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Centers for Medicare & Medicaid Services

SHOP Eligibility Determination Form

    Get a SHOP eligibility determination here.


    To be eligible to enroll in health insurance through the Small Business Health Options Program (SHOP), your small business or non-profit organization must:

    • Have a primary business address in the state where you're buying coverage.
    • Have at least one employee enrolling in coverage who isn't the owner, business partner, or spouse of the owner or business partner.
    • Have from 1 to 50 full-time equivalent (FTE) employees. 
    • Offer SHOP coverage to all full-time employees.
    • This form will determine your eligibility for SHOP.

      QUESTIONS?
      https://www.healthcare.gov/contact-us/
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