WorksheetsACA 101: Post Enrollment - FAQ
Total questions: 10
Worksheet time: 15mins
Do consumers have a central location to upload documents and see their plan details that's easy to use?
No, they have to mail documents for best results
Yes, Healthcare.gov
Yes! The consumer dashboard
No, they have to access multiple sites to complete uploads
During special enrollment, can a consumer pay for their plan right away?
Yes, they have to in order to have coverage
Typically, no. They may have documents needing approval before they can pay
No, they must wait at least one week for the insurance company to get their information
They will get a bill in the mail
Can someone get their subsidy back if it's been removed? (select all that apply)
If you lose it you have to wait until the next open enrollment
Yes, but they must start by calling the marketplace
Yes, but they may be required to pay the full price to keep their plan active
Just reapply
If a consumer fails to submit documentation, what are the consequences?
They can lose their subsidy or coverage
The marketplace wont stop calling them
Nothing
The IRS will request they pay back all of their subsidy received
What documents are needed before payment can be made?
Proof of citizenship
Proof of income
Evidence of birth
Proof of qualifying life event
How many days do consumers have to submit data matching issue documentation (Income, immigration, incarceration etc.)?
30 days
90 days
60 days
120 days
During Open Enrollment, when an application is complete, how long should a consumer wait to make payment?
At least one week, this gives time for the marketplace to transmit their info to the insurance company
They should not wait, pay asap
At least two - three weeks, this gives time for the marketplace to transmit their info to the insurance company
They will get a bill in the mail
Which email contains the link to create a password for their HealthSherpa account?
Access Your Health Insurance Account
Action Required: Next steps to finalize your coverage
Follow ups requiring data matching documentation be submitted
Continue Shopping
How many accounts might a consumer have in relation to their insurance / application?
1
2
3
4
A consumer calls in with a complex situation, their plan was cancelled too late and they want it retroactively cancelled to the 1st of the month. What can we do?
Get assistance to submit a ticket to the FFM Agent Broker help desk
Send them to healthcare.gov
Unfortunately, there is nothing that can be done on a plan that has been cancelled
Log into their account and fix the date
