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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)
Offer SHOP coverage to all full-time employees.
This form will determine your eligibility for SHOP.
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View a previous submission or resume a draft