[SVL] Insurance 13

All of the following statements are true regarding grandfathered plans
A. A grandfathered health policy existed before ACA
B. Grandfathered plans are not required to provide certain recommended preventative services for free
C. A grandfathered plan is required to comply with all of the consumer protections of the ACA
D. Grandfathered individual plans are not required to eliminate pre-existing condition exclusions for children under 19 years old

Which of the following is NOT a common name for the Affordable Care Act?
A. Social Insurance Program
B. Obamacare
C. Patient Protection and Affordable Care Act (PPACA)
D. Health Care Reform

Group health plans and health insurance issuers offering group or individual health insurance coverage that provide dependent coverage to children of the insured must make coverage available for adult children
A. up to age 21
B. up to age 25
C. up to age 18
D. up to age 26

A limitation or exclusion of benefits based on a physical or mental condition that was present before the effective date of coverage is also known as
A. a grandfathered exclusion
B. a conditional exclusion
C. a preventative limitationh
D. a pre-existing condition

All of the following statements about navigators are correct EXCEPT
A. navigators are not permitted to sell insurance
B. navigators can legally provide advice to consumers about which health plan to choose
C. navigators are funded by the federal government
D. navigators can help individuals determine their eligibility for public assistance programs

What is the penalty for an employer that does NOT offer health coverages and has 50 or more full-time employees?
A. $2,000 per full-time employee
B. $5,000 per full-time employee
C. $10,000 per year
D. $2,000 per year

Which of the following is NOT a consumer protection that applies to both grandfathered and nongrandfathered plans?
A. A policy must provide certain recommended preventive services for free.
B. A policy cannot be canceled solely because of an honest mistake on an application.
C. Lifetime dollar limits cannot be applied to essential health benefits.
D. Dependent coverage must be extended to adult children until age 26.

Which of the following individuals is excluded
from the required minimum essential coverage?
A. William, born and is raised in the U.S.
B. Sarah, age 30, a legal resident of the U.S.
C. Ricardo, from Mexico, a legal resident of the U.S.
D. Maska, age 27, an American Indian

Minimum essential coverage means coverage from any of the following EXCEPT
A. employer-sponsored plans
B. government-sponsored programs
C. on-site medical clinics
D. grandfathered health plan

Which of the following percentages represents that average portion of expected costs covered in Gold plan?
A. 60%
B. 90%
C. 70%
D. 80%

All of the following statements regarding the essential health benefit of coverage of children to age 26' are correct EXCEPT
A. children can join or remain on the parent's plan even if they are married
B. grandchildren may be covered if the grandparent is the legal guardian of the child to be insured
C. there is a requirement to cover the child of a dependent child
D. grandchildren may be covered if the grandparent is the adoptive parent of the child to be insured

Jodi missed the deadline for the annual open enrollment. Which of the following qualifying events would NOT allow her to have a special enrollment?
A. Birth or adoption of a child
B. Moving to a new state with same health plans
C. Loss of health coverage due to divorce
D. Marriage

Which of the following percentages represents that average portion of expected costs covered in Platinum plan?
A. 80%
B. 100%
C. 90%
D. 70%

ABC Printing, a small tax nonexempt company, can get tax credits to help offset the cost of the company's health plan premium contribution for its employees. The maximum credit is
A. 75% of premiums paid
B. 25% of premiums paid
C. 50% of premiums paid
D. 10% of premiums paid

How many full-time employees (FTEs) must a company have to be eligible for the Health Care Tax Credit for Small Employers?
A. Less than 10
B. Less than 25
C. Less than 20
D. Less than 2

Advanced premium tax credits (APTC) may be applied to lower the insured's monthly premiums. The cost-sharing reduction is only available through a health plan from which tier?
A. Silver
B. Bronze
C. Gold
D. Platinum