CAC Roles and Responsibilities Flashcards
7 cards from real CACS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 CAC Roles and Responsibilities flashcards as text
A CAC is assisting a consumer during a Special Enrollment Period (SEP). The consumer cannot provide documentation of the qualifying life event. What should the CAC do?
Answer: Explain the documentation requirements and help the consumer identify how to obtain the needed proof
CACs should explain SEP documentation requirements and help consumers locate or gather the required proof of qualifying events.
A CAC at a faith-based sponsoring organization is asked to decline assisting consumers who do not share the organization's beliefs. The CAC should:
Answer: Refuse to discriminate and serve all consumers equally regardless of belief, as required by federal nondiscrimination standards
Federal nondiscrimination requirements prohibit CACs from refusing service based on religion, race, sex, national origin, disability, or age.
Which of the following is a required element of a valid CAC consent/disclosure form?
Answer: The CAC's name, organization, and a description of services offered
CAC disclosure forms must identify the CAC, their sponsoring organization, and the nature of free services being provided.
A CAC discovers mid-session that a consumer also needs help with a workers' compensation claim. The CAC should:
Answer: Complete the enrollment assistance and refer the consumer to appropriate resources for the workers' comp issue
Workers' compensation is outside a CAC's scope; the CAC should complete authorized enrollment assistance and provide appropriate referrals for other needs.
What is the CAC's responsibility if a consumer decides NOT to enroll in any coverage after receiving full assistance?
Answer: Respect the consumer's decision while ensuring they understand the consequences and any applicable deadlines
CACs must respect consumer autonomy; they can provide information about consequences but cannot compel enrollment or harass non-enrolling consumers.
A CAC realizes they made an error on a consumer's submitted application that affected the consumer's premium tax credit amount. What must the CAC do?
Answer: Proactively notify the consumer and assist in correcting the application as soon as possible
CACs have an obligation to promptly notify affected consumers of errors and assist in correcting them to minimize any negative impact.
How does a CAC's role differ from that of a Navigator in the Marketplace assister ecosystem?
Answer: CACs are sponsored by specific organizations and may have organizational affiliations, while Navigators must operate independently from coverage providers
CACs are associated with specific sponsoring organizations (including some with coverage affiliations), whereas Navigators must be independent from insurers and receive federal grant funding.