DC Health Insurance Regulations 2

Question 1

Under the ACA as implemented in DC, what is the maximum out-of-pocket limit for in-network services on a qualified health plan for an individual in 2024?

Accepted Answer

$9,450

Answer

For 2024, the ACA out-of-pocket maximum for an individual on a qualified health plan is $9,450.

Question 2

DC's DC Health Link operates under which exchange structure?

Accepted Answer

State-based exchange (SBE)

Answer

DC Health Link is a state-based exchange (SBE) established and operated by the District of Columbia.

Question 3

Which federal law prohibits insurers from imposing lifetime or annual dollar limits on essential health benefits?

Accepted Answer

ACA (Affordable Care Act)

Answer

The ACA eliminated lifetime and annual dollar limits on essential health benefits for all non-grandfathered plans.

Question 4

A DC employer with 50 or more full-time equivalent employees who does NOT offer health coverage may be subject to which penalty?

Accepted Answer

ACA employer shared responsibility payment

Answer

Applicable large employers (50+ FTEs) that fail to offer minimum essential coverage may owe the ACA employer shared responsibility payment (employer mandate penalty).

Question 5

Which provision allows adult children to remain on a parent's health insurance plan until age 26 in DC?

Accepted Answer

ACA dependent coverage mandate

Answer

The ACA's dependent coverage mandate requires plans offering dependent coverage to extend it to adult children up to age 26.

DC - District of Columbia Insurance Practice Test

DC - District of Columbia Insurance Practice Test

DC Health Insurance Regulations 2