1|Page
Aetna Individual Core Certification Mastery Test
Bank 2025/2026: Verified Questions & Answers
to Pass on Your First Try.
What reports are available on Aetna's Producer World?
A) Your Medicare book of business
B) Month/YTD/Prior year commission report
C) Licensing reports
D) A and B
E) All of the above - ANSWER-E) All of the above
You will need to successfully complete which requirements to have
"ready-to-sell" status with Aetna Medicare?
A) The Aetna Individual Medicare certification process for the products
you intend to sell
B) Have an active contract through the Medicare Producer Contracting
site
C) Be licensed and appointed in accordance with state law in states
where you intend to sell
D) Pass a background investigation
E) All of the above - ANSWER-E) All of the above
Any voluntary disenrollment occurring within three months of the
membership effective date is considered a rapid disenrollment, and will
result in a chargeback of the full commission paid.
True or False - ANSWER-True
, 2|Page
To report compliance or fraud, waste, and abuse concerns to Aetna you
should:
A) Make an anonymous call to Ethics Line
B) Visit Ethics Line on the web
C) Fax the information
D) Email Medicare Compliance
E) A, B and D - ANSWER-E) A, B and D
Agent Oversight routinely monitors agent performance against CMS and
internal standards. We monitor:
A) Cancellation and rapid disenrollment rates
B) Enrollment application turnaround time
C) Scope of Appointment forms
D) Third party secret shopper surveillance program of formal and
informal marketing/sales events
E) Complaints and marketing incidents
F) Marketing/sales seminar reporting, cancellations and updates
G) All of the above - ANSWER-G) All of the above
Our agent oversight team will implement corrective action when there
are CMS infractions and prohibited tactics. Disciplinary or corrective
action may include:
A) Focused training or monitoring sessions
B) Verbal or written warnings
C) Full re-training and re-testing
D) Placement on an agent "watch list"
E) Suspension or probationary period
F) Contract termination, with or without cause
G) All of the above - ANSWER-G) All of the above
Failure to respond within the required timeframe to Aetna or CMS
requests for information may result in suspension or termination of an
Aetna Individual Core Certification Mastery Test
Bank 2025/2026: Verified Questions & Answers
to Pass on Your First Try.
What reports are available on Aetna's Producer World?
A) Your Medicare book of business
B) Month/YTD/Prior year commission report
C) Licensing reports
D) A and B
E) All of the above - ANSWER-E) All of the above
You will need to successfully complete which requirements to have
"ready-to-sell" status with Aetna Medicare?
A) The Aetna Individual Medicare certification process for the products
you intend to sell
B) Have an active contract through the Medicare Producer Contracting
site
C) Be licensed and appointed in accordance with state law in states
where you intend to sell
D) Pass a background investigation
E) All of the above - ANSWER-E) All of the above
Any voluntary disenrollment occurring within three months of the
membership effective date is considered a rapid disenrollment, and will
result in a chargeback of the full commission paid.
True or False - ANSWER-True
, 2|Page
To report compliance or fraud, waste, and abuse concerns to Aetna you
should:
A) Make an anonymous call to Ethics Line
B) Visit Ethics Line on the web
C) Fax the information
D) Email Medicare Compliance
E) A, B and D - ANSWER-E) A, B and D
Agent Oversight routinely monitors agent performance against CMS and
internal standards. We monitor:
A) Cancellation and rapid disenrollment rates
B) Enrollment application turnaround time
C) Scope of Appointment forms
D) Third party secret shopper surveillance program of formal and
informal marketing/sales events
E) Complaints and marketing incidents
F) Marketing/sales seminar reporting, cancellations and updates
G) All of the above - ANSWER-G) All of the above
Our agent oversight team will implement corrective action when there
are CMS infractions and prohibited tactics. Disciplinary or corrective
action may include:
A) Focused training or monitoring sessions
B) Verbal or written warnings
C) Full re-training and re-testing
D) Placement on an agent "watch list"
E) Suspension or probationary period
F) Contract termination, with or without cause
G) All of the above - ANSWER-G) All of the above
Failure to respond within the required timeframe to Aetna or CMS
requests for information may result in suspension or termination of an
