on the employee's health insurance.

What is Illinois?

500

This notice informs employees of their right to enroll mid-year due to marriage, birth or loss of coverage.

What is HIPAA Notice of Special Enrollment? 

500

This program limits penalties for late Form 5500 filings.

What is DFVCP? 

500

Domestic partners can be qualified beneficiaries. True or false. 

What is False? 
500

NQTL

Non Quantitative Treatment Limitation 


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