Humana 2022 EXAM QUESTIONS AND
ANSWERS 100% CORRECT
How should Humana agents respond to Medicare beneficiaries who want to know their new
Medicare ID number? Correct Answer: Advise the beneficiary that any questions regarding their
new Meidcare ID number must be directed to Medicare.
Under which circumstances is it acceptable for an agent to complete an Agent Online
Application (AOA) application on behalf of their client? Correct Answer: It is never acceptable
under any circumstance for an agent to complete the AOA Application on behalf of their client,
even if they request it.
How can agents help reduce paper applications being denied due to improper election type code?
Correct Answer: Agents should read through the SEPs listed on page five of the paper
application and select any that apply.
How will Humana handle applications received during Pre-AEP? Correct Answer: The
applications will be denied and marked for investigation.
CMS expects agents to provide a clear, concise explanation of the plan's drug benefit. Which of
the following is the best example of what an agent should do to explain a plan's drug benefit?
Correct Answer: Demonstrate how to determine drug pricing by comparing drug tier
information listed in the plan formulary to the tier cost information listed in the Summary of
Benefits booklet.
Jose delayed retirement and his Part B until age 68. He is meeting with Agent Victoria two (2)
months before his delayed Part B effective date and wants to enroll in a MAPD plan. Which
enrollment period should agent Victoria select for Jose's application? Correct Answer: Initial
Enrollment Period (ICEP)
Which of the following is an advantage for Humana members when they elect to receive their
plan documentation digitally? Correct Answer: They will have convenient online access to
important plan documents.
For which election period can gents present the benefits for the next plan year but cannot accept
a completed application? Correct Answer: Pre-AEP
Jonas is aging into Medicare and has decided to enroll in a Medicare Advantage plan with
Prescription Drug coverage (MAPD). Which enrollment period will he use? Correct Answer:
Initial Election Period (IEP)
What type of plans can beneficiaries enroll in if they are using the Initial Coverage Enrollment
Period (ICEP) election period? Correct Answer: MA/MAPD only
, What are the guidelines for Scope of Appointment (SOA) for a Telephonic Presentation? Correct
Answer: The Scope of Appointment (SOA) is required prior to the telephonic presentation
While enrolling Leonard into a Medicare Advantage plan, Agent Martha asks Leonard if his
phone number is a cell phone number. Why did Agent Martha ask if Leonard's phone number is
a cell phone number? Correct Answer: The FCC requires prior express written consent to
contact a prospect or member via their cell phone.
If the disclosure on the Conflict of interest Disclosure and Agreement form become inaccurate or
incomplete, how long does an agent have to complete a new form? Correct Answer: A new form
must be completed within 30 days.
According to recent CMS guidance, which of the following plan changes is NOT allowed during
the annual OEP? Correct Answer: PDP to PDP
Why does Humana prefer members to select an automated premium payment at the time of
enrollment? Correct Answer: Automated premium payments benefit everyone; the member,
Humana, and the agent.
An agent is required to have all applicable insurance licenses and any applicable certifications
for every Humana product the agent markets or sells. This includes licenses and certifications for
all states in which the agent markets. Who is responsible for ensuring the agents maintain all
applicable licenses and certifications? Correct Answer: The agent
To avoid a lapse in coverage after moving out of the plan's service area, when must a benficiary
enroll into a new plan? Correct Answer: On or before the last day of the month of the move.
In which of the following situations is it acceptable for an agent to use their own email address
for an applicant? Correct Answer: It is never acceptable under any circumstance for an agent to
use their own email address for an applicant, even if they request it.
Which of the following statements best describes a benefit for new members to pre-register with
Humana Pharmacy? Correct Answer: It allows new members to obtain pricing for medications
based on their future effective date.
Who is potentially a good candidate to receive their Humana plan materials digitally? Correct
Answer: All beneficiaries are potentially good candidates.
Which of the following actions can help agents avoid complaints about Benefits and
Presentation? Correct Answer: Before completing the enrollment, take the time to perform a
thorough review of all the plan features and benefits to make sure the beneficiary understands
them.
When a beneficiary moves out of a plan's service area, when must they enroll into a plan
servicing the new area to avoid a lapse in coverage? Correct Answer: On or before the last day
of the month of the move.
ANSWERS 100% CORRECT
How should Humana agents respond to Medicare beneficiaries who want to know their new
Medicare ID number? Correct Answer: Advise the beneficiary that any questions regarding their
new Meidcare ID number must be directed to Medicare.
Under which circumstances is it acceptable for an agent to complete an Agent Online
Application (AOA) application on behalf of their client? Correct Answer: It is never acceptable
under any circumstance for an agent to complete the AOA Application on behalf of their client,
even if they request it.
How can agents help reduce paper applications being denied due to improper election type code?
Correct Answer: Agents should read through the SEPs listed on page five of the paper
application and select any that apply.
How will Humana handle applications received during Pre-AEP? Correct Answer: The
applications will be denied and marked for investigation.
CMS expects agents to provide a clear, concise explanation of the plan's drug benefit. Which of
the following is the best example of what an agent should do to explain a plan's drug benefit?
Correct Answer: Demonstrate how to determine drug pricing by comparing drug tier
information listed in the plan formulary to the tier cost information listed in the Summary of
Benefits booklet.
Jose delayed retirement and his Part B until age 68. He is meeting with Agent Victoria two (2)
months before his delayed Part B effective date and wants to enroll in a MAPD plan. Which
enrollment period should agent Victoria select for Jose's application? Correct Answer: Initial
Enrollment Period (ICEP)
Which of the following is an advantage for Humana members when they elect to receive their
plan documentation digitally? Correct Answer: They will have convenient online access to
important plan documents.
For which election period can gents present the benefits for the next plan year but cannot accept
a completed application? Correct Answer: Pre-AEP
Jonas is aging into Medicare and has decided to enroll in a Medicare Advantage plan with
Prescription Drug coverage (MAPD). Which enrollment period will he use? Correct Answer:
Initial Election Period (IEP)
What type of plans can beneficiaries enroll in if they are using the Initial Coverage Enrollment
Period (ICEP) election period? Correct Answer: MA/MAPD only
, What are the guidelines for Scope of Appointment (SOA) for a Telephonic Presentation? Correct
Answer: The Scope of Appointment (SOA) is required prior to the telephonic presentation
While enrolling Leonard into a Medicare Advantage plan, Agent Martha asks Leonard if his
phone number is a cell phone number. Why did Agent Martha ask if Leonard's phone number is
a cell phone number? Correct Answer: The FCC requires prior express written consent to
contact a prospect or member via their cell phone.
If the disclosure on the Conflict of interest Disclosure and Agreement form become inaccurate or
incomplete, how long does an agent have to complete a new form? Correct Answer: A new form
must be completed within 30 days.
According to recent CMS guidance, which of the following plan changes is NOT allowed during
the annual OEP? Correct Answer: PDP to PDP
Why does Humana prefer members to select an automated premium payment at the time of
enrollment? Correct Answer: Automated premium payments benefit everyone; the member,
Humana, and the agent.
An agent is required to have all applicable insurance licenses and any applicable certifications
for every Humana product the agent markets or sells. This includes licenses and certifications for
all states in which the agent markets. Who is responsible for ensuring the agents maintain all
applicable licenses and certifications? Correct Answer: The agent
To avoid a lapse in coverage after moving out of the plan's service area, when must a benficiary
enroll into a new plan? Correct Answer: On or before the last day of the month of the move.
In which of the following situations is it acceptable for an agent to use their own email address
for an applicant? Correct Answer: It is never acceptable under any circumstance for an agent to
use their own email address for an applicant, even if they request it.
Which of the following statements best describes a benefit for new members to pre-register with
Humana Pharmacy? Correct Answer: It allows new members to obtain pricing for medications
based on their future effective date.
Who is potentially a good candidate to receive their Humana plan materials digitally? Correct
Answer: All beneficiaries are potentially good candidates.
Which of the following actions can help agents avoid complaints about Benefits and
Presentation? Correct Answer: Before completing the enrollment, take the time to perform a
thorough review of all the plan features and benefits to make sure the beneficiary understands
them.
When a beneficiary moves out of a plan's service area, when must they enroll into a plan
servicing the new area to avoid a lapse in coverage? Correct Answer: On or before the last day
of the month of the move.
