How to enroll in SHOP insurance
Find out if your small business qualifies for SHOP
To offer Small Business Health Options Program (SHOP) health and/or dental insurance to your employees, your business or non-profit organization must meet 4 requirements:
1. Have 1-50 full-time equivalent employees (FTEs)
- Use theĀ FTE CalculatorĀ to find out if you qualify.
- To qualify for SHOP, you must have at least 1 FTE employee other than owners, spouses, and family members of owners, and partners.
2. Offer coverage to all full-time employees
- Full-time employees generally work 30 or more hours per week.
- You donāt have to offer coverage to part-time employees ā those averaging less than 30 hours per week ā or seasonal workers. (But, you can offer coverage to part-time employees if you choose.)
3. Enroll at least 70% of the employees you offer insurance to
- Use theĀ SHOP Minimum Participation Rate (MPR) CalculatorĀ to check how many of your employees must accept.
- Some states have different minimum participation requirements.Ā Find out if your state has a different MPR.
- You donāt have to meet the minimum participation requirement between November 15 - December 15 any year.
- Employees with other health coverage aren't counted as ārejectingā your offer.
4. Have an office or employee work site within the state whose SHOP you want to use
- Learn how to access SHOP insurance in your state.Ā Weāll show you next steps.
- Find out what to do if your business operates in multiple states.
Questions?
- Review all SHOP tools, calculators, fact sheets, how-to guides, videos, and other resources for employers.
- Contact the SHOP Call Center at 1-800-706-7893 (TTY: 1-888-201-6445).
Some states may make the Small Business Health Options Program (SHOP) available to businesses with up to 100 employees. If you have more than 50 employees, and donāt know if youāre eligible for SHOP, contact your state Department of Insurance, or call the SHOP Call Center at 1-800-706-7893 (TTY: 1-888-201-6445).
Once enrolled in SHOP insurance, businesses can renew their coverage even if a group increases to more than 50 employees.
In most states, at least 70% of the employees you offer coverage to must enroll in it or have coverage from another source ā like a family memberās job, Medicare, Medicaid, the military (TRICARE), veteransā programs, or individual health insurance.
Some states have different minimum participation rates:
- Iowa: 75%
- Louisiana: 75%
- Mississippi: 0%
- New Hampshire: 75%
- South Dakota: 75%
- Tennessee: 50%
- Texas: 75%
- Utah: 75%
TheĀ SHOP Minimum Participation Rate CalculatorĀ takes your stateās rules into account and tells you how many employees must accept your offer. Before using this tool, you may want to find out if your employees are interested in insurance you may offer, and if they already have coverage from another source.