Aetna | Questions and Answers with complete solution

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® () b. Visit Ethics Line® on the web at www.CVSH 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