Pennie Individual Marketplace Training
Guide — Core Concepts for New Agents &
Brokers
✅ 100 Exam-Style Questions & Answers
Correct answers are marked with
QUESTIONS 1–50
1. What is Pennie?
A. Pennsylvania’s state Medicaid program
B. Pennsylvania’s state-based health insurance marketplace
C. A federal exchange
D. A health plan carrier
2. When does the Pennie Open Enrollment Period usually begin?
A. January 1
B. November 1
C. October 1
D. September 15
3. What is the main purpose of Pennie?
A. Sell employer-sponsored plans
B. Provide a platform for individual health coverage enrollment
C. Offer life insurance plans
D. Administer Medicare benefits
4. Who is eligible to enroll in Pennie coverage?
A. Any U.S. citizen living in any state
B. Pennsylvania residents who meet basic eligibility requirements
,C. Only individuals with employer plans
D. Medicare beneficiaries
5. What federal law created the structure Pennie operates under?
A. HIPAA
B. Social Security Act
C. Affordable Care Act (ACA)
D. COBRA
6. What is a Qualified Health Plan (QHP)?
A. A plan approved by any insurance company
B. A health plan that meets ACA standards and is certified by Pennie
C. Short-term plan
D. Medicaid plan
7. Premium Tax Credits (PTC) help reduce what cost?
A. Deductibles
B. Premiums
C. Copays
D. Out-of-pocket maximums
8. What determines eligibility for Premium Tax Credits?
A. Household income and family size
B. Dental coverage
C. Employer contributions
D. Past insurance history
9. What is the upper income limit for PTC under the American Rescue Plan enhancements?
A. 100% FPL
B. 250% FPL
C. No strict upper limit; based on affordability rules
D. 500% FPL
10. What does CSR stand for?
A. Customer Service Representative
B. Cost-Sharing Reduction
C. Care Savings Rate
D. Covered Services Requirement
,11. CSRs apply only to which tier of plans?
A. Platinum
B. Bronze
C. Silver
D. Catastrophic
12. What is the Pennie Customer Service Center’s role?
A. Sell plans
B. Provide application assistance and general support
C. Pay claims
D. Determine Medicaid eligibility
13. Who verifies an agent’s identity for Pennie access?
A. IRS
B. CMS
C. Pennie’s Identity Proofing System
D. Insurance companies
14. What must agents complete before helping consumers in Pennie?
A. Licensing only
B. Pennie certification training
C. Carrier contracts
D. Federal exchange training only
15. What is a Special Enrollment Period (SEP)?
A. Time when Medicare enrollment is allowed
B. Time outside Open Enrollment triggered by life events
C. A grace period
D. Annual dental enrollment window
16. Which of the following is a qualifying life event (QLE)?
A. Buying a car
B. Changing banks
C. Loss of minimum essential coverage
D. Taking a vacation
17. What is considered Minimum Essential Coverage (MEC)?
, A. Gym membership
B. Major medical ACA-compliant coverage
C. Vision-only plan
D. Limited indemnity plan
18. What does APTC stand for?
A. Adjusted Premium Tax Category
B. Advance Payment of the Premium Tax Credit
C. Affordable Plan Tax Cost
D. Agent Premium Transfer Credit
19. What must be reconciled at tax time for Pennie members?
A. Dental premiums
B. APTC received vs. PTC eligibility
C. Out-of-pocket costs
D. Agent commissions
20. Which form is used to reconcile APTC?
A. Form W-2
B. Form 8962
C. Form 1099
D. Form 1095-C
21. What form does Pennie provide for tax reporting?
A. 1095-A
B. 1099-A
C. W-4
D. 1040-EZ
22. What is the “Silver Loading” policy?
A. Increasing rates of Bronze plans
B. Pricing CSRs into Silver plans
C. Increasing premiums for youth
D. Adding dental to Silver plans
23. What is the effective date rule for enrollments during OEP?
Guide — Core Concepts for New Agents &
Brokers
✅ 100 Exam-Style Questions & Answers
Correct answers are marked with
QUESTIONS 1–50
1. What is Pennie?
A. Pennsylvania’s state Medicaid program
B. Pennsylvania’s state-based health insurance marketplace
C. A federal exchange
D. A health plan carrier
2. When does the Pennie Open Enrollment Period usually begin?
A. January 1
B. November 1
C. October 1
D. September 15
3. What is the main purpose of Pennie?
A. Sell employer-sponsored plans
B. Provide a platform for individual health coverage enrollment
C. Offer life insurance plans
D. Administer Medicare benefits
4. Who is eligible to enroll in Pennie coverage?
A. Any U.S. citizen living in any state
B. Pennsylvania residents who meet basic eligibility requirements
,C. Only individuals with employer plans
D. Medicare beneficiaries
5. What federal law created the structure Pennie operates under?
A. HIPAA
B. Social Security Act
C. Affordable Care Act (ACA)
D. COBRA
6. What is a Qualified Health Plan (QHP)?
A. A plan approved by any insurance company
B. A health plan that meets ACA standards and is certified by Pennie
C. Short-term plan
D. Medicaid plan
7. Premium Tax Credits (PTC) help reduce what cost?
A. Deductibles
B. Premiums
C. Copays
D. Out-of-pocket maximums
8. What determines eligibility for Premium Tax Credits?
A. Household income and family size
B. Dental coverage
C. Employer contributions
D. Past insurance history
9. What is the upper income limit for PTC under the American Rescue Plan enhancements?
A. 100% FPL
B. 250% FPL
C. No strict upper limit; based on affordability rules
D. 500% FPL
10. What does CSR stand for?
A. Customer Service Representative
B. Cost-Sharing Reduction
C. Care Savings Rate
D. Covered Services Requirement
,11. CSRs apply only to which tier of plans?
A. Platinum
B. Bronze
C. Silver
D. Catastrophic
12. What is the Pennie Customer Service Center’s role?
A. Sell plans
B. Provide application assistance and general support
C. Pay claims
D. Determine Medicaid eligibility
13. Who verifies an agent’s identity for Pennie access?
A. IRS
B. CMS
C. Pennie’s Identity Proofing System
D. Insurance companies
14. What must agents complete before helping consumers in Pennie?
A. Licensing only
B. Pennie certification training
C. Carrier contracts
D. Federal exchange training only
15. What is a Special Enrollment Period (SEP)?
A. Time when Medicare enrollment is allowed
B. Time outside Open Enrollment triggered by life events
C. A grace period
D. Annual dental enrollment window
16. Which of the following is a qualifying life event (QLE)?
A. Buying a car
B. Changing banks
C. Loss of minimum essential coverage
D. Taking a vacation
17. What is considered Minimum Essential Coverage (MEC)?
, A. Gym membership
B. Major medical ACA-compliant coverage
C. Vision-only plan
D. Limited indemnity plan
18. What does APTC stand for?
A. Adjusted Premium Tax Category
B. Advance Payment of the Premium Tax Credit
C. Affordable Plan Tax Cost
D. Agent Premium Transfer Credit
19. What must be reconciled at tax time for Pennie members?
A. Dental premiums
B. APTC received vs. PTC eligibility
C. Out-of-pocket costs
D. Agent commissions
20. Which form is used to reconcile APTC?
A. Form W-2
B. Form 8962
C. Form 1099
D. Form 1095-C
21. What form does Pennie provide for tax reporting?
A. 1095-A
B. 1099-A
C. W-4
D. 1040-EZ
22. What is the “Silver Loading” policy?
A. Increasing rates of Bronze plans
B. Pricing CSRs into Silver plans
C. Increasing premiums for youth
D. Adding dental to Silver plans
23. What is the effective date rule for enrollments during OEP?
