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: If an employee in a Federally-facilitated Small Business Health Options Program (FF-SHOP) employer group passes away, how will the FF-SHOP handle coverage for the employee's dependents?
Answer: Because dependents are only allowed to enroll in FF-SHOP coverage if an employee is also enrolled, when an employee dies, this event will trigger a termination transaction for the entire family. These family members would be eligible for a Special Enrollment Period (SEP) in the Individual Marketplace.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 05, 2014
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