Aetna Individual Core Certification Exam 2024-2025
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 Aetta 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:
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 institute 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) On an agent "watch list"
E) Suspension or probationary period
F) Contract termination with or without cause
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 Aetta 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:
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 institute 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) On an agent "watch list"
E) Suspension or probationary period
F) Contract termination with or without cause
