CEC Roles and Regulations 4

Question 1

Which of the following activities is WITHIN the scope of a Certified Application Counselor's permitted role?

Accepted Answer

Helping consumers understand their eligibility for premium tax credits

Answer

Explaining eligibility for premium tax credits and cost-sharing reductions is a core permitted function of Certified Application Counselors.

Question 2

What is a 'Federally Facilitated Marketplace' (FFM) in the context of ACA enrollment?

Accepted Answer

A marketplace operated by HHS on behalf of states that did not establish their own

Answer

The FFM is the health insurance marketplace operated by the federal government (HHS/CMS) for states that chose not to or were unable to establish their own state-based marketplace.

Question 3

Under ACA assister regulations, what is the primary purpose of the 'no wrong door' policy?

Accepted Answer

To allow consumers to apply for coverage through multiple pathways and be referred to the appropriate program

Answer

The 'no wrong door' policy ensures consumers can access coverage assistance through multiple entry points (Medicaid, CHIP, Marketplace) and be seamlessly referred to the right program.

Question 4

Which of the following statements about a State-Based Marketplace (SBM) is accurate?

Accepted Answer

SBMs can set their own assister certification requirements beyond federal minimums

Answer

State-Based Marketplaces have flexibility to establish their own assister requirements as long as they meet or exceed federal minimum standards.

Question 5

An enrollment counselor is working with a limited English proficient (LEP) consumer. What is the counselor's obligation under federal civil rights laws?

Accepted Answer

The counselor must provide meaningful access, including language assistance services, at no cost to the consumer

Answer

Under Title VI of the Civil Rights Act and ACA requirements, organizations receiving federal funds must provide meaningful access to LEP individuals, including free language assistance.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Roles and Regulations 4