Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Dental
Program Area: Small Business Health Options Program (SHOP)
Question: For standalone dental plans, how will non-guaranteed rating work for FF-SHOPs and how does it integrate with the billing process since SHOP will be doing all the billing for plan years beginning in 2015?
Answer: CMS current thinking is that employers and employees selecting standalone dental plans with non-guaranteed rates would be directed to an issuer's website to enroll in coverage. In this instance, the carrier would also be responsible for billing.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 05, 2014
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
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.