CAW Certification PRACTICE EXAM AND STUDY GUIDE
NEWEST 2026 ACTUAL COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Maryland Health Benefit Exchange (MHBE)
ANSWERS: Maryland's exchange market/insurance marketplace
Plan Requirements
ANSWERS: Minimum Actuarial Value (60%) & Essential Health Benefits (10
essential benefits)
Summary of Benefits and Coverage (SBC)
ANSWERS: The ACA requires insurance companies to provide a
standardized Summary of Benefits and Coverage (SBC) document for
each plan offered on the state health insurance exchange. Summary of
plan benefits and plan coverage-unique to each plan • Includes coverage
examples to show what the plan will cover in common scenarios •
Provides apples to apples comparison between plans • Language is
easier to understand • Not a contract or policy • Uniform glossary-list and
definition of commonly used terms
, Open Enrollment
ANSWERS:
is a period of time, usually occurring once per year, when consumers may
make changes to their elected fringe benefit options, such as health
insurance. This is also the time of year when households can sign up for
QHPs and/or SADPs for the first time.
Special Enrollment Period (SEP)
ANSWERS: Consumers who experience certain life events, such as getting
married, divorced, or having a child, may qualify for this creating a certain
period of time to enroll in or change health plans outside of the open
enrollment period.
Maryland Children's Health Insurance Program (MCHP)
ANSWERS: A special program within Medicaid that offers full health benefits
for lower income children under the age of 19. MCHP is also available year-
round for those who are eligible
available year-round
ANSWERS: Health coverage for low income individuals and families is called
Medicaid. Maryland's expanded Medicaid program, known as
HealthChoice, is
A Qualified Health Plan (QHP)
ANSWERS: Health insurance plan offered on Maryland Health
Connection. It is certified by MHC to meet the requirements set forth by
the Affordable Care Act and Maryland Law.
, Stand Alone Dental Plan (SADP)
ANSWERS: Dental insurance plan that meets ACA requirements and include
pediatric dental Essential Health Benefits.
Carrier
ANSWERS: A health and/or dental insurance provider
Cost Sharing
ANSWERS: A consumer's share, or out of pocket amount, of the cost of their
covered services
Premium
ANSWERS: The amount a consumer pays for their health insurance every
month
Deductible
ANSWERS: Out of pocket amount a consumer must pay each plan year before
their insurance begins to pay for services.
Copayment
ANSWERS: Pre-determined rate a consumer must pay for a doctor's visit,
emergency room visit, or prescription drug purchase
NEWEST 2026 ACTUAL COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Maryland Health Benefit Exchange (MHBE)
ANSWERS: Maryland's exchange market/insurance marketplace
Plan Requirements
ANSWERS: Minimum Actuarial Value (60%) & Essential Health Benefits (10
essential benefits)
Summary of Benefits and Coverage (SBC)
ANSWERS: The ACA requires insurance companies to provide a
standardized Summary of Benefits and Coverage (SBC) document for
each plan offered on the state health insurance exchange. Summary of
plan benefits and plan coverage-unique to each plan • Includes coverage
examples to show what the plan will cover in common scenarios •
Provides apples to apples comparison between plans • Language is
easier to understand • Not a contract or policy • Uniform glossary-list and
definition of commonly used terms
, Open Enrollment
ANSWERS:
is a period of time, usually occurring once per year, when consumers may
make changes to their elected fringe benefit options, such as health
insurance. This is also the time of year when households can sign up for
QHPs and/or SADPs for the first time.
Special Enrollment Period (SEP)
ANSWERS: Consumers who experience certain life events, such as getting
married, divorced, or having a child, may qualify for this creating a certain
period of time to enroll in or change health plans outside of the open
enrollment period.
Maryland Children's Health Insurance Program (MCHP)
ANSWERS: A special program within Medicaid that offers full health benefits
for lower income children under the age of 19. MCHP is also available year-
round for those who are eligible
available year-round
ANSWERS: Health coverage for low income individuals and families is called
Medicaid. Maryland's expanded Medicaid program, known as
HealthChoice, is
A Qualified Health Plan (QHP)
ANSWERS: Health insurance plan offered on Maryland Health
Connection. It is certified by MHC to meet the requirements set forth by
the Affordable Care Act and Maryland Law.
, Stand Alone Dental Plan (SADP)
ANSWERS: Dental insurance plan that meets ACA requirements and include
pediatric dental Essential Health Benefits.
Carrier
ANSWERS: A health and/or dental insurance provider
Cost Sharing
ANSWERS: A consumer's share, or out of pocket amount, of the cost of their
covered services
Premium
ANSWERS: The amount a consumer pays for their health insurance every
month
Deductible
ANSWERS: Out of pocket amount a consumer must pay each plan year before
their insurance begins to pay for services.
Copayment
ANSWERS: Pre-determined rate a consumer must pay for a doctor's visit,
emergency room visit, or prescription drug purchase
