Www dol gov ebsa faqs Form 2021-2024

Www dol gov ebsa faqs Form: What You Should Know

SBC Questionnaire — The BSA Form. 600, the “BSA Preventive Services Questionnaire,” can be downloaded from  (BSA forms available through this web page may not be for individuals' own use and may not be  approved for use by the Department of Labor) and at most health maintenance organizations (HMO's). The questionnaire must be  submitted with the application to the local health maintenance organization. The BSA Form. 600—which is a questionnaire about mental health and preventative services—is used by the BSA to assess an  individual's health plan eligibility. The questionnaire allows the organization to make informed decisions about which insureds  to cover and which to exclude. The BSA questionnaire and application can be completed by the organization's  health plan administrator. The questionnaire is only used if a health plan is part of an HMO and the organization's  plan has not requested that the BSA assess its participation in a group health plan and does not  contain a “grandfathered or pre-existing group health plan.” Questions to Ask a Health Plan—The BSA form can also be completed by a health plan administrator if the  administrator believes that the health plan or another group health plan is being offered with no actuarial benefit  underwriting and, therefore, has not provided any pre-existing and pre-enrollment individual or family coverage for individuals  or families to qualify for the individual and family coverage requirements. In order to assess the health plan's  ability to meet the individual and family coverage requirements for an insured enrolled, the BSA form can  include specific questions about the organization's plan's coverage of mental health and preventative services and  the benefits and coverage offered to individuals who are medically indigent. The BSA can make a determination based on the questions asked and the questions asked regarding the extent to which an organization's plan  provides coverage for mental health and preventative services, but only within the meaning of section 1882(h)) of the  Bureau of Labor Statistics Act, and in no case may the BSA make a determination for insurance purposes. (H.

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