CES Special Enrollment Periods

Question 1

A Special Enrollment Period (SEP) is triggered when an individual loses minimum essential coverage. How many days does the person typically have to enroll in a new plan?

Accepted Answer

60 days

Answer

30 days

Answer

90 days

Answer

120 days

Question 2

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

Accepted Answer

Getting married

Answer

Voluntarily canceling your health plan

Answer

Deciding to switch insurance companies

Answer

Moving within the same coverage area

Question 3

Having a baby triggers a Special Enrollment Period. The SEP window begins:

Accepted Answer

The day of birth and lasts 60 days

Answer

60 days before the due date

Answer

On the date of birth only

Answer

30 days before and 30 days after the birth

Question 4

When is the annual Open Enrollment Period (OEP) for ACA Marketplace individual and family plans?

Accepted Answer

November 1 – January 15

Answer

October 1 – December 15

Answer

September 15 – November 30

Answer

December 1 – February 28

Question 5

An employee who is newly eligible for employer-sponsored coverage has how many days to enroll?

Accepted Answer

30 days

Answer

15 days

Answer

60 days

Answer

90 days

Question 6

Moving to a new ZIP code or county that changes available plan options triggers a SEP. The enrollee must provide documentation such as:

Accepted Answer

Proof of prior address and new address

Answer

A letter from their old insurance company

Answer

A doctor's note confirming the move

Answer

Income verification from the new location