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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 834 Transaction and Termination Transaction

Program Area: Small Business Health Options Program (SHOP)

Question: When a dependent is terminated from an employer group, will the Federally-facilitated Small Business Health Options Program (FF-SHOP) include the Health Insurance Oversight System (HIOS) ID and Policy ID on the 834 Termination transaction?

Answer: Yes, the FF-SHOP will send the Exchange Assigned Policy ID, HIOS Plan ID, Issuer Assigned Policy ID and Issuer Assigned Group ID in the HealthCoveragePolicyNumber loop of the 834 Enrollment transaction.

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

Issue Date: August 26, 2014

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