CEC Roles and Regulations 3

Question 1

Under Marketplace regulations, enrollment counselors are required to complete training and be recertified on what basis?

Accepted Answer

Annually

Answer

Enrollment assisters including CACs and Navigators are required to complete annual recertification training to maintain their active status.

Question 2

A consumer asks an enrollment counselor to recommend the 'best' health plan for them. What is the appropriate response?

Accepted Answer

Provide objective information and help the consumer choose based on their own needs

Answer

Enrollment counselors must remain neutral and provide objective information to help consumers make their own informed decisions rather than directing them to a specific plan.

Question 3

Which regulation prohibits a Navigator from being an agent or broker or receiving compensation from a health insurance issuer?

Accepted Answer

45 CFR § 155.210

Answer

45 CFR § 155.210 establishes Navigator standards, including the prohibition on being a licensed agent/broker or receiving issuer compensation to prevent conflicts of interest.

Question 4

What action must an enrollment counselor take before accessing a consumer's Marketplace account on their behalf?

Accepted Answer

Obtain written or documented consent from the consumer

Answer

Enrollment counselors must obtain documented consumer consent before accessing or making changes to a consumer's Marketplace account.

Question 5

Which of the following is an example of a conflict of interest that an enrollment counselor must avoid?

Accepted Answer

Accepting gifts or payments from a health insurance issuer for enrolling consumers in their plans

Answer

Accepting gifts or compensation from insurers in exchange for directing consumers to their plans is a conflict of interest prohibited under assister regulations.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Roles and Regulations 3