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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 834 Transaction and Maintenance Transaction


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 16, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: Will the Federally-facilitated Small Business Health Options Program (FF-SHOP) send maintenance transactions as a termination transaction and an add transaction, similar to the Federally-facilitated Marketplace (FFM)?

Answer: No, the FF-SHOP sends Health Insurance Exchange (HIX) 834 maintenance transactions that do not require terminations and subsequent adds to reflect employee or dependent changes.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.