Acronyms & Definitions
What are Advance Premium Tax Credit? What do they do? What makes a consumer eligible to receive? (3 Part Question =300 point bonus)
APTC are subsidies consumers may be eligible for if they have income at or above 100% of the Federal Poverty Level.
Assists qualified applicants with paying for health insurance by reducing taxes owed yearly.
Must file taxes to be eligible.
Consumers under 138% of the FPL may be eligible for NJ FamilyCare.
They can receive information that pertains onlyto their part of the account and/or information regarding their own enrollment.
If the account member is not on the line with the Primary Contact (HOH) on the account, the account member may not receive any other information regarding the account.
What does Resolve mean regarding a DMI Ticket? (Bonus Points Available if you provide more context)
It means that a ticket has been worked. It does not mean that it's been accepted or rejected. (Bonus Points: 100 if answer provides both parts)
Once your insurance company receives your first month's premium payment, you should receive your health plan ID card within approximately 7-10 business days after the new enrollment is finalized (time-frame may vary between carriers).
If a call comes in and Connection Point doesn’t respond automatically, you should click this button
What is Initiate Contact?
Department of Banking and Insurance
A broker needs his DUO app reset. What should you do?
Read the following script:
"I am unable to resolve the issue you are having with your Duo Mobile App. However, I will put in a request for you to get that resolved. In the meantime, I can update your contact information in the GCNJ system."
Escalate the issue to your Supervisor Tracker.
Provide the following information to your Supervisor:
Broker Name
Broker NPN
Broker Phone Number
Broker Email Address
A consumer will receive an additional period, after DMI ROP expiration, to send in their missing documentation. How many days will they receive? Do you inform the consumer of this?
60 days from the expiration date.
& NO! We do not provide the time frame.
The immigration categories are eligible for Marketplace Coverage except,
Asylee
Green Card Holder
Trafficking Survivor
DACA
F1 & F2 Visa Holders
DACA (100 points if you can provide meaning)
Deferred Action for Childhood Arrivals
To save a contact record, you should select what first then save.
END CONTACT
What does a Book of Business refer to?
The group of GCNJ consumers assigned to a BNA or agent.
Where should you go in Panviva for information on an 834 request
Escalations & Complaints > Enrollment Issues
TRUE OR FALSE.
INCOME DMI IS ONLY FOR THE PEOPLE SEEKING COVERAGE
FALSE
What is a tax household?
The tax household is the individuals who are included on your tax return – you, your spouse (if any) and your tax dependents (if any).
When you complete your marketplace application for financial help with the cost of coverage, you will include the individuals who are in your tax household.
The tax filer or spouse must have been the recipient of unemployment to receive the increased savings.
If there is a Connection Point outage, what should you save your contact records under? Where is it located?
CP outage tracker located in Team Erin channel under Files in IT Issues
DMI ROP stands for
DATA MATCHING ISSUE REASONABLE OPPORTUNITY PERIOD
An error within that GCNJ platform that prevents, the consumer, CSR, or broker from completing what needs to be done should be reported where?
On Supervisor tracker under GI ticket
If a consumer does not satisfy the following data matching issues: Income, Native American and Alaskan Native Status, they will have a loss of what _______?
FINANCIAL HELP
True or False.
An over age (26) dependent- if part of the same tax household-can enroll in the same plan as their parents.
False.
An over age (26) dependent- if part of the same tax household- must enroll in a separate plan from the parents.
True or False.
If a consumer cannot be found while authenticating them, you will create an account for them in Connection Point.
FALSE.
You will create the account (if applicable) in GCNJ.
Or you will search to see if consumer is a household member of an active account.
MODIFIED ADJUSTED GROSS INCOME
True or false:
If a consumer states the primary contact or the primary tax filer is incorrect on their application or requests a change, you SHOULD advise that this cannot be done.
False. You would place request on your Supervisor's tracker under GI Ticket
Notate if the consumer would like to change the primary contact or the primary tax filer indicating who is what
If consumer does not satisfy the data matching issue for the following: citizenship/immigration, residency, resolve death, ESI/Non ESI MEC they will have a loss of _____?
COVERAGE
Provide me 5 types of accepted Income Sources on the GCNJ platform
Provide me 3 types that are NOT accepted income sources on the GCNJ platform.
Job, Pension, Unemployment, Royalty/Rental income, Social security benefits, capital gains, investment income, retirement, self-employment. Farming or fishing income.
Child support, gifts, supplemental security income (SSI), Veterans disability payments, worker's compensation, proceeds from loans
What are the parameters for saving a Comment in your Contact Record?
If caller has called in multiple times, notate at beginning of note REPEAT CALLER.
Your EIN.
Caller's first and/or last name and title. Example.
Reason for the call using the Contact Reason and Action selected for this call.
Provide additional specific information if needed. Use Descriptions provided for each Contact Reason/Action as guidance.
Actions taken during this call.
If there are any next steps needed.