CACs Eligibility and Enrollment Process 3

Question 1

For Marketplace eligibility, Modified Adjusted Gross Income (MAGI) is used to calculate household income. Which income type is included in MAGI?

Accepted Answer

Social Security benefits that are taxable

Answer

Taxable Social Security benefits are included in MAGI, while SSI, child support received, and gifts are excluded.

Question 2

A family of four has a projected annual income of 180% FPL. Which program are they most likely eligible for?

Accepted Answer

Medicaid or CHIP depending on state expansion status

Answer

At 180% FPL, this family falls within Medicaid or CHIP eligibility thresholds in most states (Medicaid for adults in expansion states, CHIP for children).

Question 3

What is the upper income limit for premium tax credit (APTC) eligibility under the ACA through 2025?

Accepted Answer

No upper income limit through 2025 under the enhanced subsidies

Answer

Under the American Rescue Plan Act extensions, enhanced APTCs have no upper income cap through 2025, meaning even higher-income consumers may qualify.

Question 4

Which household members must be included when calculating household size for Marketplace eligibility?

Accepted Answer

The tax filer, spouse, and all tax dependents

Answer

Marketplace household size is based on the tax household: the filer, spouse, and all claimed tax dependents.

Question 5

A 25-year-old is claimed as a tax dependent by her parents but wants to enroll in her own Marketplace plan. What happens to her eligibility?

Accepted Answer

Her eligibility is based on her parents' household income

Answer

If someone is claimed as a tax dependent, their Marketplace eligibility is assessed based on the claiming household's income and size.

(CACs) Certified Application Counselor Practice Test

(CACs) Certified Application Counselor Practice Test

CACs Eligibility and Enrollment Process 3