Kubina also was fined $60,096.76, a total based on his average annual salary.
There was no penalty on the play.
It happened at center ice with no other traffic around the two players. Bolland was clearly stunned and left the game in the first period. He did not return to the game, which the Lightning won 4-3 in overtime.
Blackhawks coach Joel Quenneville said Wednesday night that Bolland was to be evaluated Thursday.
Kubina is eligible to return March 17 against Montreal. He will miss games against Ottawa, Florida and Toronto.
Information from ESPN.com's Pierre LeBrun, ESPNChicago.com's Jesse Rogers and The Associated Press was used in this report.