Individual Marketplace Exam

The Affordable Care Act (ACA) extends dependent coverage of children up to age 26. Which of the following would disqualify a young adult from being eligible to join or remain on a parent's plan under this provision? The young adult is married. The young adult is not financially dependent on the parent. The young adult is eligible to enroll in his or her own employer's plan. The plan selected by the parent does not offer dependent coverage of children.

The young adult is eligible to enroll in his or her own employer's plan.

True or False: You may log in to Healthcare.gov as the consumer, using the consumer's ID and password when assisting a consumer using the Marketplace pathway. True False

False

The Marketplace verifies data for individuals seeking coverage and eligibility for insurance affordability programs. This may include verification of all categories listed below EXCEPT... Health status Annual household income Citizenship or immigration status Social Security Number (SSN)

Health Status

Which of the following best describes Marketplace eligibility for members of mixed immigration status households? Parents of any child who is a U.S. citizen are eligible for Marketplace coverage, regardless of their immigration status. All members of a mixed immigration status household must provide proof of lawful presence, even if they are not applying for coverage themselves. Some household members are not eligible for health insurance coverage through the Marketplace, while other household members are eligible for Marketplace coverage because they are U.S. citizens or lawfully present immigrants. Mixed immigration status households cannot apply for advance payments of the premium tax credit (APTC) or cost-sharing reductions (CSRs) for their household members who are eligible for coverage through the Marketplace.

Some household members are not eligible for health insurance coverage through the Marketplace, while other household members are eligible for Marketplace coverage because they are U.S. citizens or lawfully present immigrants.

True or False: "Security" refers to the mechanisms in place to protect the confidentiality and privacy of personal information. True False

TRUE

True or False: Agents and brokers must provide a Privacy Notice Statement to consumers in the Marketplace regarding the use and disclosure of personally identifiable information (PII). True False

TRUE

True or False: Another name for easy pricing plans is standardized plan options. True False

TRUE

Which of the following does NOT qualify as a circumstance for a hardship exemption for the purpose of obtaining catastrophic coverage? The individual filed for bankruptcy. The individual recently experienced the death of a close family member. The individual is incarcerated. The individual incurred medical expenses that resulted in substantial debt.

The Individual is incarcerated

What is the process when the Marketplace finds that an applicant is eligible for Medicaid or the Children's Health Insurance Program (CHIP)? The Marketplace does not evaluate eligibility for Medicaid and CHIP. The Marketplace notifies the consumer and provides them with the option of contacting their state Medicaid/CHIP agency or continuing the enrollment process. The Marketplace notifies the consumer that they cannot get coverage through the Marketplace and instructs them to contact their state Medicaid/CHIP agency. The Marketplace transfers the information of any applicant found eligible for Medicaid or CHIP to the applicable state Medicaid/CHIP agency, which will follow up for either the completion of the eligibility process or plan/delivery system selection.

The Marketplace transfers the information of any applicant found eligible for Medicaid or CHIP to the applicable state Medicaid/CHIP agency, which will follow up for either the completion of the eligibility process or plan/delivery system selection.

Who is responsible for understanding which privacy laws and regulations an agent or broker is subject to? The consumer The agent or broker The state's Department of Insurance (DOI) The Marketplace

The agent or broker