Wednesday, January 10, 2024

Does Your Business Qualify for SHOP Coverage?

Check out the requirements to enroll!

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Does Your Business Qualify for SHOP Coverage?

The Small Business Health Options Program (SHOP) is for small businesses that want to provide affordable, flexible, and convenient health and/or dental insurance to their employees. To offer SHOP coverage to your employees, your business must meet four requirements:

 

  1. Generally have 1-50 full-time equivalent (FTE) employees other than owners, spouses, and family members of owners and partners
  2. Offer coverage to all FTE employees
  3. Enroll at least 70% of the employees you offer insurance to (applicable in most states)
  4. Have an office or employee work site within the state whose SHOP you want to use

 

You can use the SHOP Eligibility Determination Form to verify your eligibility by clicking the button below!

 

button that reads "see if you qualify"

You can also work with a SHOP-registered agent or broker to determine your eligibility for SHOP coverage by visiting Find Local Help.

 


 

Have questions? Contact your insurance company or a SHOP-registered agent or broker for help with SHOP coverage. For additional assistance, contact the SHOP Call Center at 1-800-706-7893 (TTY: 1-888-201-6445).

 

To learn more about Health Reimbursement Arrangements (HRAs), visit this webpage. Talk to a licensed tax professional, benefits specialist, or a registered agent or broker to find out more about whether an HRA or traditional group coverage is right for your business.


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