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2015 Payment Notice CMS-9954-F: SHOP-Specific Policies and Parameters (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Guidance Overview]
Mar. 17, 2014
25 presentation slides. Topics include: [1] QHP enrollment via agent/broker websites; [2] Functions of a SHOP: stand-alone dental plan (SADP) options, quarterly rate updates, premium calculation processes, proration of FF-SHOP premiums, and premium contribution options; [3] Application standards for SHOP: SHOP information collection standards; [4] Eligibility determinations in SHOP: prohibition of individual market eligibility determination; [5] Additional standards specific to SHOP: qualified employer rating in SHOP, composite rating in FF-SHOPs, and issuers effectuate FF-SHOP coverage; [6] Proposed future rulemaking.

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