Comprehensive Guide to ACA Insurance Terms
and Policies Exam | Questions with 100% Correct
Answers | Verified | Latest Update 2026
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Large employers must offer affordable insurance or pay penalties
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1 Premium Tax Credit (PTC) 2 Tax Penalty
3 Employer Mandate 4 Benefits Package
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Terms in this set (46)
, Premium Tax Credit (PTC) Government subsidy that lowers monthly insurance
premiums in ACA marketplaces
Subsidies Financial assistance (tax credits, cost-sharing
reductions) to make insurance affordable
Affordability Whether coverage costs (premiums + out-of-
pocket) are reasonable relative to income
Eligibility Criteria determining who qualifies for a program
(e.g., income, age, disability)
Benefits Package Set of services covered by an insurance plan
Uninsured No health insurance
Underinsured Has insurance but still faces high out-of-pocket
costs
Out-of-Pocket Maximum Maximum amount a person pays in a year before
insurance covers 100%
Non-group market Individual insurance market (not employer-based)
Insurance Marketplace / Exchange ACA platforms where individuals compare and buy
plans
Guaranteed Issue Insurers must cover all applicants regardless of
health status
Individual Mandate Requirement to have insurance (penalty now $0
federally)
and Policies Exam | Questions with 100% Correct
Answers | Verified | Latest Update 2026
Save
Practice questions for this set
Learn 1 /7 Study using Learn
Large employers must offer affordable insurance or pay penalties
Choose an answer
1 Premium Tax Credit (PTC) 2 Tax Penalty
3 Employer Mandate 4 Benefits Package
Don't know?
Terms in this set (46)
, Premium Tax Credit (PTC) Government subsidy that lowers monthly insurance
premiums in ACA marketplaces
Subsidies Financial assistance (tax credits, cost-sharing
reductions) to make insurance affordable
Affordability Whether coverage costs (premiums + out-of-
pocket) are reasonable relative to income
Eligibility Criteria determining who qualifies for a program
(e.g., income, age, disability)
Benefits Package Set of services covered by an insurance plan
Uninsured No health insurance
Underinsured Has insurance but still faces high out-of-pocket
costs
Out-of-Pocket Maximum Maximum amount a person pays in a year before
insurance covers 100%
Non-group market Individual insurance market (not employer-based)
Insurance Marketplace / Exchange ACA platforms where individuals compare and buy
plans
Guaranteed Issue Insurers must cover all applicants regardless of
health status
Individual Mandate Requirement to have insurance (penalty now $0
federally)
