CEC - Certified Enrollment Counselor Application and Enrollment Procedures Questions and Answers

Question 1

When assisting a consumer with a Marketplace application, which of the following pieces of information is required for every member of the household, even those not applying for coverage?

Accepted Answer

Social Security numbers

Answer

Driver's license numbers

Answer

Previous health insurance policy numbers

Answer

Specific medical history

Question 2

A consumer reports a loss of job-based health coverage that will take effect in 45 days. As a Certified Enrollment Counselor, what should you advise them regarding their enrollment options?

Accepted Answer

They can apply for a Special Enrollment Period now, as they expect to lose coverage within the next 60 days.

Answer

They must wait until the coverage is officially terminated before they can apply for a Marketplace plan.

Answer

They will have to wait for the next annual Open Enrollment period to apply for new coverage.

Answer

They can only enroll in a short-term limited duration plan until their old coverage ends.

Question 3

Which of the following life events would typically NOT trigger a Special Enrollment Period (SEP) for Marketplace coverage?

Accepted Answer

Voluntarily dropping existing employer-sponsored coverage

Answer

Getting married

Answer

Losing health coverage due to a permanent move to a new zip code

Answer

Having a baby

Question 4

A Certified Enrollment Counselor is helping a family complete their Marketplace application. The household consists of two parents and their 20-year-old child, who is a college student and claimed as a tax dependent. The child has coverage through their university and is not seeking Marketplace coverage. How should the counselor advise the parents to proceed?

Accepted Answer

The child must be included on the application, along with their income, even though they are not applying for coverage.

Answer

The child can be completely omitted from the application since they already have coverage.

Answer

The child's income should be included, but their existing coverage is irrelevant.

Answer

The parents must apply on a separate application from their child.

Question 5

What is the primary purpose of the Open Enrollment Period?

Accepted Answer

It provides a specific window each year for anyone to apply for new health coverage or change their existing plan for any reason.

Answer

To allow individuals to enroll in Marketplace plans only if they experience a qualifying life event.

Answer

It is the designated time for insurance companies to introduce new plans and pricing.

Answer

To exclusively handle applications for Medicaid and CHIP.

Question 6

Which of the following actions is a Certified Enrollment Counselor (CEC) explicitly prohibited from doing when assisting a consumer?

Accepted Answer

Logging into a consumer's Marketplace account using the consumer's credentials, even with verbal permission.

Answer

Explaining the differences between various Qualified Health Plans (QHPs).

Answer

Helping a consumer gather necessary documents like pay stubs and tax information.

Answer

Providing information about eligibility for Medicaid and the Children's Health Insurance Program (CHIP).