CEC Eligibility Determination Process 4

Question 1

A self-employed individual projects $18,000 in net profit for the year. Which deduction is applied before comparing their income to the FPL for APTC eligibility?

Accepted Answer

One-half of self-employment tax paid

Answer

The deduction for one-half of self-employment tax is included in the MAGI calculation as an adjustment to income.

Question 2

A consumer experiences a permanent move to a new service area during the plan year. What type of enrollment opportunity does this trigger?

Accepted Answer

A 60-day Special Enrollment Period

Answer

A permanent move to a new Marketplace service area triggers a 60-day SEP allowing the consumer to select a new plan.

Question 3

Which of the following best describes 'minimum essential coverage' (MEC) that would disqualify a consumer from APTC?

Accepted Answer

Medicare Part A or Part B coverage

Answer

Medicare Part A or Part B constitutes minimum essential coverage that makes a consumer ineligible for APTC.

Question 4

A 19-year-old is claimed as a tax dependent by their parent but wishes to enroll in a Marketplace plan separately. Which statement is correct?

Accepted Answer

They can enroll separately but APTC is based on the parent's household income

Answer

Tax dependents who enroll separately still have their APTC eligibility determined based on the tax filer's household income, not their own.

Question 5

Under the ACA, what is the maximum percentage of household income a consumer at 150% FPL would be expected to contribute toward the benchmark Silver plan premium after APTC (in 2024)?

Accepted Answer

0%

Answer

Under enhanced subsidies in effect through 2025, consumers at 100–150% FPL pay $0 for the benchmark Silver plan.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Eligibility Determination Process 4