Question

Richard is a licensed agent who represents Spartan Health Plan and its Medicare Advantage plans. Richard has several clients who have recently come to him for help who are in their initial coverage election perion (ICEP) and are interested in enrolling in one of Spartan Health Plan's MA plans. Alice will soon turn 65 and retire. Alice has coverage through Spartan Health Plan offered by her employer. Bob had health coverage through Spartan but dropped the coverage when he retired early to travel overseas. Bob, who has just turned 65, is now back in the United States. Charlotte, who will turn 65 next month, has coverage through Athena Health plan - a company Richard also represents. Who qualifies for the opt-in simplified enrollment mechanism?

Answer 1

Alice qualifies for the opt-in simplified enrollment mechanism.

Step-by-step explanation:

Alice qualifies for the simplified enrollment because the only thing that will change when she retires is that the Spartan Health Plan will not be offered by her employer anymore, but she still will be coverage by the plan.

In the other cases is not a simple enrollment because, in the case of Bob, he has to be enrolled again since he dropped his coverage. In the case of Charlotte, she has coverage from a different company, and it is not planning on retirement, so it will not be a simple enrollment either.

Answer 2

Answer: The correct answer is; Alice will qualify for the opt-in simplified enrollment coverage. She will be the only one eligible because she never had a break in her coverage since she started on her plan.