1.
What is a Special Enrollment Period (SEP)?
2.
A prospect is concerned about providing information to you regarding their annual income. What would you say to client to ease their concern and to why you need this information from them?
3.
How did the creation of Patient Protection and the Affordable Care Act change health coverage in America?
Correct Answer
D. All of the above
Explanation
You want to tell them what will meet their needs, not everything you know.
4.
An agent, broker, or consumer discovers unauthorized changes were made to the consumer’s online application would be considered fraudulent activity.
Correct Answer
A. True
Explanation
You should try to explain the situation to the customer first. If they are unhappy with the resolution, start slowly. Offer only to credit a small portion of their shipping and go up from there if need be.
5.
When is the annual Open Enrollment Period for Marketplace plans?
Correct Answer
C. November 1 - December 15
Explanation
feedback
6.
If you were unable to answer a client/prospect question, query or problem what might you do?
Correct Answer
C. Tell them you do not know the answer, but can research and update them
Explanation
If a client or prospect asks a question or presents a problem that you are unable to answer, it is important to be honest and transparent. Instead of making up an answer or telling them to come back later, the best approach is to admit that you do not know the answer but assure them that you will research the issue and provide them with an update. This shows professionalism, integrity, and a commitment to finding a solution for the client or prospect.
7.
For how long after a qualifying life event is an SEP available?
Correct Answer
C. 60 days
Explanation
After a qualifying life event, an SEP (Special Enrollment Period) is available for 60 days. This means that individuals have a two-month window to enroll in a health insurance plan outside of the regular open enrollment period. During this time, they can take advantage of the SEP to make changes to their coverage or enroll in a new plan that better suits their needs. It is crucial to act within this 60-day period to ensure access to healthcare coverage.
8.
Client/Prospect(s) Zip Code, Age or DOB, Spouse & Dependent Info, Tobacco Use, and Household Income are the only REQUIRED pieces of information to run a quote on HealthSherpa.
Correct Answer
A. True
Explanation
The given statement is true. To run a quote on HealthSherpa, the only required pieces of information are the client/prospect's zip code, age or date of birth, spouse and dependent information, tobacco use, and household income. Other details may be optional but these specific pieces of information are necessary for generating a quote.
9.
(BLANK) is a discount that lowers the amount you have to pay for deductibles, copayments and coinsurance.
Correct Answer
D. Cost sharing responsibility (CSR)
Explanation
Cost sharing responsibility (CSR) is a discount that lowers the amount an individual has to pay for deductibles, copayments, and coinsurance. This means that individuals who qualify for CSR will have reduced out-of-pocket costs when accessing healthcare services. Subsidy refers to financial assistance provided by the government to help individuals pay for health insurance. Federal poverty level (FPL) is a measure used to determine eligibility for certain healthcare programs and subsidies. The Marketplace is an online platform where individuals can compare and purchase health insurance plans.
10.
What is NOT an example of an Essential Health Benefit?
Correct Answer
C. Dental Care
Explanation
Dental care is not considered an Essential Health Benefit. While hospitalization, prescription drug coverage, and preventative and wellness services are all examples of Essential Health Benefits, dental care is not included in this category. Essential Health Benefits are a set of services that health insurance plans are required to cover under the Affordable Care Act, and dental care is typically offered as a separate coverage option.
11.
In states that don’t implement Medicaid expansion, people between the state’s Medicaid ceiling (it varies by state) and 100% of the FPL are not eligible for Medicaid or the new tax credit.
Correct Answer
A. True
Explanation
In states that don't implement Medicaid expansion, individuals who fall between the state's Medicaid ceiling and 100% of the Federal Poverty Level (FPL) are not eligible for Medicaid or the new tax credit. This means that these individuals, despite being in a low-income bracket, do not have access to either Medicaid or the financial assistance provided through the tax credit.
12.
What is NOT an example of an SEP
Correct Answer
C. Fred missed the open enrollment period because he was out of town, and now wants to elect coverage.