1. Which Medicare programs are included under ACA Section 1557?
- a) Parts A, C, and D, but not B.
- b) Part D (prescription drug coverage) only.
- c) Part C (Medicare Advantage) only.
- d) Parts A and B (Original Medicare) only.
- ✔️ Parts A, C, and D, but not B.
2. What are the consequences of violating ACA Section 1557 nondiscrimination regulations?
- a) Health plans may face fines, but their agents and brokers will not be affected.
- b) Agents and brokers may be fined, but health plans will not be affected.
- c) An agent or broker could have her state insurance license revoked by HHS.
- d) A health plan can terminate an agent or broker's appointment with the plan.
- ✔️ A health plan may revoke an agent or broker's appointment with the health plan.
3. What does ACA Section 1557 address in terms of disability?
- a) Physical access and communication.
- b) Policies and procedures, physical access, and communication.
- c) Policies and procedures only.
- d) Communication only.
- ✔️ Policies and procedures, physical access, and communication.
4. Under ACA Section 1557, can a health plan premium sold through a state exchange charge higher
premiums based on a person's age?
- a) charge higher premiums.
- b) exclude primary care benefits and services.
- c) limit benefits and services.
, - d) deny benefits and services due to pre-existing conditions.
- ✔️ Charge higher premiums.
5. Which statement accurately describes Section 1557 of the Affordable Care Act (ACA)?
- a) Section 1557 introduced completely new civil rights protections based on age and disability.
- b) Section 1557 incorporates existing civil rights protections regarding race, color, national origin,
disability, age, and sex.
- c) Section 1557 introduced completely new civil rights protections based on race and sex.
- d) Section 1557 incorporates earlier civil rights protections regarding race, color, and national origin
but neglects protections against age and disability discrimination.
- ✔️ Section 1557 incorporates earlier civil rights protections in regard to race, color, national origin,
disability, age, and sex.
6. What is the scope of operations influenced by Section 1557 under the 2020 Final Rule?
- a) Health insurers, according to the 2020 Final Rule, are not viewed as primarily engaged in delivering
healthcare; therefore, lines of business like life insurance, which do not receive federal funding or fall
under Title I of the ACA, are not included under 1557.
- b) The scope of operations covered by Section 1557 under the 2020 Final Rule remains unchanged
from that of the 2016 Final Rule.
- c) Entities primarily engaged in healthcare, including health insurers, must adhere to Section 1557 for
all programs they provide.
- d) Health insurers are entirely exempt from Section 1557 because they are not regarded as primarily
engaged in delivering healthcare.
- ✔️ Entities principally engaged in healthcare, which includes health insurers, must comply with
Section 1557 for all programs they offer.
7. To whom does Section 1557 of the Affordable Care Act apply?
- a) Only health plans sold through the ACA Marketplaces.
- b) All health programs and activities administered by or receiving federal financial assistance from
HHS.
- c) All health programs and activities, both public and private.
- d) Medicare Advantage plans only.