Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Other
Program Area: Small Business Health Options Program (SHOP)
Question: How may QHPs differ for employers offering QHPs in multiple SHOPs?
Answer: Network requirements, service areas, etc. of a QHP will be determined by the SHOP certifying the QHP. If an employer allows out-of-state employees to enroll in a QHP through a SHOP serving the employee's primary worksite (and not the SHOP serving the employer's headquarters), then the employee will receive coverage through a QHP that may have a different premium, benefit benchmark, rating criteria, etc., than a QHP certified through the SHOP serving the employer's headquarters.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 05, 2013
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