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

Issue Date: October 09, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: Will the Federally-facilitated Small Business Health Options Program (FF-SHOP) 834 enrollment transactions include individual and enrollee terminations in the Subscriber loop?

Answer: If an entire family is terminated from coverage, then the FF-SHOP will communicate the termination in the Subscriber loop of the 834 transaction. If individual or dependents are terminated from coverage, the FF-SHOP will communicate the termination in the Member loop of the 834 transaction.

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