Aetna Individual Core Certification
Study online at https://quizlet.com/_75o6er
1. What reports are available on Aetna's Producer E) All of the above
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
2. You will need to successfully complete which re- E) All of the above
quirements 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 Pro-
ducer 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
3. Any voluntary disenrollment occurring within three True
months of the membership effective date is consid-
ered a rapid disenrollment, and will result in a charge-
back of the full commission paid.
True or False
4. To report compliance or fraud, waste, and abuse con- E) A, B and D
cerns to Aetna you should:
A) Make an anonymous call to Ethics Line
1/6
, Aetna Individual Core Certification
Study online at https://quizlet.com/_75o6er
B) Visit Ethics Line on the web
C) Fax the information
D) Email Medicare Compliance
E) A, B and D
5. Agent Oversight routinely monitors agent perfor- G) All of the above
mance against CMS and internal standards. We moni-
tor:
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
6. Our agent oversight team will implement corrective G) All of the above
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
7. Failure to respond within the required timeframe to True
Aetna or CMS requests for information may result
2/6
Study online at https://quizlet.com/_75o6er
1. What reports are available on Aetna's Producer E) All of the above
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
2. You will need to successfully complete which re- E) All of the above
quirements 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 Pro-
ducer 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
3. Any voluntary disenrollment occurring within three True
months of the membership effective date is consid-
ered a rapid disenrollment, and will result in a charge-
back of the full commission paid.
True or False
4. To report compliance or fraud, waste, and abuse con- E) A, B and D
cerns to Aetna you should:
A) Make an anonymous call to Ethics Line
1/6
, Aetna Individual Core Certification
Study online at https://quizlet.com/_75o6er
B) Visit Ethics Line on the web
C) Fax the information
D) Email Medicare Compliance
E) A, B and D
5. Agent Oversight routinely monitors agent perfor- G) All of the above
mance against CMS and internal standards. We moni-
tor:
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
6. Our agent oversight team will implement corrective G) All of the above
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
7. Failure to respond within the required timeframe to True
Aetna or CMS requests for information may result
2/6
