Changes

The SHOP Marketplace or Exchange (Small Business Health Options Program, is a provision of the ACA designed to help small businesses get lower health insurance rates using group plans and also to claim tax credits.  The SHOP exchange did not open up to employers with less fewer than 50 FTE until 2015 and only just opened up in 2016 to businesses with 100 FTE or less. SHOP allows for increased employer choice functions, enabling employers to choose from a larger field of available coverage options for employees [http://digital.library.unt.edu/ark:/67531/metadc501935/m1/1/high_res_d/R43181_2015Jan15.pdf]. However, the financial advantage in using the SHOP exchange is uncertain, as insurers in the marketplace regardless will still not be allowed to charge premiums based on health status, and workers using the SHOP exchanges, will become ineligible for subsidies when they buy their own insurance [http://www.ncpa.org/pub/st356]. What SHOP does offer small businesses is increased buying power in the group-plan market (an advantage only larger firms used to possess) and a simpler way to compare prices, coverage, and quality of plans [http://obamacarefacts.com/insurance-exchange/shop-exchange/].