1. Score:

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* 1. Date:

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* 2. Name of Agent Completing the Exam:

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* 3. Name of Agency (only if applicable):

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* 4. National Producer Number (NPN):

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* 5. Email Address:

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* 6. Telephone Number:

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* 7. In order to be an appointed agent/broker with Community Health Choice you must submit all required paperwork, complete all required training, hold an active TDI license and Errors and Omissions policy, and score a minimum of 80% on the Broker/Agent Exam?

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* 8. In order to maintain appointment with Community, an agent/agency must follow all state and federal regulations including:

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* 9. Community Health Choice will offer ___ plans in 2024?

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* 10. Community Bronze 17 members will automatically be auto enrolled to the Community Premier Bronze 11 plan if they do not re-enroll into another plan.

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* 11. CMS allows bulk transfers for On Exchange Agent of Record changes.

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* 12. Community Health Choice service area consists of ___ counties.

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* 13. A member receiving an APTC will receive ___ grace period days.

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* 14. Community Health Choice will determine Advanced Premium Tax Credit amounts.

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* 15. ________ level plans have Cost Share Reduction (CSR) benefits.

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* 16. How many new Community plans will be offered in 2024?

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* 17. The Select Bronze 16, Select Silver 19 and Select Gold 22 are limited network plans.

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* 18. The Select Bronze 16, Select Silver 19 and Select Gold 22 plans utilize Memorial Hermann, Harris Health, and St. Joseph Systems as their primary network of providers.

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* 19. The Open Enrollment Period allows you to accept an enrollment application on Oct. 15.

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* 20. In 2024, Community will discontinue the following plan-

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* 21. The mail order vendor for Community Health Choice prescription drugs is

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* 22. Marketplace Open Enrollment ends January 15, 2024.

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* 23. The Community Gold Copay 001 plan is the only Off-Exchange copay plan offered.

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* 24. All Marketplace members have access to Telehealth services at no cost before deductible.

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* 25. Standardized plans are mandated by CMS and dictate benefit levels. Issuers are required to sell 1 Bronze, 1 Silver, and 1 Gold in their market.

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* 26. Doctor on Demand is available to Community Premier Virtual 11 members.

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* 27. The Open Enrollment Period ends on December 7, 2023.

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* 28. Which of the following are Community Standardized plan options?

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* 29. Member recurring payment options are

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* 30. Members who are enrolled into an Off Exchange plan are able to receive APTC.

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* 31. Non-APTC members receive a ___ day grace period.

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* 32. Generic drugs are not subject to a deductible for all plans except-

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* 33. Signature

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* 34. Date

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* 35. NPN Number

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