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

Consumers who lose qualifying health coverage have a 60-day Special Enrollment Period to enroll in a Marketplace plan.

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

Voluntarily dropping existing coverage is not a qualifying life event; SEPs are triggered by involuntary loss or specific life changes.

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

Loss of coverage due to divorce triggers a 60-day SEP, so coverage starting from June 1 gives until July 31 to enroll.

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

Members of federally recognized tribes and Alaska Natives can enroll in or change Marketplace plans once per month throughout the year.

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

A denial of Medicaid or CHIP eligibility triggers a Special Enrollment Period for Marketplace coverage.

(CACs) Certified Application Counselor Practice Test

(CACs) Certified Application Counselor Practice Test

CACs Eligibility and Enrollment Process 2