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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding Issuer Participation Requirements and Enrollment Reconciliation


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

Issue Date: August 27, 2015

Program Area: Small Business Health Options Program (SHOP)

Question: Must Federally-facilitated Small Business Health Options Program (FF-SHOP) issuers provide residential or mailing Zone Improvement Plan (ZIP) Codes to the Centers for Medicare and Medicaid Services (CMS) for the Enrollment/Reconciliation process?

Answer: CMS requires FF-SHOP issuers to submit mailing address ZIP codes.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.