2025 Marketplace

What are acceptable methods by which an agnet or broker may document consumer consent (as long as it includes all the key requirements)? Recorded phone conversation meeting the minimum requirements with consumer confirmation captured in an audio recording Written documents that capture the requirements, along with the signature of the consumer or authorized representative (electronically or othewise) A written emial or text response (electronic or otherwise) from the consumer or authorized representative to a communication sent bythe agent, broker, or web-broker requesting consent including the minimum requirements All the above

All of the above

What should agents and brokers do to prevent data matching issues from being generated on Marketplace application and prevent consumers from potentially losing their Marketplace coverage and/or financial assistance? Complete all possible fields in the application, and double check that information is complete without errors or typos Ensure consumer' name match documents such as their SSN card or immigration document. Ensure if a consumer applying for coverage has a SSN, include it on the application Include Immigration Document Numbers, including i-94, A-Number, or I-551 numbers, for consumers who have those statuses All of the above

All of the above

True or False: An Agent or broker assisting the consumer my submit an enrollment under another agent/broker's npn if they are not appointed with the issuer's plan the consumer selects (in a state that requires issuer appointment).

False

True or False: You are assisting a consumer who tells you they have an income or other qualifying situation that you know may qualify them for Medicaid Coverage. Although, you know they have not recently received a Medicaid denial, you should instruct them to attest to a recent Medicaid denial, so the Marketplace application does not send them to be assessed for Medicaid eligibility.

False

Veronica is an agent with a new client, Rosa, Veronica has already obtained and documented Rosa's consent and worked with Rosa to update their application. Veronica is now drafting up a form to document Rosa's attestation to the accuracy of their information on their eligibility application. What information must Veronica's form include in order to be compliant? The date the information was reviewed Rosa's name as the consumer Rosa's birthday the date Rosa began working with Veronica An explanation of the attestations at the end of the eligibility application Veronica's name as the assisting agent (or of her agency) Veronica's national producer Number All of the above

All of the above

What is the best way that agents and brokers can ensure their clients do not generate an immigration data matching issue (DMI) when completing the Marketplace application? Include immigration document numbers, including I-94, A-number, or I-551 numbers, for consumers who have those statuses Include all of the consumer's household income on the application, including household members who are not applying for coverage Remove any members of the household from the application who are not U.S. Citzens Enter a fake sSN on behalf of the consumer such as 999-99-9999 to prevent DMIs from being generated All the above

Include immigration document numbers, including I-94, A-Number, or I-551 numbers, for consumers who have those statuses.

You are working with a consumer named Luis, who is concerned about the overall cost of his health insurance. Luis has asthma and is concerned that his pre-existing condition will increase the oveall cost of his health coverage options. Will Luis' asthma increase the cost of his coverage. Yes, Luis will have higher overall health insurance costs due to his pre-existing condition No, Luis will not have high overall health insurance costs due to his pre-existing condition Luis will not be able to enroll in health insurance because of his pre-existing condition

No, Luis will not have high overall health insurance costs due to his pre-existing condition

Carlos is assisting Bill in enrolling in Marketplace coverage for the current plan year in a plan that is not auto-renewing and will have changes from his prior enrollment. Carlos has already obtained and documented consent to work on Bill's behalf prior to helping with the application. The consent gathered include a description of the scope, purpose, and duration of the consent (covering the current open enrollment period) provided by the consumer or their authorized representative, the date the consent was given, the name of the consumer or their authorized representative, the name of the agent broker, web-broker, or agency being granted consent, and a process through which the consumer or their authorized representative may rescind the consent. Does Carlos have everything he needs to ensure he is submitting Bill's application compliantly? Yes, Carlos has included all necessary components and is completing Bill

Yes, Carlos has included all necessary components and is completing Bill's enrollment compliantly

Arianna sends an email to her agent, Joel, in June to report a change in permanent residence and asks him to update her Marketplace application. Joel has been assisting Arianna in the Marketplace for the lst three Open Enrollments and has documented consumer consent meeting the requirements which has not been rescinded and covers the current time period and application review for a prior enrollment on record for Arianna. Does Joel need to recapture Arianna's review of the eligibility application before making an update to her existing application? Yes, Joel needs to obtain documental consumer rev of the eligibility application each time a change is mad to the application, regardless of if documented consent and consumer review prior changes has previously been obtained No, Joel can make any changes to Arianna's application without reobtaining consumer review of the eligibility application because Arianna provided

Yes, Joel needs to obtain documental consumer rev of the eligibility application each time a change is mad to the application, regardless of if documented consent and consumer review prior changes has previously been obtained

Your Consumer is determined eligible for a qualified health plan (QHP) with advanced payments of the premium tax credit(APTC and cost-sharing reductions(CSR) based on income. What metal level plan would the consumer need to enroll in to receive the income-based CSRs? Bronze Silver Gold Any metal level

Bronze