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Small Business Health Options (SHOP)

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Under the Affordable Care Act, during the first year of operation, small businesses that qualify for coverage through a SHOP will be able to offer their employees a single QHP (Qualified Health Plan) option. SHOPs will offer qualified small groups access to QHPs in each state, and will provide flexibility in the amount that members of the small group contribute towards the total premium.

To qualify for SHOP coverage, a business must:

  • Be located in a SHOP's service area (generally a state)
  • Offer coverage to all full-time employees (those working an average of 30 or more hours per week)
  • Have at least one eligible employee on payroll
  • Have 50 or fewer full-time equivalent (FTE) employees on payroll in 2014
    • This methodology includes part-time employees, but not seasonal employees (those working fewer than 120 days per year)
    • While the Federally-facilitated SHOPs (FF-SHOP) must determine eligibility using the definitions above, State-based SHOP Marketplaces have flexibility in their counting approaches in 2014

The premium tax credits and cost-sharing reductions are not available to employers and families covered through a SHOP. However, employers meeting certain size and average wage requirements may receive a small business tax credit on their tax returns of up to 50% of the employer’s contribution to the premium. This credit is only available for coverage provided through a SHOP.

Next Topics: Shop Benefits

 



Agents and Brokers are required to be trained to assist consumers with the application and decision making process. Using an Agent to enroll in a ObamaCare Health Plan will be the primary choice of many americans. After all agents have the inside track on companies and their promptness to handle claims and pay benefits in atimely fashion.

Our Agents are available 7 days a week.

We offer a free consultation which entails speaking one on one with a knowledgable Agent that has been state licensed and trained to answer your questions.

Next Topic: Coverage Basics



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