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GEORGIA CERTIFICATIONS 2025 EXAM QUESTIONS & ANSWERS | GRADE A | 100% CORRECT -THE ULTIMATE GUIDE FOR YR. ()

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GEORGIA CERTIFICATIONS 2025 EXAM QUESTIONS & ANSWERS | GRADE A | 100% CORRECT -THE ULTIMATE GUIDE FOR YR. ()

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Georgia Certification 2025
Study online at https://quizlet.com/_fmm2q7

1. Which of the following is NOT a requirement for certified agents to participate
in Georgia Access?: Complete the Federally-facilitated Exchange (FFE) agent certification training.
2. Level 1 (L1) Role Permitted Tasks: Assist consumers with starting, completing, or updating an
application in the Georgia Access agent portal, if requested by the consumer,
Accept/decline a consumer designation request on behalf of a certified agent
Upload consumer documentation for Data Matching Issues (DMI) and Special Enrollment Period (SEP) verification.
3. Level 2 (L2) Permitted Tasks: L2 user roles can perform all of the tasks of L1 users, but they are also
able to:
Add or remove certified agent records.
Move consumers from one certified agent to another within the agency (e.g., if the certified agent is on leave).
Update agency information, including operating hours and staff contact information.
Create new certified agent accounts.
Disable staff accounts as necessary.
4. What are the three things that agents need to do to choose to participate in
AgentConnect?: Agree to the Terms of Use.
Correctly checked
Have a business phone and regular hours of availability.
Correctly checked
Provide the dates and times when they are available to receive consumer calls.
5. Which of the following groups can commit fraud?: All of the above
6. At what point in the agent license revocation process is the agent no longer
permitted to enroll consumers?: After Georgia Access staff update the agent's Georgia Access agent
portal profile status to "terminated."
7. After shopping for a health coverage plan, what is the next step in the
consumer journey?: Enrollment
8. Which of the following experiences does not qualify an individual for a Special
Enrollment Period (SEP)?: Change in Primary Care Physician
9. The amount of Advanced Premium Tax Credit (APTC) a consumer is qualified
for is based on their:: Income and household size
10. The main difference between Medicaid and PeachCare for Kids® (PCK) is the
income level. PCK serves working families whose income is more than that set
by the Medicaid program but does not exceed the income limit based on the


, Georgia Certification 2025
Study online at https://quizlet.com/_fmm2q7

Federal Poverty Level (FPL).

To qualify for PCK, a family's income cannot exceed ___ of the FPL limit.: 247%
11. Qualified Health Plans (QHPs) are _______ certified by Georgia Access that
meet Affordable Care Act (ACA) requirements. These plans are offered at full
premium cost or with financial assistance for eligible consumers.: Health coverage
plans
12. True or False: MAGI is used to assess potential eligibility for Medicaid/Peach-
Care for Kids®.: True
13. Which of the following is not an example of a qualifying circumstance for a
hardship exemption?: None of the above
14. A Health Reimbursement Arrangement (HRA) is a group health plan funded
solely by:: An employer's contributions
15. When should you collect Protected Health Information (PHI)?: Only when needed
16. All of the following are goals of HIPAA except:: Lower the cost of monthly premiums.
17. PII contains demographic information and personal information that may
be able to identify a consumer, while PHI is specifically health-related informa-
tion.: True
18. Emma, a certified agent, isn't securely storing documents when she leaves
for the day and instead, leaves them out on her desk for people to see as
they walk by. These documents reveal some client PII and PHI. Emma is not
effectively protecting PII and PHI.: True
19. Data that contains PHI stored on or accessible from physical devices must be
equipped with ___________.: Access controls
20. Covered entities who knowingly obtain or disclose IIHI under false pretenses
with the intent to sell, transfer, or use it for commercial advantage, personal
gain, or malicious harm may be sentenced up to ____ years in prison.: 10
21. What entity certifies SHOP plans as Qualified Health Plans (QHPs) for small
employers?: Georgia Access
22. The MPR is calculated as the number of qualified employees accepting
coverage under the employer's group health plan, divided by the number of
qualified employees offered coverage.: True

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