Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Payment
Program Area: Small Business Health Options Program (SHOP)
Question: Our state requires that issuers process claims during the grace period. How will plans bill for coverage during the FF-SHOP grace period? Issuers continue to bill plans for the grace period month today, and refer employers to collections if there is non-pay.
Answer: FF-SHOP QHP and SADP Issuers will not be invoicing any groups with 2015 coverage effective dates. The FF-SHOP will continue to invoice a group during the 31 day FF-SHOP grace period and seek to collect outstanding balances during the grace period.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 08, 2014
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