CEC Roles and Regulations 5

Question 1

Under CMS regulations, how long must a CAC-designated organization retain records related to consumer assistance activities?

Accepted Answer

5 years

Answer

CMS requires CAC-designated organizations to retain records of their consumer assistance activities for a minimum of 5 years.

Question 2

A consumer is simultaneously eligible for both Medicaid and Marketplace coverage. What should the enrollment counselor do?

Accepted Answer

Explain both programs objectively and help the consumer understand which they qualify for, noting Medicaid eligibility typically precludes premium tax credits

Answer

Counselors must objectively explain both programs; consumers eligible for Medicaid are generally not eligible for premium tax credits, so accurate information is essential for an informed decision.

Question 3

Which of the following best describes the 'assister attestation' requirement when registering as a CAC?

Accepted Answer

The CAC's agreement to comply with all applicable laws, regulations, and program requirements

Answer

Assister attestation is the formal agreement by CACs to abide by all applicable federal and state laws, regulations, and program standards as a condition of certification.

Question 4

What is the significance of a Special Enrollment Period (SEP) in the context of an enrollment counselor's role?

Accepted Answer

It provides qualifying consumers a window to enroll in or change coverage outside the annual Open Enrollment Period

Answer

SEPs allow consumers who experience qualifying life events (marriage, job loss, birth of a child) to enroll in or modify Marketplace coverage outside the standard Open Enrollment Period.

Question 5

Which of the following is a qualifying life event that triggers a Special Enrollment Period?

Accepted Answer

Losing job-based health coverage

Answer

Losing job-based health coverage is a qualifying life event that triggers a 60-day Special Enrollment Period to enroll in Marketplace coverage.

(CEC) Certified Enrollment Counselor Practice Test

(CEC) Certified Enrollment Counselor Practice Test

CEC Roles and Regulations 5