Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Premium Calculations and Other
Program Area: Small Business Health Options Program (SHOP)
Question: If a qualified employer has multiple worksites in a state, which address will be used to adjust premiums for the qualified employer's qualified employees and their dependents using the geographic rating area premium rating factor?
Answer: An employer enrolling in coverage through the FF-SHOPs will be able to establish one account per State. As finalized at 147.102 (a)(1)(ii), for plans in the FF-SHOP, rating area is determined by the employer's principal business address in the State. Thus, the principal address entered by the employer on the employer application will be used for rating purposes for the entire group.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 02, 2013
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