How to appeal a SHOP decision

成年短视频在线观看Small employers can appeal a Small Business Health Options Program (SHOP) eligibility decision.

SHOP decisions you can appeal

成年短视频在线观看Employers can appeal two kinds of SHOP actions:

  • Denial of SHOP eligibility
  • SHOP not making an eligibility determination in a timely manner

成年短视频在线观看If you're determined ineligible to participate in SHOP, you'll get a notice with details specific to your situation. You have 90 days from the date of this notice to request an appeal.

成年短视频在线观看If your state is running its own SHOP, the appeals process may be different. Refer to your state's SHOP for more details.

How to file a SHOP appeal

成年短视频在线观看Your SHOP eligibility determination notice will explain how to file an appeal for your specific situation.

Employers can appeal by filling out the SHOP appeals form for employers (PDF).

Then, mail your completed appeal form to:

Health Insurance Marketplace
465 Industrial Boulevard
London, KY 40750-0061

An authorized representative, like an agent or broker, can file an appeal for you. You may also get help in a language other than English.

Note: Keep a copy of your appeals form for your records.

After you file an appeal

成年短视频在线观看You'll get a letter or phone call saying that your appeal was received. It will provide a description of the appeals process and instructions for submitting additional materials if needed.

Questions?