Aetna Exam |Complete with Latest Answers
Updated 2024\2025
Broker Services - Reports
What report(s) are available on Aetna Producer World?
a. Your Medicare book of business
b. Monthly Commission Report (Two years of monthly data is available)
c. License reports
d. A and B
e. All of the above
E. all of the above
Ready To Sell - Agent RTS Requirements
You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna
Medicare?
a. Pass the Aetna Individual Medicare certification process for the product(s) you intend to sell
b. Have an active contract with Aetna Medicare through the Medicare Producer contracting site
c. Receive your Ready to Sell (RTS) notice from Aetna
d. All of the above
D. all of the above
Compensation - Renewal Commission Payments
Any voluntary disenrollment occurring within three (3) months of the membership effective date is
considered a rapid disenrollment and will result in a chargeback of the full commission paid
True
False
True
Compliance and Agent Oversight - Fraud, Waste and Abuse
To report compliance or fraud, waste, and abuse concerns to Aetna you should:
a. Make an anonymous call to Ethics Line® (1-877-287-2040)
b. Visit Ethics Line® on the web at www.CVSHealth.com/EthicsLine
c. Fax the information to the closest Social Security office
d. Mail your concerns in writing to David Falkowski, CVS Chief Compliance Officer
e. A, B, and D
E. A,B, and D
Compliance & Agent Oversight - Agent Oversight
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. Third party secret shopper surveillance program of formal and informal marketing/sales events
d. Complaints and marketing incidents
e. Marketing/sales seminar reporting, cancellations and updates
f. All of the above
F. All of the above
, Compliance & Agent Oversight - Agent Oversight
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 retraining and re-testing
d. Placement on an agent "watch list"
e. Suspension or probationary period, with or without commissions
f. Contract and appointment termination, with or without cause
g. All of the above
G. All of the above
Compliance & Agent Oversight - Complaints Against Agents and Marketing Incidents
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
False
True
Compliance & Agent Oversight - Marketing & Sales Events
You can receive commission for any sale that results from an unreported marketing/sales event.
True
False
False
Compliance & Agent Oversight - Marketing & Sales Events
A prohibited marketing activity is:
Select one:
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 one", unless
substantiated by data provided by CMS
e.
Claiming you are recommended or endorsed by CMS.
f.
All of the above
All of the above
Compliance & Agent Oversight - Scope of Appointment (SOA) requirements
How long are you required to maintain Scope of Appointment (SOA) documentation?
Select one:
Updated 2024\2025
Broker Services - Reports
What report(s) are available on Aetna Producer World?
a. Your Medicare book of business
b. Monthly Commission Report (Two years of monthly data is available)
c. License reports
d. A and B
e. All of the above
E. all of the above
Ready To Sell - Agent RTS Requirements
You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna
Medicare?
a. Pass the Aetna Individual Medicare certification process for the product(s) you intend to sell
b. Have an active contract with Aetna Medicare through the Medicare Producer contracting site
c. Receive your Ready to Sell (RTS) notice from Aetna
d. All of the above
D. all of the above
Compensation - Renewal Commission Payments
Any voluntary disenrollment occurring within three (3) months of the membership effective date is
considered a rapid disenrollment and will result in a chargeback of the full commission paid
True
False
True
Compliance and Agent Oversight - Fraud, Waste and Abuse
To report compliance or fraud, waste, and abuse concerns to Aetna you should:
a. Make an anonymous call to Ethics Line® (1-877-287-2040)
b. Visit Ethics Line® on the web at www.CVSHealth.com/EthicsLine
c. Fax the information to the closest Social Security office
d. Mail your concerns in writing to David Falkowski, CVS Chief Compliance Officer
e. A, B, and D
E. A,B, and D
Compliance & Agent Oversight - Agent Oversight
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. Third party secret shopper surveillance program of formal and informal marketing/sales events
d. Complaints and marketing incidents
e. Marketing/sales seminar reporting, cancellations and updates
f. All of the above
F. All of the above
, Compliance & Agent Oversight - Agent Oversight
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 retraining and re-testing
d. Placement on an agent "watch list"
e. Suspension or probationary period, with or without commissions
f. Contract and appointment termination, with or without cause
g. All of the above
G. All of the above
Compliance & Agent Oversight - Complaints Against Agents and Marketing Incidents
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
False
True
Compliance & Agent Oversight - Marketing & Sales Events
You can receive commission for any sale that results from an unreported marketing/sales event.
True
False
False
Compliance & Agent Oversight - Marketing & Sales Events
A prohibited marketing activity is:
Select one:
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 one", unless
substantiated by data provided by CMS
e.
Claiming you are recommended or endorsed by CMS.
f.
All of the above
All of the above
Compliance & Agent Oversight - Scope of Appointment (SOA) requirements
How long are you required to maintain Scope of Appointment (SOA) documentation?
Select one:
