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PY 2026 PENNIE Individual Marketplace Training for New Agents & Brokers – Real Exam Q&A – Pennsylvania Health Insurance Marketplace

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Prepare for the Pennsylvania Individual Marketplace (PENNIE) certification with this comprehensive exam question bank for new agents and brokers. This guide covers essential topics for PY 2026, including: ACA and state marketplace goals Eligibility criteria and qualifying life events (QLEs) Open Enrollment Period (OEP) and Special Enrollment Period (SEP) APTC/CSR calculations and income verification Immigration status and mixed households Privacy (PII) and security requirements Agent/Agency Manager account setup, transfers, and designations Plan selection, metal tiers, and cost-sharing Customer service and appeals process Ideal for Pennsylvania insurance agents, brokers, and assisters preparing for PENNIE certification and compliance.

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PY 2026 PENNIE INDIVIDUAL MARKETPLACE
TRAINING FOR NEW AGENTS AND BROKERS
REAL EXAM QUESTION WITH CORRECT
ANSWERS




What were some of the goals of the Affordable Care Act (ACA)
healthcare reform law enacted in 2010?



a) make heallth insurance more affordable for more people

b) ensure people cannot be denied coverage because of - or charged
more for - pre-existing conditions

c) establish a list of essential health benefits (EHB) insurers must
cover

d) all of the above --CORRECT ANSWER--d) all of the above



All medical plans offered thru Pennie constitute Minimum Essential
Coverage (MEC)

True or False --CORRECT ANSWER--True




Page | 1

,The Inflation Reduction Act (IRA) signed into law in 2022, extends
the premium subsidies created by the American Rescue Plan Act
(ARPA) from 2022 through what year?

a) 2023

b) 2024

c) 2025

d) 2026 --CORRECT ANSWER--c) 2025



Both Exchange Assisters and Brokers can help a customer complete
an application through Pennie and recommend a plan that would best
fit their personal needs.



a) true

b) false --CORRECT ANSWER--b) false



To meet the requirements of the Pennsylvania Navigator and
Exchange Assister Accessibility and Regulation Act, an Assister must
adhere to all of the following except

a) reside in the Commonwealth

b) maintain appointments with all insurers on the Exchange

c) register with the Pennsylvania Insurance Department (PID)

Page | 2

,d) avoid engaging in activities which could be considered conflicts of
interest --CORRECT ANSWER--b) maintain appointments with all
insurers on the Exchange



What were the main goals of Act 42 of 2019, the legislation which
allowed the creation of an insurance marketplace for the state of
Pennsyvanina?

a) Transaction from the federal exchange (Healthcare.gov) and set up
a state-based exchange

b) Reduce service and operational costs

c) Launch a reinsurance program to increase savings for families

d) all of the above --CORRECT ANSWER--d) all of the above



Deductibles, copayments, coinsurance, and out-of-pocket limits are
all examples of:



a) penalties

b) essential health benefits

c) cost sharing

d) all of the above --CORRECT ANSWER--c) cost sharing



Page | 3

, customers seeking assistance can use which of the following methods
to be connected to a broker or assister?

a) pennie customer service 844-844-8040

b) pennie chat feature

c) pennie "get help" tool

d) all of the above --CORRECT ANSWER--d) all of the above



only brokers or assisters can initiate the process to appoint an agent of
Record/Authorized Representative. True or False --CORRECT
ANSWER--False



When dealing with a frustrated or emotional customer, you should
not:

a) commiserate or agree with the customer's claim that the law or a
particular process is unfair

b) show empathy, but maintain professionalism

c) acknowledge their frustration or feelings

d) reassure them that you are here to help --CORRECT ANSWER--a)
commiserate or agree with the customer's claim that the law or a
particular process is unfair




Page | 4

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