CEC Application and Enrollment Procedures 5

Question 1

What is a 'passive renewal' in the context of Marketplace enrollment?

Accepted Answer

Automatic re-enrollment into the same or similar plan if the consumer takes no action during Open Enrollment

Answer

Passive renewal means the Marketplace automatically re-enrolls consumers who do not make an active plan selection during Open Enrollment, often into the same plan.

Question 2

An employer's plan is considered unaffordable under the ACA employer mandate if the employee's share of the premium exceeds what percentage of household income?

Accepted Answer

9.02% of household income (2024 indexed figure)

Answer

For 2024, a plan is unaffordable if the employee's self-only premium cost exceeds 9.02% of household income, allowing the employee to seek Marketplace subsidies.

Question 3

Which of the following correctly describes cost-sharing reductions (CSRs)?

Accepted Answer

They lower deductibles, copays, and out-of-pocket maximums for Silver plan enrollees who qualify by income

Answer

CSRs reduce cost-sharing amounts exclusively for Silver plan enrollees whose income falls between 100% and 250% of the Federal Poverty Level.

Question 4

A consumer enrolls in a Marketplace plan on December 20 during Open Enrollment. When does coverage typically begin?

Accepted Answer

January 1 of the following year

Answer

Enrollments completed after the 15th of the month during Open Enrollment typically become effective January 1 of the next plan year.

Question 5

What does MAGI stand for in the context of determining ACA subsidy eligibility?

Accepted Answer

Modified Adjusted Gross Income

Answer

MAGI, or Modified Adjusted Gross Income, is the income measure used to determine eligibility for Medicaid, CHIP, and Marketplace premium tax credits.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Application and Enrollment Procedures 5