Aetna Questions and Answers 100% Pass

Aetna Questions and Answers 100% Pass 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 avai ...

Aetna Questions and Answers 100% Pass 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: a. 2 years b. 5 years c. 10 years d. Forever ✔✔C. 10 Years Compliance & Agent Oversight - Scope of Appointment (SOA) requirements If a beneficiary requests to discuss other products not originally documented on the SOA, you must document a second SOA for the additional product type before the appointment may continue. Select one: True False ✔✔True Compliance & Agent Oversight - Scope of Appointment (SOA) requirements When obtaining a Scope of Appointment, you may NOT: Select one: a. Discuss plan options not agreed to by the beneficiary b. Ask for referrals c. Market non-health care products such as annuities or life insurance (cross selling) d. All of the above ✔✔D. All of the above Compliance & Agent Oversight - Permission to Contact Form The Permission to Contact form is used by Aetna sales representatives and external agents to contact beneficiaries and must be completed prior to conducting an outbound call to a Medicare prospect. Select one: True False ✔✔True Compliance & Agent Oversight - Permission to Contact Form If a prospect calls to RSVP for a meeting, a Permission to Contact form is not required for that meeting but would be required for a representative to place a follow-up call to a meeting attendee. Select one: True False ✔✔True Compliance & Agent Oversight - Contact with Medicare Beneficiaries You may not contact your own clients by telephone and plans may not contact current members by telephone at any time to discuss plan business. Select one: True False ✔✔False Marketing Materials - Marketing Policy Overview Producers may only use CMS and Aetna-approved marketing materials that have been created by our marketing team, approved by us and filed with CMS by us when discussing Aetna Individual Medicare plans. Select one: True False ✔✔True Marketing Materials - Sales Presentations Every time you meet with beneficiaries to discuss MA/MAPD Products, you must use the appropriate CMS-approved consumer sales presentation from beginning to end, read the presentation notes or talking points, and, if/when you use the MA/MAPD sales video, it should be in conjunction with the approved sales presentation. Select one: True False ✔✔True Enrollment - How to Order Sales Kits To order enrollment kits for Aetna Medicare products, you must be Ready to Sell (RTS) and access Aetna branded kits through a single point of entry, using your NPN to log in. Select one: True False ✔✔True Enrollment Process - Election Periods Overview Annual Election Period is from: Select one: a. October 1 - December 7 b. October 15 - December 15 c. October 15 - December 7 d. October 1 - December 15 ✔✔C. Oct. 15- Dec. 7 Enrollment Process - Enrollment Application Turnaround Time A signed Medicare enrollment application must reach us within two (2) calendar days of when you receive it from the beneficiary. Select one: True False ✔✔True Enrollment Process - Aetna Enrollment Options Aetna Medicare enrollment options include mail, e-mail, over the phone, or through the online Ascend Virtual Sales Office app. Select one: True False ✔✔True Enrollment Process - What You Need to Know It's not necessary to verify that the consumer has Medicare Parts A and B at the time of enrollment. Select one: True False ✔✔False Enrollment Process - Referral-Only Sales You are prohibited from soliciting referral clients through cold calling, door-to-door visits, or other actions prohibited under state or federal law. Select one: True False ✔✔True Member Experience - After Submitting the Application Following enrollment, the client will hear from us within approximately 14 days of his/her acceptance into the plan. Select one: True False ✔✔True Member Experience - Enrollment Application Cancellation, Withdrawal or Disenrollment You must direct all requests to cancel, withdraw, or terminate enrollment applications to the same location where the application was originally submitted or call the Member Services number on the member ID card. Select one: True False ✔✔True