CES Special Enrollment Periods 2

Question 1

An individual who loses employer-sponsored coverage due to job loss may use a Marketplace SEP. The SEP is triggered:

Accepted Answer

When employer coverage is lost regardless of COBRA eligibility

Answer

Loss of employer coverage—whether or not the person elects COBRA—is a qualifying event that triggers a 60-day Marketplace SEP immediately.

Question 2

A person gaining Medicaid eligibility triggers which type of enrollment opportunity?

Accepted Answer

Immediate enrollment in Medicaid with no waiting period

Answer

Medicaid and CHIP enrollment is available year-round with no waiting period, so gaining eligibility allows immediate enrollment at any time.

Question 3

Under HIPAA, a special enrollment right for an employee who gains a new dependent through adoption must be exercised within:

Accepted Answer

30 days of the adoption placement

Answer

HIPAA requires employers to allow special enrollment for adoption within 30 days of the placement, ensuring the child can be immediately added to coverage.

Question 4

Which of the following would NOT typically qualify for a Marketplace Special Enrollment Period?

Accepted Answer

Voluntarily dropping an existing health plan

Answer

Voluntarily dropping health coverage is not a qualifying event; SEPs are triggered by involuntary loss of coverage or other life events.

Question 5

American Indians and Alaska Natives who are members of a federally recognized tribe have a special Marketplace enrollment right that allows them to enroll:

Accepted Answer

Any month of the year

Answer

Federally recognized American Indians and Alaska Natives can enroll in or change Marketplace plans once per month throughout the year.

CES - Certified Enrollment Specialist Practice Test

CES - Certified Enrollment Specialist Practice Test

CES Special Enrollment Periods 2