Certified Application Counselor Practice Test

When is a consumer's QHP enrollment considered complete?

1. When application is submitted

2. When the first month's premium payment is received in full

3. When a welcome packet is received

4. When the policy is issued

The correct answer is: When the first month's premium payment is received in full

A consumer's enrollment in a Qualified Health Plan (QHP) is considered complete when the first month's premium payment is received in full. This is crucial because it indicates that the consumer is genuinely committed to the plan and ready to access the coverage. The premium payment serves as a confirmation of the enrollment process, activating the benefits and ensuring the consumer can receive health services under the plan. Submitting an application alone does not complete the enrollment process since it must be accompanied by the payment to finalize the agreement between the consumer and the insurance provider. Additionally, while receiving a welcome packet or having the policy issued may indicate that the enrollment process is well underway, neither action confirms the consumer's enrollment status until the premium payment has been made.