CEC Roles and Regulations 2

Question 1

Under the ACA, what is the maximum penalty an enrollment counselor can face for willfully disclosing a consumer's personally identifiable information without authorization?

Accepted Answer

$25,000 fine and up to 10 years imprisonment

Answer

Willful disclosure of PII by a Navigator or certified application counselor can result in criminal penalties including fines up to $25,000 and imprisonment up to 10 years.

Question 2

Which federal law primarily governs the privacy protections that enrollment counselors must uphold when handling consumer health information on the Marketplace?

Accepted Answer

Section 1411 of the ACA

Answer

Section 1411 of the Affordable Care Act establishes the privacy and security requirements specifically for Marketplace consumer data handled by assisters.

Question 3

A Certified Application Counselor (CAC) is prohibited from doing which of the following?

Accepted Answer

Charging consumers a fee for enrollment assistance

Answer

CACs are prohibited from charging consumers fees for their enrollment assistance services, as they must provide help free of charge.

Question 4

Which entity is responsible for designating organizations as Certified Application Counselor (CAC) organizations in a state using the federal Marketplace?

Accepted Answer

CMS (Centers for Medicare & Medicaid Services)

Answer

CMS designates CAC organizations for states using the federally facilitated Marketplace (FFM), while state-based marketplaces may have their own designation processes.

Question 5

What does the term 'scope of practice' mean for a Certified Enrollment Counselor?

Accepted Answer

The specific tasks and services they are authorized to perform under their certification

Answer

Scope of practice defines the specific functions, tasks, and services an enrollment counselor is trained, certified, and legally permitted to perform.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Roles and Regulations 2