CTRALTELITE

T/f

100

The member may become impatient having to repeat the details of their previous call if the previous agent didn't notate the important details of the original call

What is True

200

Eligibility for subsidies is based on all the adults in the tax HH

True

300

Once the enrollment change has been processed and is reflected on the member's account, a corrected 1095-A form will be auto-generated by Softheon within 5 business days

What is False -auto generated by Softheon within 10 business days

400

Altus dental has a lock out period of 24 months

True

500

Legal skinnies do not need to be read out loud to interpreters because they are trained professionals

What is False

Guess the GWF

100

I am the GWF you use if your member needed an ARD Form

What is Fulfillment

200

I am the GWF you need to use if your member needs larger font for documents that are mailed to them by the Health Connector

What is Accommodations

300

I can tell you if documents have been rejected by the DVP

What is ID proofing

400

Use me if you want to find out a member's status

What is reinstatement

500

I can tell you if an old terminated plan is standing in a member's way

What is Eligibility

Timelines

100

What is the deadline for submitting Request for Information

What is 90 days

200

The number of days a member has to request reinstatement

What is 

35 days

300

If a member qualifies for SEP with a QLE how long is their window open before they have to wait until the next OE?

What is 60 days

400

How long can it take for Retro-cancellations to process?

What is 

15 business days

500

What is the Timeline after an Admin. Sep is triggered that a Tier 2 will reach out to a member

What is within 24-48 hours 

Random

100

If a member only has dental, what is this considered?

What is NON-HIX dental

200

What should you validate before inviting a client?

What is their email address?

300

What are the Health Connector's hours of operation?

What is 8am-6pm Est

400

When is an Auto SEP triggered?

What is when a report a change is used on an application.

500

What should you do if the HOH has passed away and there is more than one person on the account?

What is 

• contact escalations and get an admin. Closure/the other members in HH will then need retro enrollment bc their coverage ended on the day of HOH death

Acronyms

100

QHP

What is

Qualified Health Plan  

200

NPP

What is 

Nonpayment of Premium

300

HNE

What is 

Health New England

400

TDH

What is

Tufts Direct Health

500

VER

What is 

Verified