FFM PLAN YEAR 2024 ASSISTING
CONSUMERS AFTER ENROLLMENT
QUESTIONS & ANSWERS!!
When are the first month's premium due? Answer - issuers set the deadlines
for payment of the first month's premium
QHP Issuer provides an enrollment information packet before or after the first
months premium is paid Answer - After
You are assisting clients with enrollment during the Open Enrollment Period
(OEP). You want to send each of them an email to remind them to make their
binder payments on the earliest possible deadline. What is the earliest possible
payment deadline date to include in your client reminder emails?
December 15
December 31
January 1
January 31 Answer - January 1
Consumers are required to report any changes to their application information
within 30,60,90 days of the change in order to receive an updated eligibility
determination. Answer - 30
When a consumer who you previously assisted uses any of these methods to
update their application during the year, your National Producer Number (NPN)
will be removed from the application. True or False Answer - False
, True or false: If a consumer makes a QHP change to a different QHP issuer
before the coverage effective date (and before the December 15 deadline), but
after making their initial binder payment, the initial QHP issuer is responsible
for refunding the premium for January.
True or False Answer - True
Policy effective dates of SEP for Past loss of qualifying health coverage is
Answer - Up to 60 days in the past
Policy effective dates of SEP for future loss of qualifying health coverage is
Answer - Up to 60 days in the future
Scenario: A consumer moved to a new state last week. Select the correct
coverage effective date.
Retroactive to when the child was born
First day of the next month following the last day of coverage
First day of the next month Answer - First day of the next month
Scenario: A consumer had a child last month. Select the correct coverage
effective date.
Retroactive to when the child was born
First day of the next month following the last day of coverage
CONSUMERS AFTER ENROLLMENT
QUESTIONS & ANSWERS!!
When are the first month's premium due? Answer - issuers set the deadlines
for payment of the first month's premium
QHP Issuer provides an enrollment information packet before or after the first
months premium is paid Answer - After
You are assisting clients with enrollment during the Open Enrollment Period
(OEP). You want to send each of them an email to remind them to make their
binder payments on the earliest possible deadline. What is the earliest possible
payment deadline date to include in your client reminder emails?
December 15
December 31
January 1
January 31 Answer - January 1
Consumers are required to report any changes to their application information
within 30,60,90 days of the change in order to receive an updated eligibility
determination. Answer - 30
When a consumer who you previously assisted uses any of these methods to
update their application during the year, your National Producer Number (NPN)
will be removed from the application. True or False Answer - False
, True or false: If a consumer makes a QHP change to a different QHP issuer
before the coverage effective date (and before the December 15 deadline), but
after making their initial binder payment, the initial QHP issuer is responsible
for refunding the premium for January.
True or False Answer - True
Policy effective dates of SEP for Past loss of qualifying health coverage is
Answer - Up to 60 days in the past
Policy effective dates of SEP for future loss of qualifying health coverage is
Answer - Up to 60 days in the future
Scenario: A consumer moved to a new state last week. Select the correct
coverage effective date.
Retroactive to when the child was born
First day of the next month following the last day of coverage
First day of the next month Answer - First day of the next month
Scenario: A consumer had a child last month. Select the correct coverage
effective date.
Retroactive to when the child was born
First day of the next month following the last day of coverage
