Under the Affordable Care Act, group health plans and health insurance issuers are required to provide certain notices in a culturally and linguistically appropriate manner. The rules require certain accommodations to be made for notices sent to an address in a county in which 10% or more of the population is literate only in the same non-English language. The determination of which counties meet the 10% threshold will be determined annually and is based on American Community Survey (ACS) data published by the United States Census Bureau. The list of counties meeting the 10% threshold that is applicable for 2013 was recently released by HHS and is available at
www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/2013-clas-data.pdf.
