Aetna Individual Core Certification
1. 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
2. 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
3. Any voluntary disenrollment occurring within three months of the
mem- bership effective date is considered a rapid disenrollment, and will
result in a chargeback of the full commission paid.
True or False: True
4. 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
5. Agent Oversight routinely monitors agent performance against CMS
and internal standards. We monitor:
A) Cancellation and rapid disenrollment rates
B) Enrollment application turnaround time
1/5
, C) Scope of Appointment forms
D) Third party secret shopper surveillance program of formal and
informal marketing/sales events
2/5
1. 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
2. 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
3. Any voluntary disenrollment occurring within three months of the
mem- bership effective date is considered a rapid disenrollment, and will
result in a chargeback of the full commission paid.
True or False: True
4. 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
5. Agent Oversight routinely monitors agent performance against CMS
and internal standards. We monitor:
A) Cancellation and rapid disenrollment rates
B) Enrollment application turnaround time
1/5
, C) Scope of Appointment forms
D) Third party secret shopper surveillance program of formal and
informal marketing/sales events
2/5
