Certified Application Counselor Exam
(Latest ) Tested Questions
with Revised Answers, (A+ Guarantee)
How long is my certification good for? - CORRECT ANSWERS 12 months
How often must my certification be review? - CORRECT ANSWERS 12 months
What are 6 responsibilities of agents and brokers? - CORRECT ANSWERS Sell, solicit, or
negotiate insurance. Facilitate enrollment and assist customers with applying for QHPs and insurance
affordability programs.
What are 4 forms of additional customer support? - CORRECT ANSWERS FFM Call center, FFM
website, State Consumer Assistance Programs, Agents and Brokers
As a CAC am I allowed to accept payment in exchange for providing a referral or recommendations? -
CORRECT ANSWERS No
What 2 entities are available to help consumers find coverage through FFM? - CORRECT ANSWERS
Navigators and CAC
What are the websites to sign up folks for health insurance? - CORRECT ANSWERS
HealthCare.gov, CMS.gov, and Marketplace.cms.gov
What is a premium? - CORRECT ANSWERS A premium is the amount that must be paid to a
health insurance company for a health insurance plan. Consumers and/or their employers usually pay it
every month.
, What is copayment? - CORRECT ANSWERS A copayment is a fixed amount (e.g., $15)
consumers pay to health care providers for a covered health care service, usually at the time of service.
Deductible - CORRECT ANSWERS A deductible is the amount consumers owe for health care
services before their health insurance plans begin to pay.
What is coinsurance? - CORRECT ANSWERS Coinsurance is a consumer's share of the cost of a
covered health care service calculated as a percentage (e.g., 20 percent) of the amount allowed by the
health plan for that service.
What are out-of-pocket costs? - CORRECT ANSWERS Out-of-pocket costs are consumers'
expenses for medical care that aren't reimbursed by insurance.
What is a claim? - CORRECT ANSWERS A claim is a request for payment that consumers or
health care providers submit to a health insurance company for items or services they think are covered.
What is allowed amount? - CORRECT ANSWERS An allowed amount is the maximum amount
allowed to be paid for a covered health service by a health insurance company.
This may also be called an "eligible expense," "payment allowance," or "negotiated rate."
What is balance billing? - CORRECT ANSWERS Balance billing happens when providers bill
consumers for the difference between the provider's charge and the amount allowed by the health
plans.
Which drug tier is the cheapest? - CORRECT ANSWERS First tier with generic costs
Health insurers and group health plans must provide SBC under what 3 conditions? - CORRECT
ANSWERS When consumers enroll in coverage for the first time
At the beginning of each new plan year
(Latest ) Tested Questions
with Revised Answers, (A+ Guarantee)
How long is my certification good for? - CORRECT ANSWERS 12 months
How often must my certification be review? - CORRECT ANSWERS 12 months
What are 6 responsibilities of agents and brokers? - CORRECT ANSWERS Sell, solicit, or
negotiate insurance. Facilitate enrollment and assist customers with applying for QHPs and insurance
affordability programs.
What are 4 forms of additional customer support? - CORRECT ANSWERS FFM Call center, FFM
website, State Consumer Assistance Programs, Agents and Brokers
As a CAC am I allowed to accept payment in exchange for providing a referral or recommendations? -
CORRECT ANSWERS No
What 2 entities are available to help consumers find coverage through FFM? - CORRECT ANSWERS
Navigators and CAC
What are the websites to sign up folks for health insurance? - CORRECT ANSWERS
HealthCare.gov, CMS.gov, and Marketplace.cms.gov
What is a premium? - CORRECT ANSWERS A premium is the amount that must be paid to a
health insurance company for a health insurance plan. Consumers and/or their employers usually pay it
every month.
, What is copayment? - CORRECT ANSWERS A copayment is a fixed amount (e.g., $15)
consumers pay to health care providers for a covered health care service, usually at the time of service.
Deductible - CORRECT ANSWERS A deductible is the amount consumers owe for health care
services before their health insurance plans begin to pay.
What is coinsurance? - CORRECT ANSWERS Coinsurance is a consumer's share of the cost of a
covered health care service calculated as a percentage (e.g., 20 percent) of the amount allowed by the
health plan for that service.
What are out-of-pocket costs? - CORRECT ANSWERS Out-of-pocket costs are consumers'
expenses for medical care that aren't reimbursed by insurance.
What is a claim? - CORRECT ANSWERS A claim is a request for payment that consumers or
health care providers submit to a health insurance company for items or services they think are covered.
What is allowed amount? - CORRECT ANSWERS An allowed amount is the maximum amount
allowed to be paid for a covered health service by a health insurance company.
This may also be called an "eligible expense," "payment allowance," or "negotiated rate."
What is balance billing? - CORRECT ANSWERS Balance billing happens when providers bill
consumers for the difference between the provider's charge and the amount allowed by the health
plans.
Which drug tier is the cheapest? - CORRECT ANSWERS First tier with generic costs
Health insurers and group health plans must provide SBC under what 3 conditions? - CORRECT
ANSWERS When consumers enroll in coverage for the first time
At the beginning of each new plan year
