EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Agents may be investigated after being suspected of noncompliant activity
reported through a Complaint Tracking Module (CTM),grievance, secret
shop finding, internal audit or reporting..
Answer: True
◍ During an appointment, you may not discuss any products not agreed to in
advance by the beneficiary.a. Trueb. False.
Answer: True
◍ Which of the following health plans are now available through Centene
Corporation? Select the best answer..
Answer: Health Net, Fidelis Care, Allwell, Ascension Complete, WellCare
◍ True or False: The four stages of coverage are NOT the same for PDP and
MAP
D. .
Answer: False
◍ True or False: PII stands for Personally Identifiable Information and
includes any information that permits the identity of an individual to be
inferred,including information linked or linkable to the individual..
Answer: True
◍ When a paper SOA form is used, it must be completed __________ hosting
the sales presentation.a. Prior tob. Duringc. After.
Answer: A. Prior to
◍ Brokers/Agents can submit a support ticket online through their Centene
, Workbench portal.Select one:TrueFalse.
Answer: True
◍ True or False: When enrolling a beneficiary, you should ensure that you
enter the provider ID of a specialist and not a primary care physician (PCP)..
Answer: False
◍ True or False: An agent could be terminated for cause if they fail to comply
with a compliance investigation, encourage others to avoid the
complianceinterview process, or fail to provide truthful or complete
information..
Answer: True
◍ Wellcare does not need to be informed of all marketing/sales events at
which plans or materials will be presented or distributed (Formal &
Informal).Select one:TrueFalse.
Answer: False
◍ Which of the following actions are you required to do when contacted
regarding an allegation of noncompliant activity?a. Speak with the
investigator as quickly as possible.b. Answer all questions honestly and
completely.c. Offer information and documents important to the
investigation.d. All of the above.
Answer: D. All of the above
◍ Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are:a. Member Satisfaction/Experienceb.
Complaintsc. Rapid Disenrollmentd. All of the above.
Answer: D. All of the above
◍ Health plan fax numbers vary for health plans that offer fax enrollment
submissions.Select one:TrueFalse.
Answer: True
◍ True or False: A complaint or violation that could not be proven and where
no pattern of compliance issues exists is a founded complaint..
Answer: False