Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding 834 Transaction and Initial Transaction
Program Area: Small Business Health Options Program (SHOP)
Question: During the annual November 15th - December 15th special enrollment period (when no minimum participation rate will be calculated), will the FF-SHOP send issuers a single enrollment file or will enrollment files be sent piecemeal as employees enroll?
Answer: The Group Enrollment XML file transaction and associated ASC X12 834 enrollment transaction will not be sent until after the group's enrollment period has expired or all employees have responded to the offer of coverage. Thus, issuers will not be receiving ASC X12 834 enrollment transactions in a piecemeal manner.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 28, 2013
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