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 discovers that a client provided incorrect income information on their Marketplace application. What is the CAC's primary obligation?
Answer: Advise the client to correct the information and submit an application update
CACs must advise clients to provide accurate information and help them correct any errors on their applications.
Which of the following activities is OUTSIDE the scope of a CAC's authorized role?
Answer: Recommending a specific health plan based on the CAC's commission
CACs are prohibited from accepting compensation from insurers or recommending plans based on financial incentives, as this conflicts with their duty to serve the consumer.
A CAC is approached by a consumer who speaks limited English. What should the CAC do?
Answer: Assist the consumer using available language services or interpreter resources
CACs must take reasonable steps to provide meaningful access to services, including using available language assistance resources.
How long must a CAC retain records of consumer assistance activities?
Answer: At least 3 years
CACs and their sponsoring organizations must retain records of consumer assistance activities for a minimum of three years.
A consumer asks a CAC to help them understand the difference between a PPO and an HMO on the Marketplace. This request is:
Answer: Within a CAC's scope as part of providing educational information about plan options
Explaining plan types and general differences between them is educational assistance that falls within a CAC's authorized scope.
A CAC assists a client in enrolling in a Qualified Health Plan (QHP). After enrollment, the client calls with billing questions from the insurer. The CAC should:
Answer: Direct the client to the insurer's customer service or appropriate state resources
Post-enrollment billing issues are handled by the insurer; CACs should refer clients to the appropriate insurer or state resources.
What is a CAC required to do before providing assistance to a consumer?
Answer: Inform the consumer of the CAC's role, the free nature of services, and confidentiality policies
CACs must disclose their role, that their services are free, and how consumer information will be used before assisting.