FFM PLAN YEAR 2025 ASSISTING CONSUMERS AFTER
ENROLLMENT QUESTIONS AND ANSWERS
When are the first month's premium due? - CORRECT 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 -
CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✅✅✅True
Policy effective dates of SEP for Past loss of qualifying health coverage is - CORRECT
ANSWER✅✅✅Up to 60 days in the past
, Policy effective dates of SEP for future loss of qualifying health coverage is - CORRECT
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 - CORRECT 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
First day of the next month - CORRECT ANSWER✅✅✅Retroactive to when the child was born
Scenario: A consumer will be losing minimum essential coverage (MEC) next 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
First day of the next month - CORRECT ANSWER✅✅✅First day of the next month following the last
day of coverage
Consumers can file an appeal of a Marketplace eligibility determination online, by:
mail
ENROLLMENT QUESTIONS AND ANSWERS
When are the first month's premium due? - CORRECT 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 -
CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✅✅✅True
Policy effective dates of SEP for Past loss of qualifying health coverage is - CORRECT
ANSWER✅✅✅Up to 60 days in the past
, Policy effective dates of SEP for future loss of qualifying health coverage is - CORRECT
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 - CORRECT 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
First day of the next month - CORRECT ANSWER✅✅✅Retroactive to when the child was born
Scenario: A consumer will be losing minimum essential coverage (MEC) next 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
First day of the next month - CORRECT ANSWER✅✅✅First day of the next month following the last
day of coverage
Consumers can file an appeal of a Marketplace eligibility determination online, by:
