Certified Enroller Exam - Covered California Latest Update 2025-2026 200 Questions and 100% Verified Correct Answers Guaranteed A+
A Certified Counselor is working with a consumer for any reason other than to submit an application, renewal, or change of address but the consumer specifically asks about voter registration options through Covered CA. -True or False- The Certified Counselor should inform the consumer about the voter registration options. - CORRECT
ANSWERS: True
A consumer wants to register to vote while enrolling in-person for health coverage, and there is internet available for them to use. What should you do? - CORRECT ANSWERS: Select the "Yes", open the online voter registration website option in the online application to access the Secretarty of State's website. Select the registration form in the consumer's preferred language if it is offered. Also, inform the consumer that answers to the online voter registration form may be filled out in private.
Are binder payments necessary for renewing subsidized enrollee enrolling into the
same plan or same product in a different plan? - CORRECT ANSWERS: It is not
necessary and the renewing enrollees will be permitted to receive the full grace period of 3 months
Are CAEs compensated by Covered CA? - CORRECT ANSWERS: No, they are not.
Are Certified Counselors allowed to possess an insurance license from the CA
Department of Insurance? - CORRECT ANSWERS: No, they are not allowed.
Are Certified Counselors required to complete annual recertification training and pass
an exam? - CORRECT ANSWERS: Yes, they are. They are also required to review
program updates as they become available throughout the year.
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Are costs standard for each metal tier? - CORRECT ANSWERS: Yes, for example, the copay for prescription medication on a plan is the same for all Silver plans.
Are vision plans qualified health plans? - CORRECT ANSWERS: No they are not
Are you able to complete voter registration application for the consumer? - CORRECT
ANSWERS: NO YOU ARE NOT; the consumer will be mailed a voter registration card.
Can consumer change plans outside of the open enrollment period? - CORRECT
ANSWERS: No, not unless they experience a QLE
Can consumers who receive Medicare also be eligible for Medi-Cal? - CORRECT ANSWERS: Depends on their income and assets, and may still apply through Covered CA
Can health plans charge a prescription deductible separate from the plan/s medical
deductible? - CORRECT ANSWERS: Yes they can and both deductibles apply to the
out-of-pocket maximum the member must pay in a plan year.
Can individuals still be penalized when they file their federal tax returns for failing to
have MEC (Minimum Essential Coverage)? - CORRECT ANSWERS: You will not be
penalized by the federal government, BUT can be through the state of California.
Can individuals that are NOT seeking to enroll be asked about their citizenship or immigration status even when they are applying for a family member? - CORRECT
ANSWERS: No the cannot be asked about their citizenship or immigration status.
Can QHP issuers vary their cost-sharing from other QHPs? - CORRECT ANSWERS:
No they cannot vary
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Can unbanked consumers make payments directly to their selected health insurance
companies through various options? - CORRECT ANSWERS: Yes they can; view
payment options for each carrier first
Can undocumented individuals apply for their family members? - CORRECT
ANSWERS: Yes they can. Proof of immigration status is only required for persons
seeking to enrol in a Covered CA health plan or Medi-Cal.
Can you send a completed paper application via email? - CORRECT ANSWERS: NO
NEVER
Certified Application Counselor (CAC) provide in-person consumer enrollment assistance and are largely represented by CBOs (Community Based Organizations). -
CORRECT ANSWERS: These enrollment partners ARE NOT compensated by Covered
CA.
Certified Insurance Agents (CIA) earn and are paid commissions for effectuated enrollments with: - CORRECT ANSWERS: - Individual and Family PlCORRECT
ANSWERS: commissions are paid by Covered CA Qualified Health and Dental Plans
- Covered CA for Small business (CCSB): commissions are paid by CCSB
Consumers must direct all billing questions to what entity? - CORRECT ANSWERS: To the health insurance company offering their selected plan
Covered CA encourages all consumers to authorize consent for how many years? -
CORRECT ANSWERS: 5
Dependent Coverage for individuals under the age of 26 can enroll as a dependent in their parent's plan eve if they: - CORRECT ANSWERS: - Get married
- Live in or out of their parents home
- Have or adopt a child
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