Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Premium Invoice
Program Area: Small Business Health Options Program (SHOP)
Question: How will Federally-facilitated Small Business Health Options Program (FF-SHOP) issuers request additional payments from cancelled or terminated employer groups for claims paid between the last payment received and when the FF-SHOP cancels or terminates the employer group?
Answer: After the FF-SHOP 30-day reinstatement window has passed, issuers may collect outstanding money owed by groups as allowed by applicable State law and regulations.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 05, 2014
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