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AETNA INDIVIDUAL CORE CERTIFICATION LATEST EXAM
2024 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |GRADED A+
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 - Answer: 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 - 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 - 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 - Answer: E) A, B and D
Agent Oversight routinely monitors agent performance against CMS and internal
standards. We monitor:
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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 - 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 - Answer: G) All of the above
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 or False - Answer: True
You can receive commission for any sale that results from an unreported
marketing/sales event.
True or False - Answer: False
A prohibited marketing event is:
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 1" unless substantiated by data provided by CMS
AETNA INDIVIDUAL CORE CERTIFICATION LATEST EXAM
2024 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |GRADED A+
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 - Answer: 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 - 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 - 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 - Answer: E) A, B and D
Agent Oversight routinely monitors agent performance against CMS and internal
standards. We monitor:
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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 - 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 - Answer: G) All of the above
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 or False - Answer: True
You can receive commission for any sale that results from an unreported
marketing/sales event.
True or False - Answer: False
A prohibited marketing event is:
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 1" unless substantiated by data provided by CMS
