CACs Eligibility and Enrollment Process 2

Question 1

A consumer loses job-based health coverage on March 15. How many days does she have to enroll in a Marketplace plan through a Special Enrollment Period?

Accepted Answer

60 days from the loss of coverage

Answer

30 days from the loss of coverage

Answer

90 days from the loss of coverage

Answer

She must wait for Open Enrollment

Question 2

Which of the following is NOT a qualifying life event that triggers a Special Enrollment Period?

Accepted Answer

Voluntarily dropping existing coverage

Answer

Getting married

Answer

Having a baby

Answer

Moving to a new coverage area

Question 3

A couple gets divorced on June 1. The spouse who was covered under the other's plan loses coverage. When does the SEP window close?

Accepted Answer

July 31

Answer

June 15

Answer

June 30

Answer

August 1

Question 4

Which Native American or Alaska Native enrollment rule differs from standard Marketplace rules?

Accepted Answer

They may enroll or change plans once per month outside of Open Enrollment

Answer

They cannot enroll in Marketplace plans

Answer

They are exempt from the individual mandate penalty

Answer

They receive automatic Medicaid enrollment

Question 5

A consumer's Medicaid application is denied. How does this affect their Marketplace enrollment options?

Accepted Answer

They receive a SEP to enroll in a Marketplace plan

Answer

They lose the right to enroll for that plan year

Answer

They must reapply during Open Enrollment only

Answer

They are automatically enrolled in a benchmark plan

Question 6

What is the standard Open Enrollment Period for Marketplace health plans for the 2025 plan year?

Accepted Answer

November 1 – January 15

Answer

October 1 – December 15

Answer

November 1 – December 15

Answer

October 15 – January 31

Question 7

A consumer moves from one state to another mid-year. Which statement best describes their enrollment options?

Accepted Answer

They qualify for a SEP because moving to a new coverage area is a qualifying life event

Answer

They must wait until Open Enrollment to enroll in their new state

Answer

They keep their old plan until the end of the plan year

Answer

They must enroll in Medicaid before accessing the Marketplace