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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding 834 Transaction and Maintenance Transaction

Program Area: Small Business Health Options Program (SHOP)

Question: Will there ever be a scenario when the Policy ID in REF*1L* will change for a family during the year? Or will a family maintain the original/same Policy ID throughout the year?

Answer: If an employer disenrolls an employee from a plan and the employee is later added back to the roster and enrolls in a new plan, then only the Policy ID will change. In all other cases when an employee change is reported on a maintenance transaction, the Policy ID will remain the same.

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

Issue Date: December 03, 2014

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