How to enroll in SHOP insurance

Overview of SHOP: Health insurance for small businesses

The Small Business Health Options Program (SHOP) is for small employers who want to provide health and/or dental insurance to their employees — affordably, flexibly, and conveniently.

To purchase SHOP insurance, your business or non-profit organization generally must have 1 to 50 employees. See if your business qualifies for SHOP.
If eligible, you don't have to wait for an Open Enrollment Period. You can start offering SHOP coverage to your employees any time of year.

Self-employed or a business owner with no employees?

4 reasons to offer SHOP coverage

SHOP insurance gives you choice and flexibility. You can:
- Offer your employees one plan, or let them choose from multiple
- Offer only health coverage, only dental coverage, or both
- Choose how much you pay toward your employees' premiums and whether to offer coverage to their dependents
- Decide how long new employees must wait before enrolling
Get the information you need in one location. You can make an informed decision about your SHOP insurance options with the tools at HealthCare.gov:
- Compare plans and prices
- Find out if you qualify for SHOP
You can work with an agent or broker. You can use your current SHOP-registered agent or broker or find a new one to help you enroll in coverage.
- Find an agent or broker in your area
You may be able to get the Small Business Health Care Tax Credit. Enrolling in SHOP insurance is generally the only way for eligible small employers to take advantage of the Small Business Health Care Tax Credit. You may qualify if you have fewer than 25 full-time equivalent (FTE) employees making an average of about $56,000 or less.
- See how much your business could save
- See the updated IRS guidance for small businesses in areas with no available SHOP plans

Enrolling in SHOP insurance

Once you're ready to enroll in SHOP coverage, you have 2 options:

Contact your insurance company and enroll directly through them.
Enroll with the assistance of a SHOP-registered agent or broker.

Questions?

See 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).

Do I have to provide insurance to my employees?

If you have 1 to 50 full-time equivalent (FTE) employees, you're not required to provide insurance to your employees. You can choose to offer insurance through SHOP or any other source. But you don't have to, and there's no penalty if you don't.

If you have 50 or more employees, learn about the Employer Shared Responsibility Payment.

Can I enroll in the same SHOP coverage that I offer my employees?

Yes, as long as at least one of your employees (who isn't a business owner, partner or family member) also enrolls in your coverage.

If my only employee is my spouse or a family member, can I use SHOP to cover us both?

Generally, no. Spouses and family members don't count when determining if your business is eligible to use SHOP. To be eligible, you must have 1 to 50 full-time equivalent (FTE) employees who aren’t business owners, partners, or family members.

Can my employees enroll in SHOP coverage after the initial enrollment period?

Yes, but only if they qualify for a Special Enrollment Period

A time outside the yearly Open Enrollment Period when you can sign up for health insurance. You qualify for a Special Enrollment Period if you’ve had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child, or if your household income is below a certain amount.

Refer to glossary for more details.

due to a life change, like having a baby, adopting a child, or getting married.

For new employees hired after your initial SHOP enrollment period, you can decide on a waiting period before coverage can become effective. Waiting periods can't exceed 90 days.