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Aetna Individual Core Certification Questions And Answers A+ 2024
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 - ANS-✔✔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 - ANS-✔✔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 - ANS-✔✔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 - ANS-✔✔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 - ANS-✔✔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 - ANS-✔✔G) All of the above
D) Forever - ANS-✔✔C) 10 years
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, and then the appointment may continue.
True or False - ANS-✔✔True
When obtaining a Scope of Appointment, you may NOT:
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
D) All of the above - ANS-✔✔D) All of the above
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.
True or False - ANS-✔✔True
The Permission-to-Contact form is required when a prospect calls in to RSVP for a meeting.
True or False - ANS-✔✔False
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.
True or False - ANS-✔✔False
Producers may only use the 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 or Coventry Individual Medicare plans.
True or False - ANS-✔✔True
Every time you meet with beneficiaries to discuss MA/MAPD products use appropriate CMS-approved consumer sales presentations from beginning to end, read the presentation notes or talking points; and when you use the MA/MAPD sales video it should be used in conjunction with the approved sales presentation.
True or False - ANS-✔✔True
To order enrollment kits for Aetna Medicare products, you access Aetna-branded kits through a single point of entry, and use you NPN to log in.
True or False - ANS-✔✔True
Annual Election Period is from:
A) Oct 1 - Dec 7
B) Oct 15 - Dec 15
C) Oct 15 - Dec 7
D) Oct 1 - Dec 15 - ANS-✔✔C) Oct 15 - Dec 7
True or False - ANS-✔✔True
