Aetna Individual Core Certification Quiz Test_ Answered.
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
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
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
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
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
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
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
True
You can receive commission for any sale that results from an unreported marketing/sales event.
True or False
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" unless
substantiated by data provided by CMS
E) Claiming you are recommended or endorsed by CMS
F) All of the above
F) All of the above
How long are you required to maintain Scope of Appointment documentation?
A) 2 years
B) 5 years
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
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
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
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
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
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
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
True
You can receive commission for any sale that results from an unreported marketing/sales event.
True or False
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" unless
substantiated by data provided by CMS
E) Claiming you are recommended or endorsed by CMS
F) All of the above
F) All of the above
How long are you required to maintain Scope of Appointment documentation?
A) 2 years
B) 5 years
