Eligibility and Enrollment Process 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 Eligibility and Enrollment Process flashcards as text
When a consumer submits a Marketplace application and their identity cannot be verified electronically, what must the CAC advise them to do?
Answer: Submit acceptable identity verification documents within 90 days
If electronic identity verification fails, consumers must submit acceptable paper documentation within 90 days to maintain eligibility.
A consumer receives a notice that their income cannot be verified using available data sources. What is the consequence if they do not provide documentation?
Answer: Their APTC may be reduced or terminated after the resolution period
Failure to resolve income data-matching issues within the resolution period results in the loss or reduction of advance premium tax credits.
A consumer's citizenship or immigration status cannot be verified electronically. How many days does she have to submit documentation?
Answer: 90 days
Consumers have a 90-day period to submit documentation to resolve citizenship or immigration status data-matching issues.
What document is typically used to verify U.S. citizenship for Marketplace eligibility?
Answer: U.S. passport or birth certificate
A U.S. passport, birth certificate, or naturalization certificate are primary documents accepted to verify U.S. citizenship.
An applicant disagrees with the Marketplace's eligibility determination. What formal process can they request?
Answer: An appeal through the Marketplace's appeals process
Consumers have the right to appeal Marketplace eligibility determinations through the official appeals process.
Which immigration status makes a consumer lawfully present and potentially eligible for Marketplace coverage?
Answer: Asylum seeker with a pending application
Asylum seekers with a pending application are considered lawfully present and may be eligible for Marketplace coverage.
A consumer enrolled mid-year and received APTC based on estimated income. At tax filing, her actual income was higher. What is the result?
Answer: She must repay some or all excess APTC when filing taxes
If actual income exceeds the estimate, consumers must reconcile excess APTC on their federal tax return and may owe repayment.