Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Medicare
Program Area: Small Business Health Options Program (SHOP)
Question: How should issuers account for working Medicare eligibles and their dependents under the FF-SHOP employer groups? If dependents are eligible for coverage, how will the FF-SHOP report this membership to the health plans? Will they enroll the next oldest dependent as the subscriber, or will they report the Medicare member as a non-covered subscriber and enroll the dependents under the non-covered subscriber account?
Answer: The FF-SHOP enrollment system only allows dependents to be covered if an employee is enrolled in the group plan.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 28, 2013
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