CEC Application and Enrollment Procedures 2

Question 1

A dependent child turns 26 mid-plan-year. When does their coverage under a parent's employer-sponsored plan end?

Accepted Answer

At the end of the month in which they turn 26

Answer

Immediately on the birthday

Answer

At the end of the plan year

Answer

30 days after the birthday

Question 2

Which document is typically required to verify a qualifying life event for a Special Enrollment Period?

Accepted Answer

Documentation such as a marriage certificate, birth certificate, or loss-of-coverage letter

Answer

Prior-year tax return

Answer

Social Security card only

Answer

Employer verification letter only

Question 3

An applicant selects a plan during Open Enrollment but fails to pay the first premium. What is the result?

Accepted Answer

The plan selection is voided and coverage never takes effect

Answer

Coverage starts anyway and a grace period applies from day one

Answer

The insurer must cover claims for 30 days

Answer

The applicant is automatically enrolled in Medicaid

Question 4

Under CHIP, what income threshold generally determines eligibility for children in most states?

Accepted Answer

Up to 200% FPL or higher

Answer

Up to 100% FPL

Answer

Up to 138% FPL

Answer

Up to 400% FPL

Question 5

What is the purpose of the 'effective date' in an enrollment application?

Accepted Answer

It is the date from which coverage benefits begin

Answer

It marks when the insurer received the application

Answer

It is the date the premium is due

Answer

It indicates when the enrollment window opened

Question 6

A consumer reports a household income change of $10,000 during the plan year. What should an enrollment counselor advise?

Accepted Answer

Report the change to the Marketplace immediately to adjust APTC and CSR eligibility

Answer

Wait until next Open Enrollment to update

Answer

Report the change through a Special Enrollment Period on the Marketplace

Answer

Contact the employer directly

Question 7

Which of the following is NOT a qualifying life event for a Special Enrollment Period in the Marketplace?

Accepted Answer

Voluntarily cancelling a previous health plan

Answer

Loss of job-based coverage

Answer

Getting married

Answer

Moving to a new coverage area