Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Minimum Participation Rate
Program Area: Small Business Health Options Program (SHOP)
Question: How will the FF-SHOP's minimum participation rate work in 2015? Will employers have to meet the default 70% minimum participation rate overall, and there are no minimum participation rates for each Issuer and/or QHP? Does this mean issuers could get only one employee for an employer group?
Answer: CMS regulations require the FF-SHOP to calculate minimum participation rates at the level of the SHOP--not at the level of an Issuer or QHP. Thus, an Issuer may only receive one employee from an employer group.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 08, 2014
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