Show:
General Knowledge
Time-Line
Health Insurance Market Place
Employer Requirements
Regulations
100
Who can offer unbiased information and can assist customers in understanding their health care options and the Health Insurance Marketplace?
What is a Naviagtor.
100
Open enrollment will begin on what date?
What is October 1st, 2013.
100
When will Health Insurance Marketplaces go into operation?
What is January 1st, 2014.
100
Beginning in 2011, employers will be required to ____ the value of employees’ health benefits on W-2 forms.
What is provide.
100
What does EHB's stand for?
What is Essential Health Benefits.
200
What is the open enrollment tool for non-group and small group to select coverage?
What is Connecture
200
People that do not have coverage after this date may be subject to penalty.
What is January 1st, 2014.
200
The Department of Health and Human Services (HHS) administers the requirements for the Exchanges and the health plans they offer. True or False
What is True.
200
Beginning in 2014, an employee's waiting period for insurance cannot exceed ___ days.
What is 90.
200
Name the website established by the federal government where customers can compare and purchase health plans.
What is Federally Facilitated Marketplace.
300
Who will handle pre-sale non-group Health Care Reform inquires?
What is Connextions.
300
In 2016 if you're required to have health insurnace and do not what's the possible penalty?
What is $695 or 2.5% of your taxable income which ever is greater.
300
States cannot build a Health Insurance Marketplace on their own. But can partner with one or more other states, or have the federal government build and run the insurance exchange for them. True or False
What is False.
300
The law requires states to create and maintain a health care “______" in which health insurance providers compete for customers on equal terms. The "____" will be open to anyone without employer-provided coverage who wants to purchase a health insurance plan. If a state does not create a "____", the federal government will create one for it.
What is a Marketplace.
300
List the benefit levels, including coverage percentages, used to compare health plans.
What is Metallic Tiers Platinum: 90% coverage Gold: 80% coverage Silver: 70% coverage Bronze: 60% coverage.
400
Name the federal agency within the United States Department of Health and Human Services that oversees health care programs and services for American Indians, Native Hawaiians, and Alaska Natives.
What is Indian Health Service.
400
The Health Care Reform "employer mandate" has been delayed until when?
What is January 1st, 2015.
400
SHOP stands for?
What is Small Business Health Options Program
400
If an employee opts out of an employer plan because coverage is "_____"—the employer must pay a $3,000 penalty for each full-time employee who receives a government subsidy and purchases coverage through an exchange.
What is Unaffordable.
400
Name the portion of the Health Care Reform law that states no one will be denied health insurance based on pre-existing conditions.
What is Guaranteed Issue.
500
Name the health condition that exists for a set time prior to enrollment into a health plan, regardless of whether the condition has been formally diagnosed.
What is Pre-existing Condition.
500
President Obama signed the landmark Health Care Reform legislation into law on what date?
What is March 23rd, 2010.
500
Name 5 of the 10 Essential Health Benefits:
What are: 1. Ambulatory patient services 2. Emergency services 3. Hospitalization 4. Maternity and newborn care 5. Mental health and substance use disorder services, including behavioral health treatment 6. Prescription drugs 7. Rehabilitative and habilitative services and devices 8. Laboratory services 9. Preventive and wellness services and chronic disease management 10. Pediatric services, including oral and vision care
500
Employer health care coverage must have an actuarial value of at least ___ percent. If it does not, penalties will be assessed.
What is 60.
500
What portion of the Health Care Reform law that states nearly everyone must have health insurance by January 1, 2014?
What is the Individual Mandate.