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: After a group has submitted its final initial application, when will the Federally-facilitated Small Business Health Options Program (FF-SHOP) invoice the employer for someone who is added after the initial submission but before the coverage effective date? For example, an employee gets married after the initial application is submitted but before the coverage effective date.
Answer: The FF-SHOP will collect and remit to issuers the amount owed as of the initial application submission and back-charge the employer for the new enrollee (spouse) during the next invoicing cycle.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 08, 2014
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