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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding Employer/Employee Interaction and Eligibility

Program Area: Small Business Health Options Program (SHOP)

Question: Will the FF-SHOP support, require, or disallow coverage of retirees?

Answer: Yes. The FF-SHOP allows for coverage of retirees. This information will be reported on 834 enrollment transactions under the category of retirees. Retirees will not receive a different contribution amount through the FF-SHOP from other enrollees. All retirees, active employees, and dependents will be rated the same under the standard age curve.

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

Issue Date: July 05, 2013

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