Healthcare Systems EXAM 2025
The Affordable Care Act (ACA) extends dependent coverage of children up to age 26. Which of the
following would disqualify a young adult from being eligible to join or remain on a parent's plan under
this provision?
The young adult is married.
The young adult is not financially dependent on the parent.
The young adult is eligible to enroll in his or her own employer's plan.
The plan selected by the parent does not offer dependent coverage of children. - (answer)The young
adult is eligible to enroll in his or her own employer's plan.
Who is responsible for understanding which privacy laws and regulations an agent or broker is subject
to?
The consumer
The agent or broker
The state's Department of Insurance (DOI)
The Marketplace - (answer)The agent or broker
True or False: Agents and brokers must provide a Privacy Notice Statement to consumers in the
Marketplace regarding the use and disclosure of personally identifiable information (PII).
True
False - (answer)TRUE
, Healthcare Systems EXAM 2025
True or False: Another name for easy pricing plans is standardized plan options.
True
False - (answer)TRUE
The Marketplace verifies data for individuals seeking coverage and eligibility for insurance affordability
programs. This may include verification of all categories listed below EXCEPT...
Health status
Annual household income
Citizenship or immigration status
Social Security Number (SSN) - (answer)Health Status
True or False: "Security" refers to the mechanisms in place to protect the confidentiality and privacy of
personal information.
True
False - (answer)TRUE
What is the process when the Marketplace finds that an applicant is eligible for Medicaid or the
Children's Health Insurance Program (CHIP)?
The Marketplace does not evaluate eligibility for Medicaid and CHIP.
The Marketplace notifies the consumer and provides them with the option of contacting their state
Medicaid/CHIP agency or continuing the enrollment process.
The Marketplace notifies the consumer that they cannot get coverage through the Marketplace and
instructs them to contact their state Medicaid/CHIP agency.
The Affordable Care Act (ACA) extends dependent coverage of children up to age 26. Which of the
following would disqualify a young adult from being eligible to join or remain on a parent's plan under
this provision?
The young adult is married.
The young adult is not financially dependent on the parent.
The young adult is eligible to enroll in his or her own employer's plan.
The plan selected by the parent does not offer dependent coverage of children. - (answer)The young
adult is eligible to enroll in his or her own employer's plan.
Who is responsible for understanding which privacy laws and regulations an agent or broker is subject
to?
The consumer
The agent or broker
The state's Department of Insurance (DOI)
The Marketplace - (answer)The agent or broker
True or False: Agents and brokers must provide a Privacy Notice Statement to consumers in the
Marketplace regarding the use and disclosure of personally identifiable information (PII).
True
False - (answer)TRUE
, Healthcare Systems EXAM 2025
True or False: Another name for easy pricing plans is standardized plan options.
True
False - (answer)TRUE
The Marketplace verifies data for individuals seeking coverage and eligibility for insurance affordability
programs. This may include verification of all categories listed below EXCEPT...
Health status
Annual household income
Citizenship or immigration status
Social Security Number (SSN) - (answer)Health Status
True or False: "Security" refers to the mechanisms in place to protect the confidentiality and privacy of
personal information.
True
False - (answer)TRUE
What is the process when the Marketplace finds that an applicant is eligible for Medicaid or the
Children's Health Insurance Program (CHIP)?
The Marketplace does not evaluate eligibility for Medicaid and CHIP.
The Marketplace notifies the consumer and provides them with the option of contacting their state
Medicaid/CHIP agency or continuing the enrollment process.
The Marketplace notifies the consumer that they cannot get coverage through the Marketplace and
instructs them to contact their state Medicaid/CHIP agency.
