Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Premium Calculations and Other
Program Area: Small Business Health Options Program (SHOP)
Question: Do the FF-SHOP proration rules apply outside of SHOP?
Answer: Pursuant to 155.705(b)(4)(ii)(B), for a Federally-facilitated SHOP, the premium for coverage lasting less than 1 month must equal the product of: (1) The premium for 1 month of coverage divided by the number of days in the month; and (2) The number of days for which coverage is being provided in the month described in paragraph (b)(4)(ii)(B)(1) of this section. This proration rule only applies to FF-SHOPs.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 14, 2014
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