Certified Financial Consultant (CFC) Practice Exam

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What does creditable coverage include?

  1. Coverage under a state health benefits risk pool

  2. Only employer-sponsored health plans

  3. Medicare Part A and B only

  4. Short-term health insurance policies

The correct answer is: Coverage under a state health benefits risk pool

Creditable coverage includes coverage under a state health benefits risk pool because such programs are designed to provide adequate health insurance for individuals, often targeting those with preexisting conditions or other high-risk factors. This type of coverage meets the criteria established by the Affordable Care Act, ensuring that individuals have access to quality healthcare services. In this context, other options fall short of defining creditable coverage comprehensively. While employer-sponsored health plans may provide substantial coverage, they do not encompass all possible forms of creditable coverage. Medicare Part A and B, while they are essential parts of the healthcare system for eligible individuals, represent only a portion of the various types of insurance that can qualify. Short-term health insurance policies typically do not meet the minimum essential coverage requirements as they are often limited in scope and duration. Therefore, the inclusion of state health benefits risk pools is the most accurate representation of what constitutes creditable coverage.