Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Issuer Participation Requirements and Other
Program Area: Small Business Health Options Program (SHOP)
Question: Is there a policy limit to the number of children on a SHOP plan? How should the Business rules template field "number of children allowed under a contract-only SHOP" be completed?
Answer: There is no limit on number of children covered in a SHOP. The selection specifically states 1, 2, or 3-or-more. Limiting it to a maximum of 3 (or more) children is strictly for purposes of pricing the family rate. It does not mean there is a limit on the number of children that could be on a given policy.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 03, 2013
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