CEC Special Enrollment Periods & Life Events 2

Question 1

Which type of SEP applies to a consumer who permanently moves to a new area that offers different Marketplace plans?

Accepted Answer

Change in Residence SEP

Answer

A Change in Residence SEP allows consumers who move to a new coverage area with different plan options to enroll in a new Marketplace plan.

Question 2

A consumer who gains U.S. citizenship or lawful presence qualifies for which type of Special Enrollment Period?

Accepted Answer

Gain of Eligible Immigration Status SEP

Answer

Gaining citizenship or lawful presence makes a consumer newly eligible for Marketplace coverage, triggering a SEP.

Question 3

How long does a SEP typically last for a consumer who loses Medicaid or CHIP coverage?

Accepted Answer

60 days

Answer

Consumers who lose Medicaid or CHIP coverage have a 60-day SEP to enroll in Marketplace coverage.

Question 4

Which SEP allows a consumer to change plans if they were enrolled in the wrong plan due to an error?

Accepted Answer

Exceptional Circumstances SEP

Answer

An Exceptional Circumstances SEP can be granted when a consumer was enrolled in a plan due to an error or through no fault of their own.

Question 5

What is the maximum duration of most standard SEPs on the Health Insurance Marketplace?

Accepted Answer

60 days

Answer

Most standard SEPs last 60 days from the date of the qualifying life event.

(CEC) Certified Enrollment Counselor Practice Test