September 12, 2019

Website address changes for Model DOL-EBSA Forms

To assist employers and plan administrators in compliance with various employee benefit laws, the Department of Labor’s Employee Benefits Security Administration (EBSA) provides model notices and forms.  EBSA recently re-designed its website, which resulted in a change to the website addresses of several model DOL-EBSA forms. 

Many of the Model Notices & Disclosures can be found by topic via EBSA’s Plan Administration and (Health Plan) Compliance webpage.  These include:

  • Affordable Care Act model forms including the notice of grandfathered health plan status, the patient protection notice, Notice of Marketplace Options, summary of benefits and coverage template and glossary, and the three types of claims and appeal notices;
  • COBRA continuation of coverage model notices including the initial/general notice and election notice;
  • View only Forms 5500 and M-1, and the model summary annual report; and
  • Model Notice for Employers Regarding Premium Assistance Opportunities, also known as the Medicaid/CHIP notice.  The DOL recently re-issued this notice, made current as of July 31, 2019 (see our article in the August Benefit Beat).


The information contained in this article is provided as general guidance and may be affected by changes in law or regulation. This article is not intended to replace or substitute for accounting or other professional advice. Please consult a CBIZ professional. This information is provided as-is with no warranties of any kind. CBIZ shall not be liable for any damages whatsoever in connection with its use and assumes no obligation to inform the reader of any changes in laws or other factors that could affect the information contained herein.

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