AETNA INDIVIDUAL CORE CERTIFICATION 2022

AETNA INDIVIDUAL CORE CERTIFICATION EXAM 2022 Aetna Individual Core Certification 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 Correct Answer: E) All of the above You will need to successfully complete which requirementsto 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: E) A, B and D Agent Oversight routinely monitors agent performance against CMS and internalstandards. We monitor: A) Cancellation and rapid disenrollment rates B) Enrollment application turnaround time C) Scope of Appointment forms D) Third party secret shoppersurveillance program of formal and informal marketing/sales events E) Complaints and marketing incidents F) Marketing/salesseminar reporting, cancellations and updates G) All of the above Correct Answer: 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 Correct Answer: G) All of the above Failure to respond within the required timeframe to Aetna or CMS requestsfor information may result in suspension or termination of an agent, broker or producer's ability to market, sell and receive commissions. True or False Correct Answer: True You can receive commission for any sale that resultsfrom an unreported marketing/sales event. True or False Correct Answer: False A prohibited marketing event is: A) Conducting health screenings that give the impression of "cherry picking" B) Requiring beneficiariesto 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 1" unless substantiated by data provided by CMS E) Claiming you are recommended or endorsed by CMS F) All of the above Correct Answer: F) All of the above How long are you required to maintain Scope of Appointment documentation? A) 2 years B) 5 years C) 10 years D) Forever Correct Answer: 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 Correct Answer: 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 Correct Answer: D) All of the above The Permission-to-Contact form is used by Aetna salesrepresentatives and external agentsto contact beneficiaries, and must be completed prior to conducting an outbound call to a Medicare prospect. True or False Correct Answer: True The Permission-to-Contact form is required when a prospect calls in to RSVP for a meeting. True or False Correct Answer: 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 Correct Answer: False Producers may only use the CMS and Aetna-approved marketing materialsthat 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 Correct Answer: 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 Correct Answer: True To order enrollment kitsfor Aetna Medicare products, you access Aetna-branded kitsthrough a single point of entry, and use you NPN to log in. True or False Correct Answer: 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 Correct Answer: C) Oct 15 - Dec 7 A signed Medicare enrollment must reach us within two calendar days of when you receive it from the beneficiary. True or False Correct Answer: True Aetna Medicare plan applications can be submitted by mail, e-mail, over the phone or through the online Ascend virtual sales office app. True or False Correct Answer: True It's not necessary to verify that the consumer has Medicare Parts A and B at the time of enrollment True or False Correct Answer: False You are prohibited from soliciting referral clientsthrough cold calling, door-to-door visits or other actionsprohibited under state or federal law. True or False Correct Answer: True Following enrollment, the client will hear from us within about 14 days of their acceptance into the plan.True or False Correct Answer: True You must direct all requests to cancel, withdraw, or terminate enrollment applications to the same location where the application was originally sent or call the Member Services number on the memberID card. True or False Correct Answer: True