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

Individuals have 60 days before or after the qualifying life event to enroll or change coverage outside of Open Enrollment.

Question 2

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

Accepted Answer

Getting married

Answer

Getting married is a qualifying life event that triggers a 60-day SEP, allowing the newly married individual to enroll in or change health coverage.

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

The birth of a child triggers a 60-day SEP starting from the date of birth, and coverage can be made retroactive to the birth date.

Question 4

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

Accepted Answer

November 1 – January 15

Answer

The ACA Marketplace Open Enrollment Period runs November 1 through January 15, with coverage starting January 1 for enrollments completed by December 15.

Question 5

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

Accepted Answer

30 days

Answer

Under HIPAA portability rules, newly eligible employees have at least 30 days to enroll in an employer-sponsored plan when they first become eligible.

CES - Certified Enrollment Specialist Practice Test

CES - Certified Enrollment Specialist Practice Test

CES Special Enrollment Periods