Which option describes a process where an agent or broker can facilitate eligibility without the consumer visiting HealthCare.gov?

Which option describes a process where an agent or broker can facilitate eligibility without the consumer visiting HealthCare.gov?

• A. Classic DE
• B. The Marketplace
• C. EDE
• D. HealthCare.gov

Answer: (C)

Enhanced Direct Enrollment lets a licensed agent or broker complete a consumer’s eligibility and enroll them in a plan without the consumer ever visiting HealthCare.gov. In this path, the broker collects the consumer’s information, verifies eligibility, and transmits the application and enrollment data securely to the Exchange and the issuing issuer. The consumer can receive subsidy estimates and plan options through the broker’s workflow, but the actual eligibility determination and enrollment happen without the consumer navigating to HealthCare.gov themselves. HealthCare.gov is the public site the consumer would visit if applying directly. The Marketplace refers to the overall system and program, not a specific broker-assisted process. Classic Direct Enrollment is an older method of direct enrollment that does not describe the streamlined broker-facilitated process without the consumer visiting HealthCare.gov.

Enhanced Direct Enrollment lets a licensed agent or broker complete a consumer’s eligibility and enroll them in a plan without the consumer ever visiting HealthCare.gov. In this path, the broker collects the consumer’s information, verifies eligibility, and transmits the application and enrollment data securely to the Exchange and the issuing issuer. The consumer can receive subsidy estimates and plan options through the broker’s workflow, but the actual eligibility determination and enrollment happen without the consumer navigating to HealthCare.gov themselves.

HealthCare.gov is the public site the consumer would visit if applying directly. The Marketplace refers to the overall system and program, not a specific broker-assisted process. Classic Direct Enrollment is an older method of direct enrollment that does not describe the streamlined broker-facilitated process without the consumer visiting HealthCare.gov.