Oregon Administrative Rules
Chapter 945 - OREGON HEALTH AUTHORITY, HEALTH INSURANCE MARKETPLACE
Division 40 - ELIGIBILITY STANDARDS, APPLICATION PROCESS, AND APPEALS OF ELIGIBLITY DETERMINATIONS
Section 945-040-0030 - Eligibility for the Small Business Health Options Program (SHOP)

Universal Citation: OR Admin Rules 945-040-0030

Current through Register Vol. 63, No. 12, December 1, 2024

(1) To qualify for the Marketplace's Small Business Health Options Program (SHOP), a small employer must:

(a) Meet the definition of small employer in ORS 743.730;

(b) At a minimum, offer coverage in a qualified health plan to all full-time employees; and

(c) Have a principal business address in Oregon, or offer coverage to all eligible employees whose primary worksite is located in Oregon.

(2) A small employer that meets the minimum participation and contribution requirements for medical plans may apply for SHOP coverage throughout the year. A small employer that does not meet these requirements may apply for SHOP coverage between November 15 and December 15. The minimum participation and contribution requirements for dental plans apply throughout the year for a small employer offering dental plans through SHOP.

(3) Once enrolled, an employer remains eligible for SHOP regardless of the number of additional employees it hires.

(4) An employee is eligible to enroll in a qualified health plan through SHOP if the employee receives an offer of coverage from a qualified employer.

Stat. Auth.: ORS 741.002

Stats. Implemented: ORS 741.500

Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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