Actual 026 George Access QUESTION AND
ANSWER GRADED A+ 100% VERIFIED With
Rationale
Which of these requirements must be met to qualify for Georgia Pathways? (Select all that apply)
Must be a Georgia resident
Must be between ages 19 - 64
True or False: An individual must meet MAGI requirements in order to qualify for ABD Medicaid.
False
Which of the following are examples of a qualifying circumstance for a hardship exemption? (Select all
that apply)
Bankruptcy
Fire, flood, or other disaster
Homelessness
Kristen received an Eligibility Determination Notice stating that she was ineligible for APTC. Kristen
would like to appeal this decision. After receiving support to understand why she was found ineligible,
she completed and submitted an appeal request form.
If she can afford it and wants health coverage, should she continue paying her insurance premiums until
a decision has been made?
Yes, she should continue paying her insurance premiums until a decision is made on her appeal.
How much time do consumers have to file an appeal after receiving their Eligibility Determination
Notice?
, 90 Days
A Health Reimbursement Arrangement (HRA) is funded solely by:
An employer's contributions
Which of the following groups can commit fraud, waste, and abuse? (Select all that apply)
Consumers
Agents
Insurance companies
Web brokers
Where can employers learn about and compare SHOP plans? (Select all that apply)
Certified agents
Web brokers
Georgia Access website
True or False: The MPR is calculated as the number of FTE employees accepting SHOP coverage divided
by the number offered coverage, excluding those that have other health coverage.
False
Pecans Unlimited is a small business with 10 FTEs. 8 FTEs enroll in SHOP coverage. One(1) FTE declines
SHOP coverage and is uninsured. 1 FTE declines SHOP coverage because they are covered under their
spouse's insurance. What is the SHOP participation rate for Pecans Unlimited?
90%
ANSWER GRADED A+ 100% VERIFIED With
Rationale
Which of these requirements must be met to qualify for Georgia Pathways? (Select all that apply)
Must be a Georgia resident
Must be between ages 19 - 64
True or False: An individual must meet MAGI requirements in order to qualify for ABD Medicaid.
False
Which of the following are examples of a qualifying circumstance for a hardship exemption? (Select all
that apply)
Bankruptcy
Fire, flood, or other disaster
Homelessness
Kristen received an Eligibility Determination Notice stating that she was ineligible for APTC. Kristen
would like to appeal this decision. After receiving support to understand why she was found ineligible,
she completed and submitted an appeal request form.
If she can afford it and wants health coverage, should she continue paying her insurance premiums until
a decision has been made?
Yes, she should continue paying her insurance premiums until a decision is made on her appeal.
How much time do consumers have to file an appeal after receiving their Eligibility Determination
Notice?
, 90 Days
A Health Reimbursement Arrangement (HRA) is funded solely by:
An employer's contributions
Which of the following groups can commit fraud, waste, and abuse? (Select all that apply)
Consumers
Agents
Insurance companies
Web brokers
Where can employers learn about and compare SHOP plans? (Select all that apply)
Certified agents
Web brokers
Georgia Access website
True or False: The MPR is calculated as the number of FTE employees accepting SHOP coverage divided
by the number offered coverage, excluding those that have other health coverage.
False
Pecans Unlimited is a small business with 10 FTEs. 8 FTEs enroll in SHOP coverage. One(1) FTE declines
SHOP coverage and is uninsured. 1 FTE declines SHOP coverage because they are covered under their
spouse's insurance. What is the SHOP participation rate for Pecans Unlimited?
90%
