SEPs
What does the S in SEP stand for?
Special
What pieces of information do we need to pass disclosure?
First and Last name
SSN
Address
DOB
True or False: You can summarize or paraphrase when reading attestations.
False.
What does HICS stand for?
Health Insurance Casework System
What is an adult female turkey called? A hen
A hen
SEP's are neccesary for any enrollment outside of...
OEP
The consumer provides the following information. Does this pass disclosure?
1/24/1992
12730 N Kingston Ave, Chester, VA
Malanis Morissette
No, must provide zip code. (23836)
What age do children age off their parents' health insurance plan?
26.
What does ARC stand for?
Advanced Resolution Center
When was the first Thanksgiving feast held? (your answer can be +/- 20 years off and still be accepted)
November 1621
Susie was denied Medicaid on August 1. She calls on August 15. What should you do to help her?
A. Update the consumers application to report the Medicaid denial.
B. Tell her to call back during OEP.
C. Transfer he to a Tier 2 CSR.
D. Put her on hold until she figures it out on her own.
A. Update the consumers application to report the Medicaid denial.
A husband asks for help logging into his wife's Healthcare.gov account. What probing question should you ask her?
A. Have you ever called us before?
B. Would you like me to give you your wife's login password?
C. Are you the application filer or an applicant on her application?
D. Can is your wife's maiden name?
C. Are you the application filer or an applicant on her application?
Which tool helps us accurately determine a couple's combined income on the application?
A. The Window Shopping Tool
B. The Monthly Calculator
C. NGD Finance Tool
D. The Plan Compare Tool
The following are plan issues listed in the Plan Issues script True or False:
Issues with Billing
Enrollment Issues
Plan Materials Issue
Issues with Ending Coverage
True
What does TDB stand for?
TDB was founded in Lenexa, Kansas in 1999 by Terry D. Bryan and Laird Simons
Bob was fired. He calls after open enrollment asking if he and his daughter are eligible for coverage. What do you do?
A. Tell him to wait for the next OEP.
B. ARC escalation.
C. Transfer Bob to a Tier 2 representative.
D. Check consumer messages to see if he has been flagged for an SEP.
D. Check consumer messages to see if he has been flagged for an SEP.
How should we authorize a husband to access his wife's account?
Ask to speak to his wife so that they can pass disclosure and then add an authorization to the record.
Hermione moved in the middle of the past year but didn't update her address which caused an issue with the dates of coverage on her 1095-A. She's calling for help, and we direct them towards:
A. IRS
B. ARC
C. HICS
D. Tier 2 CSR
C. HICS
Where can you see a sample copy of a letter a consumer received about a plan?
A. User Alerts in the Content Viewer
B. The Documents view in NGD
C. The Sample Documents in HTKR
D. The Plan Specific Letters reference material in scripting.
The Plan Specific Letters reference material in scripting.
What is an adult male turkey called?
A tom
How long does this consumer typically have to use his Medicaid denial as a qualifying event?
30 days from date of call
30 days from date of denial
60 days from date of call
60 days from date of denial
60 days from the date of denial
A husband wants to access his wife's account, he is not authorized, and his wife is not home. He still wants to access her 1095-A. What do we tell him?
“Unfortunately, because she is not available, I cannot assist you in accessing your husband’s account. Please call back with your husband on the line.”
The SSN on Becky's 1095-A is not her SSN. What form would help Becky fix this issue?
Form 8962
"I got a letter telling me the plan I chose doesn't cover services I need. Can you help me?" Which script is going to best help you?
A. Plan Issues
B. Plan-Specific Letters
C. Plan Specific Letters (Letter Received)
D. Plan Categories
Plan Specific Letters (Letter Received)
What year did "A Charlie Brown Thanksgiving" debut on television? (your answer can be +/- 5 years off and still be accepted)
1973