CACs - Certified Application Counselor CAC Roles and Responsibilities Questions and Answers

Question 1

A Certified Application Counselor (CAC) is approached by a consumer who is unsure which health plan to select.
The consumer asks the CAC to recommend the 'best' plan for their needs.
Which of the following is the most appropriate action for the CAC to take?

Accepted Answer

Provide fair, accurate, and impartial information about the available plans so the consumer can make an informed choice.

Answer

Review the consumer's medical history and recommend a specific plan.

Answer

Refer the consumer to a specific insurance agent they know personally.

Answer

Enroll the consumer in the plan with the lowest premium.

Question 2

Which of the following activities falls outside the scope of a Certified Application Counselor's authorized functions?

Accepted Answer

Providing legal advice regarding a coverage denial appeal.

Answer

Assisting a consumer with completing an application for health coverage.

Answer

Explaining the differences between a PPO and an HMO plan.

Answer

Informing a consumer about their eligibility for insurance affordability programs.

Question 3

A CAC works for a local hospital that has been designated as a Certified Application Counselor Designated Organization (CDO). The CAC's cousin sells health insurance for a specific issuer. What is the CAC's primary responsibility regarding this relationship?

Accepted Answer

Disclose this potential conflict of interest to both the consumer and their CDO.

Answer

Ignore the relationship as it is with a family member, not the CAC directly.

Answer

Only refer consumers to their cousin if the consumer specifically asks for an agent.

Answer

Quit their role as a CAC to avoid any potential conflict.

Question 4

During an enrollment event, a CAC collects personally identifiable information (PII) from several consumers on paper forms. What is a key responsibility of the CAC regarding this information?

Accepted Answer

Ensure the information is stored and transmitted securely, according to privacy and security standards.

Answer

Leave the forms on their desk until they have time to enter the data.

Answer

Share the information with colleagues who might also be able to help the consumers.

Answer

Enter the information into their personal, password-protected laptop for convenience.

Question 5

A consumer who primarily speaks Spanish requests assistance from a CAC who is not fluent in Spanish. What is an appropriate step for the CAC to take in this scenario?

Accepted Answer

Provide assistance in a manner that is accessible, which may include using qualified interpretation services.

Answer

Attempt to assist the consumer using translation apps, even if they are not fully accurate.

Answer

Inform the consumer they cannot help and suggest they find a Spanish-speaking friend.

Answer

Give the consumer the application and hope they can figure it out.

Question 6

Which of the following best describes the relationship between a Certified Application Counselor (CAC) and a Certified Application Counselor Designated Organization (CDO)?

Accepted Answer

The CAC is a staff member or volunteer certified and overseen by the CDO.

Answer

The CAC is an independent contractor who partners with a CDO.

Answer

The CDO is a federal agency that directly employs all CACs.

Answer

The CAC and CDO are interchangeable terms for the same role.

A Certified Application Counselor (CAC) is approached by a consumer who is unsure which health plan to select.The consumer asks the CAC to recommend the 'best' plan for their needs.Which of the following is the most appropriate action for the CAC to take?

A Certified Application Counselor (CAC) is approached by a consumer who is unsure which health plan to select.
The consumer asks the CAC to recommend the 'best' plan for their needs.
Which of the following is the most appropriate action for the CAC to take?