Small Business Health Options Program (SHOP) Effective Date and Termination Notice Requirements (CMS-10555)

OMB 0938-1303

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10555 SHOP Satisfaction Surveys Form and Instruction
CMS-10555 - Supporting Statement - Part B.doc Supporting Statement B
SHOP Notices 30-Day Supporting Statement A 10022015 - FINAL.PDF Supporting Statement A
SHOP Satisfaction Surveys Form and Instruction
Termination of SHOP Enrollment
Enrollment of Employees into QHPs under SHOP