Practice Test Geeks(CEC) Certified Enrollment Counselor Practice Test
← All CEC Flashcard Decks

Eligibility Determination Process Flashcards

7 cards from real CEC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Eligibility Determination Process flashcards as text

  1. A consumer reports income that fluctuates month to month. How should an enrollment counselor best project annual income for APTC eligibility?

    Answer: Use the consumer's best estimate of expected annual income

    Marketplaces use the applicant's reasonable estimate of expected annual income, not a mechanical formula based on past pay periods.

  2. Which document is generally NOT acceptable as proof of U.S. citizenship for Marketplace enrollment purposes?

    Answer: Voter registration card alone

    A voter registration card alone is not an accepted citizenship document; it must be accompanied by another primary document.

  3. A 28-year-old applicant is offered employer-sponsored insurance that covers only the employee, not dependents. The spouse applies separately through the Marketplace. Which standard applies to the spouse's APTC eligibility?

    Answer: The family glitch rule makes the spouse eligible based on the family premium cost

    Under the 2023 'family glitch' fix, dependents' APTC eligibility is evaluated against the cost of family coverage, not the employee-only premium.

  4. During a Special Enrollment Period triggered by loss of MEC, how many days does a consumer generally have to enroll in a Marketplace plan?

    Answer: 60 days from the loss event

    Loss of minimum essential coverage triggers a 60-day Special Enrollment Period.

  5. An applicant's household includes a non-citizen spouse who is ineligible for Marketplace coverage. How is household income calculated for APTC purposes?

    Answer: The non-citizen spouse's income is counted but their coverage need is excluded

    The non-citizen spouse's income is included in MAGI household income but they are not counted in the tax family size for benchmark plan calculation.

  6. A consumer loses their job on March 15 and their employer coverage ends April 30. When does their 60-day SEP window begin?

    Answer: April 30 (date coverage actually ends)

    The SEP window is triggered by the date coverage actually ends, not the date of the qualifying event that caused the loss.

  7. Which income is excluded from MAGI-based household income for Marketplace eligibility?

    Answer: Child support received

    Child support received is not included in MAGI and therefore is excluded from household income calculations for Marketplace eligibility.