[QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
Agents and brokers may be able to facilitate the entire enrollment experience for a
consumer, including the ability to obtain an eligibility determination from the
Marketplace, without a need for the consumer to visit HealthCare.gov. - CORRECT
ANSWER ✔✔✔✔✔ EDE
Agents and brokers visit both a DE partner's site and the HealthCare.gov site while
completing the application. - CORRECT ANSWER ✔✔✔✔✔ Classic DE
Tyler, 23, is currently enrolled in coverage through a Marketplace plan that includes
himself, his sister and his father, who is the household contact. Tyler contacts you
because he wants to get on his own plan. You help Tyler fill out his application on
HealthCare.gov, then enroll in a plan. Later, Tyler calls you and is upset because the
Marketplace terminated his father and sister's coverage. What could have prevented
this? - CORRECT ANSWER ✔✔✔✔✔ Tyler's father should have removed Tyler from
their family application prior to Tyler submitting his own application.
Last year, you helped Keisha create a Marketplace application and enroll in a plan. The
last time you talked to her, she was satisfied with her plan so you do not reach out
during this year's OE. Since she didn't hear from you, Keisha creates a new
Marketplace application during OE and enrolls in a new plan, without adding your NPN
to her application. However, she has already been auto-reenrolled in her current plan.
Which of the following would happen next? - CORRECT ANSWER ✔✔✔✔✔ The
Marketplace cancels Keisha's auto-enrollment in the plan associated with last year's
agent-facilitated application and enrollment.
Applicants who permanently move within the same county, and do not gain access to
new QHPs as a result of the move. - CORRECT ANSWER ✔✔✔✔✔ Ineligible to
Enroll in a QHP.
Applicants completing an application during OE, typically between 11/1 and 1/15. -
CORRECT ANSWER ✔✔✔✔✔ Eligible to Enroll in a QHP (If otherwise meets criteria
to enroll in a QHP)
, An applicant who attests to being recently married with one spouse having qualifying
coverage in the last 60 days. - CORRECT ANSWER ✔✔✔✔✔ Eligible to Enroll in a
QHP (If otherwise meets criteria to enroll in a QHP).
Applicants who permanently move to a new county and attest to having qualifying
coverage in the last 60 days. - CORRECT ANSWER ✔✔✔✔✔ Eligible to Enroll in a
QHP (If otherwise meets criteria to enroll in a QHP).
Applicants who move from a foreign country. - CORRECT ANSWER ✔✔✔✔✔ Eligible
to Enroll in a QHP (If otherwise meets criteria to enroll in a QHP).
Applicants who submit an application on January 17 and are not SEP-eligible. -
CORRECT ANSWER ✔✔✔✔✔ Ineligible to Enroll in a QHP.
Applicants who gain a dependent due to birth or adoption in the last 60 days. -
CORRECT ANSWER ✔✔✔✔✔ Eligible to Enroll in a QHP (If otherwise meets criteria
to enroll in a QHP).
How long do consumers have after birth, adoption, or foster care to select a plan
through an SEP? - CORRECT ANSWER ✔✔✔✔✔ 60 days
Select all that apply. Consumers are eligible for the Medicaid/CHIP Denial SEP if they
are later determined ineligible for Medicaid/CHIP after they: - CORRECT ANSWER
✔✔✔✔✔ 1. Apply for Medicaid/CHIP during the last OE.
2. Apply for Medicaid/CHIP during an SEP.
True or False. You're helping a family of three fill out an application and wondering how
many tax households there will be. Jack and Jill are married filing jointly and have one
daughter, Jane, who they will claim as their dependent. You believe this is one tax
household application. - CORRECT ANSWER ✔✔✔✔✔ True
True or False. You're helping a family of three fill out an application and wondering how
many tax households there will be. Sonya and Jamar are domestic partners living
together and have one daughter, Gabrielle. Jamar files a tax return, while Sonya files a
separate tax return and claims Gabrielle as their dependent. Since the three live
together, this is one tax household. - CORRECT ANSWER ✔✔✔✔✔ False
Jackson, a Marketplace agent, is helping a consumer eligible for CSRs enroll in
Marketplace coverage. What should Jackson say when the consumer asks the
difference between a Bronze and Silver plan?
Please select all that apply. - CORRECT ANSWER ✔✔✔✔✔ Since the consumer is
eligible for CSRs, they would receive extra savings and potentially the lowest monthly
premium (depending on their income level and the plan selected) by enrolling in a Silver
plan.