01/16/2015 Infosource Access Quiz Ek

10 Questions | Total Attempts: 37

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Software Quizzes & Trivia

Questions and Answers
  • 1. 
    1. Mr. Jones is enrolled in a QHP (Qualified Health Plan) with OneExchange, he is becoming Medicare eligible, he has a Medicare enrollment requirement for a Medicare medical plan for his HRA, Does he need to change plans? 
    • A. 

      No, his QHP will transfer to Medicare.

    • B. 

      Yes, we need to enroll him into a new plan, which will automatically cancel his other enrollment.

    • C. 

      No, all QHP plans have equivalent Medicare plans that customers will automatically be enrolled into (cross walked).

    • D. 

      Yes, he can enroll into a Medicare plan with us and will need to call and cancel his QHP.

  • 2. 
    Ms. Green is single and enrolled into a QHP (Qualified Health Plan) with OneExchange. She receives an APTC (Advanced Premium Tax Credit) from the government.  Ms. Green is worried because she reported that she is under 200% of the FPL (Federal Poverty Level) on her subsidy application and she will actually fall into 300%-400%. How much will she have to pay back to the government?
    • A. 

      She will have to pay back the entire subsidy she was provided as she didn’t fill out the subsidy application accurately.

    • B. 

      She will be charged with fraud and be unable to qualify for a subsidy in the future.

    • C. 

      She will have a cap of up to $1,250 that she must pay back to the government.

    • D. 

      She will be able to keep the subsidy for this year, but will have to update her income for next year.

  • 3. 
    Ms. Jackson is pre-65 non-Medicare eligible. She is on COBRA coverage with her employer and would like to leave before it ends and enroll into a QHP (Qualified Health Plan) on the Marketplace for June 1.  Can she do this?
    • A. 

      Yes, leaving COBRA gives her a 60 day SEP to enroll outside of the OEP.

    • B. 

      No, she cannot enroll into a QHP as she does not have an SEP and she is not within the OEP (Open Enrollment Period).

    • C. 

      No, she is unable to voluntarily drop her COBRA coverage until it runs out and she cannot be enrolled in double coverage.

    • D. 

      Yes, there is no enrollment period for Access plans.

  • 4. 
    Mr. Reed is a Motorola participant in the Early Retiree-Losing Group Medical and Rx Coverage campaign. He decided to enroll on the Marketplace and receive an APTC (Advanced Premium Tax Credit) subsidy. Will he be able to regain his HRA?
    • A. 

      Yes, only if he has opted in for the HRA by the deadline of 01/01/2016

    • B. 

      Yes, he is automatically qualified for his HRA.

    • C. 

      Yes, he cannot lose his HRA just for taking an APTC subsidy.

    • D. 

      Yes, he will have the opportunity to opt back in at age 65.

  • 5. 
    Mr. Smith enrolled into a QHP (Qualified Health Plan) on the Marketplace on January 28, 2015. He wanted a February 1, 2015 effective date. Will he be able to get it?
    • A. 

      No, he can only get a January 1, 2015 effective date when enrolling in an Access plan.

    • B. 

      No, he would have had to enroll by January 15, 2015 on the Marketplace to receive a February 1, 2015 effective date.

    • C. 

      Yes, he can choose whatever effective date he wants.

    • D. 

      No, he had to enroll by December 31, 2014 for a 2015 plan.

  • 6. 
    Ms. Wilson enrolled into a QHP (Qualified Health Plan) on the Marketplace and her plan went into effect on January 1, 2015. Can she still change her plan during the rest of OEP (Open Enrollment Period)?
    • A. 

      No, once her plan goes into effect she cannot change it.

    • B. 

      No, she cannot enroll after January 1, 2015.

    • C. 

      Yes, she can enroll anytime throughout the year.

    • D. 

      Yes, she can change her plan anytime during the OEP even if the plan is in effect.

  • 7. 
    Mr. Black is an Access participant and is required to opt in for his HRA.  He spoke with a BA who dispositioned the call as “called to activate funding”. His funding is not showing qualified. What is the most likely reason?
    • A. 

      He must enroll in a plan through us before his funding will be activated.

    • B. 

      The call may not have been dispositioned correctly, so try again with “called to activate funding.”

    • C. 

      He must go through the opt in process with an Access BA on the Access website.

    • D. 

      Access participants will not be qualified for funding in the SSC.

  • 8. 
    Mr. and Mrs. Dune are transitioning to OneExchange. Mr. Dune is the primary and is in a Medicare campaign. Mrs. Dune in an Access campaign. They have successfully created an account for Mr. Dune on the Medicare website but when trying to create an account for Mrs. Dune on the Access/Healthcare website, they are not able to.  What is the first thing to check?
    • A. 

      Are they using her information or his to create the account?

    • B. 

      Are the linked in the SSC?

    • C. 

      Are they in incorrect campaigns?

    • D. 

      Are they both eligible for funding from the same client?

  • 9. 
    Ms. White is speaking with a CSR. She wants to know the status of her QHP (Qualified Health Plan) she enrolled into a month ago, but has not heard anything from the carrier. What should be done?
    • A. 

      The CSR should create an incident as it has been 21 days.

    • B. 

      The CSR should call the carrier with the participant and check the status.

    • C. 

      The CSR should transfer to an Access BA to follow up on the status.

    • D. 

      The CSR should inform the participant not to worry until it has been 63 days.

  • 10. 
    Mr. Brown is an Access participant in Rhode Island. Can we enroll him into a QHP (Qualified Health Plan)?
    • A. 

      Yes, we should enroll all participants that are associated with a client.

    • B. 

      Yes, we just need to make sure he is sent to an Access BA who can sell on the Rhode Island Marketplace.

    • C. 

      No, we should refer him to the Rhode Island Marketplace

    • D. 

      Yes, he just needs to speak to an Access BA that can sell him a plan on the Federally Facilitated Marketplace.

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