Aetna Individual Core Certification Exam
Questions And Answers
What report(s) are available on Aetna Producer World?
Your Medicare book of business
Month/YTD/Prior year commission report
Licensing reports
You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna
Medicare?
Pass the Aetna Individual Medicare certification process for the product(s) you intend to sell
Have an active contract with Aetna Medicare through the Medicare Producer contracting site
Receive your Ready to Sell (RTS) notice from Aetna
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
Compliance and Agent Oversight - Fraud, Waste and Abuse
Make an anonymous call to Ethics Line® (1-877-287-2040)
Visit Ethics Line® on the web at www.CVSHealth.com/EthicsLinec
Mail your concerns in writing to David Falkowski, CVS Chief Compliance Officer
Agent Oversight routinely monitors agent performance against CMS and internal standards. We
monitor:
Cancellation and rapid disenrollment rates
Enrollment application turnaround time
Scope of Appointment (SOA) forms
Third party secret shopper surveillance program of formal and informal marketing/sales events
Complaints and marketing incidents
Marketing/sales seminar reporting, cancellations and updates
Our Agent Oversight team will implement corrective action when there are CMS infractions and
prohibited tactics. Disciplinary or corrective action may include:
Focused training or monitoring sessions
Verbal or written warnings
Full retraining and re-testing
Placement on an agent "watch list"
Suspension or probationary period, with or without commissions
Contract and appointment termination, with or without cause
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
You can receive commission for any sale that results from an unreported marketing/sales event.
False
Questions And Answers
What report(s) are available on Aetna Producer World?
Your Medicare book of business
Month/YTD/Prior year commission report
Licensing reports
You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna
Medicare?
Pass the Aetna Individual Medicare certification process for the product(s) you intend to sell
Have an active contract with Aetna Medicare through the Medicare Producer contracting site
Receive your Ready to Sell (RTS) notice from Aetna
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
Compliance and Agent Oversight - Fraud, Waste and Abuse
Make an anonymous call to Ethics Line® (1-877-287-2040)
Visit Ethics Line® on the web at www.CVSHealth.com/EthicsLinec
Mail your concerns in writing to David Falkowski, CVS Chief Compliance Officer
Agent Oversight routinely monitors agent performance against CMS and internal standards. We
monitor:
Cancellation and rapid disenrollment rates
Enrollment application turnaround time
Scope of Appointment (SOA) forms
Third party secret shopper surveillance program of formal and informal marketing/sales events
Complaints and marketing incidents
Marketing/sales seminar reporting, cancellations and updates
Our Agent Oversight team will implement corrective action when there are CMS infractions and
prohibited tactics. Disciplinary or corrective action may include:
Focused training or monitoring sessions
Verbal or written warnings
Full retraining and re-testing
Placement on an agent "watch list"
Suspension or probationary period, with or without commissions
Contract and appointment termination, with or without cause
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
You can receive commission for any sale that results from an unreported marketing/sales event.
False
