CES Marketplace and Exchange Navigation

Question 1

What is the primary role of the Health Insurance Marketplace created by the ACA?

Accepted Answer

To offer a platform where individuals can compare and purchase qualified health plans

Answer

To provide free health insurance to all Americans

Answer

To replace Medicaid and Medicare with private coverage

Answer

To regulate insurance premiums directly

Question 2

States that choose to run their own ACA exchange are called:

Accepted Answer

State-Based Marketplaces (SBMs)

Answer

Federally Facilitated Marketplaces (FFMs)

Answer

Partnership Exchanges

Answer

Independent Insurance Pools

Question 3

A Navigator is a federally funded, certified professional who may:

Accepted Answer

Provide unbiased enrollment assistance at no cost to consumers

Answer

Sell health insurance plans for a commission

Answer

Deny applications on behalf of the Marketplace

Answer

Only assist with Medicare enrollment

Question 4

Which of the following must an applicant provide to apply for Marketplace coverage?

Accepted Answer

Household size and estimated annual income

Answer

Medical history and pre-existing conditions

Answer

Employer permission to enroll in a Marketplace plan

Answer

Credit score and financial assets

Question 5

The SHOP (Small Business Health Options Program) Marketplace is designed for:

Accepted Answer

Small employers with generally 1–50 employees

Answer

Self-employed individuals without employees

Answer

Nonprofit organizations with any number of employees

Answer

Large employers seeking alternative coverage options

Question 6

A Certified Application Counselor (CAC) differs from a Navigator primarily because CACs are:

Accepted Answer

Certified by CMS-approved organizations (such as hospitals or community clinics) rather than federally funded

Answer

Paid by insurance companies

Answer

Only authorized to assist with Medicaid applications

Answer

Required to hold a state insurance license