A model notice addressing the requirement under the No Surprises Act (NSA) (part of the Consolidated Appropriations Act, 2021 (CAA-21)) that group health plans and health insurers disclose certain information about surprise medical billing protections to participants and beneficiaries. The plain language disclosures must be made publicly available, posted on the plan's or insurer's public website, and included on each explanation of benefits (EOB) for any item or service that is subject to the NSA's surprise billing requirements. This Standard Document, which is intended to comply with the NSA's plain language disclosure requirements for plans and insurers, has integrated notes with important explanations and drafting tips.