Aetna Individual Core Certification

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 Correct 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 Correct 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 Correct Answer: True 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 Correct 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 Correct 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 This study source was downloaded by from CourseH on :09:35 GMT -06:00 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 Correct 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 agent, broker or producer's ability to market, sell and receive commissions. True or False Correct Answer: True You can receive commission for any sale that results from an unreported marketing/sales event. True or False Correct Answer: False A prohibited marketing event is: A) Conducting health screenings that give the impression of "cherry picking" B) Requiring beneficiaries to provide contact information as a prerequisite for attending an event C) Asking a beneficiary for a referral D) Using superlative language such as "the best", "one of the best" or "rated number 1" unl