What document must be provided to applicants before they purchase a health insurance policy?

The Summary of Benefits is a critical document that outlines essential information regarding a health insurance policy before applicants make a purchase. This document provides a clear overview of the plan's coverage, including benefits, cost-sharing details such as premiums, deductibles, and copayments, as well as limitations and exclusions. By presenting this information upfront, it allows potential policyholders to make informed decisions about their healthcare coverage.

The importance of the Summary of Benefits lies in its role in transparency and understanding. It is designed to be concise and user-friendly, making it easier for individuals to compare different health insurance plans and ensure they select one that meets their needs. This requirement is part of the regulations aimed at protecting consumers and ensuring they have the necessary information to choose the right health insurance product.

Other documents, such as the insurance contract, do provide thorough details about the policy but are typically presented after the purchase. Claim forms are used after a service has been rendered and are unrelated to the purchasing process. Agent accreditation documents pertain to the qualifications of the agent selling the policy rather than to the applicant's decision-making process regarding coverage.