Get Small Business Health Options Program (shop) - Health Reform Gps - Healthreformgps

This guide provides comprehensive instructions for completing the Small Business Health Options Program (SHOP) application online. By following these steps, users can efficiently fill out the application to obtain health insurance for their small business.

Follow the steps to complete your application smoothly.

1. Press the ‘Get Form’ button to retrieve the form and open it in your chosen editor.
2. Provide employer information, including the employer name, Federal Employer Identification Number (EIN), business type, and primary business address. Ensure that the employer is located in the state where insurance coverage is being purchased and confirm that insurance is being offered to all full-time employees.
3. Enter contact information for the primary contact regarding the application. Complete fields including first name, last name, title, phone number(s), mailing address, email address, and preferred languages.
4. List each full-time employee by providing their first name, middle name, last name, date of birth, and Social Security number or Tax ID number. Use additional sheets if necessary.
5. Review the application to ensure all information is accurate, then sign and date the form, confirming the truthfulness of your responses and your understanding of privacy regulations.
6. Send the completed application along with all employee applications to the specified address. Expect feedback within 3–4 weeks regarding eligibility and enrollment details.

Start completing your Small Business Health Options Program application online today!