Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Special Enrollment Periods (SEPs)
Program Area: Small Business Health Options Program (SHOP)
Question: Will the Federally-facilitated Small Business Health Options Program (FF-SHOP) support mid-month enrollment of newborns, or enrollment of newborns in general?
Answer: Newborns trigger one of the required special enrollment periods that allow an individual to be added to an employee's plan outside of initial enrollment or a group's annual renewal period. The effective date of coverage for newborns is the date of birth, and premiums will be pro-rated accordingly.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 16, 2014
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