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Frequently Asked Question (FAQ)


FAQ ID:  1566 Publish Date: 05/08/2014

SHOP

Employer/Employee Interaction

Minimum Participation Rate

How will the FF-SHOP's minimum participation rate work in 2015? Will employers have to meet the default 70% minimum participation rate overall, and there are no minimum participation rates for each Issuer and/or QHP? Does this mean issuers could get only one employee for an employer group?

CMS regulations require the FF-SHOP to calculate minimum participation rates at the level of the SHOP--not at the level of an Issuer or QHP. Thus, an Issuer may only receive one employee from an employer group.


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