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

Under the ACA, dependent children may remain on a parent's plan until the end of the month in which they turn 26.

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

Applicants must provide supporting documentation that matches the qualifying life event, such as a marriage certificate or loss-of-coverage notice.

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

If the initial premium is not paid by the due date, the enrollment is cancelled and coverage never becomes effective.

Question 4

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

Accepted Answer

Up to 200% FPL or higher

Answer

CHIP covers children in families with incomes too high for Medicaid, typically up to 200% FPL or higher depending on the state.

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

The effective date is the specific date on which the enrollee's health coverage and benefits officially begin.

(CEC) Certified Enrollment Counselor Practice Test