CACs Verification and Documentation Requirements 2

Question 1

Which federal agency provides citizenship and immigration data to the Marketplace through the Federal Data Services Hub?

Accepted Answer

Department of Homeland Security (DHS)

Answer

Department of Defense (DoD)

Answer

Department of Agriculture (USDA)

Answer

Department of Commerce (DOC)

Question 2

A self-employed applicant applying for Marketplace coverage typically submits which document to verify their income?

Accepted Answer

Most recent federal tax return (Schedule C) or a signed attestation with supporting records

Answer

A recent W-2 form from their employer

Answer

A letter from a certified public accountant alone is sufficient

Answer

Last three months of business invoices only

Question 3

How long does an applicant who qualifies for a Special Enrollment Period (SEP) typically have to submit verification documents after enrolling?

Accepted Answer

30 days

Answer

7 days

Answer

15 days

Answer

60 days

Question 4

In Marketplace terminology, what does the term 'inconsistency' specifically refer to?

Accepted Answer

A discrepancy between what an applicant attests on their application and what federal data sources return

Answer

A plan that changes its benefits mid-year

Answer

A CAC who assists consumers in more than one county

Answer

An applicant who switches plans during open enrollment

Question 5

Which of the following would NOT be an acceptable document for verifying the identity of a Marketplace applicant?

Accepted Answer

A utility bill listing the applicant's name and address

Answer

State-issued driver's license

Answer

U.S. military ID card

Answer

U.S. passport

Question 6

What is the primary purpose of the Federal Data Services Hub in the Marketplace verification process?

Accepted Answer

To provide a real-time connection between Marketplace systems and federal data sources for eligibility verification

Answer

To store copies of all paper applications submitted nationwide

Answer

To calculate premium tax credit amounts for each applicant

Answer

To communicate directly with health insurance issuers about enrollment

Question 7

When an applicant reports having access to employer-sponsored insurance (ESI), what information is the Marketplace required to verify?

Accepted Answer

Whether the ESI offer meets minimum value and affordability standards

Answer

The employer's annual revenue and number of employees

Answer

The names and ages of all employees at the employer

Answer

Whether the employer has ever been audited by the IRS