2015 - Adp - Richardson Adps - Final Assessment - Base Knowledge - Wb/Training - 08/06/2014
Sign in using your first and last name. You will have two hours to complete both this assessment and the Using Resources Assessment. The assessment is open book. Work alone. If you have a question, please raise your hand and the trainer will assist you. Once you finish, raise your hand so the trainer can record your score. After you score is recorded, begin the second assessment. Abcabc
- 1.Which word or term below best describes the amount you must pay each year before your health plan begins paying?
- A.
Ride
- B.
Deductible
- C.
Single-payer
- D.
Co-payment
- 2.What does PCP stand for?
- A.
Premium Cost Plan
- B.
Primary Care Physician
- C.
Prior Cost Plan
- D.
Prescription Cost Plan
- 3.Medicare Part A is also known as?
- A.
Hospital
- B.
Medical
- C.
Prescription Drugs
- D.
All of the above
- 4.When securing the call with the customer, which pieces of information must be obtained in order to be compliant?
- A.
Full Name, Date of Birth, Zip Code, & Gender
- B.
Last 4 of Social Security Number, Full Name, Date of Birth, & Phone Number
- C.
Date of Birth, Address, Zip Code, & Full Name
- D.
A & C
- 5.Applications must be done in which order?
- A.
Vision, Dental, MAPD
- B.
Dental, Medigap, PDP
- C.
Vision, Dental, Medigap, PDP
- D.
All of the above apply
- 6.What is another name for Medicare Claim Number?
- A.
Social Security Number
- B.
Driver’s License Number
- C.
Health Insurance Claim Number (HICN)
- D.
All of the above
- 7.How does Automatic Reimbursement work?
- A.
Customer pays the plan premium to insurance company; insurance company forwards receipt of the payment to OneExchange; OneExchange forwards receipt of payment to the Funding Department, and the Funding Department reimburses the customer.
- B.
Customer fills out a claim form to be refunded for all premiums.
- C.
Customer calls the Funding Department, and they send the money electronically.
- D.
All of the above
- 8.True or False: HMOs require a Primary Care Physician number.
- A.
True
- B.
False
- 9.How long does the ICEP last?
- A.
4 months before, the month of, and 2 months after 65th birthday
- B.
3 months before, the month of, and 3 months after 65th birthday
- C.
6 months before 65th birthday
- D.
None of the above
- 10.Are you Guaranteed Issue if you are aging-in?
- A.
Yes
- B.
No
- 11.What plan types are available during the ICEP?
- A.
Medicare Advantage with Prescription Drug Plan
- B.
Medicare Advantage Plan
- C.
Prescription Drug Plan
- D.
All of the above
- 12.What does ICEP stand for?
- A.
Initial Conversion Election Period
- B.
Initial Coverage Election Period
- C.
Initial Coverage Enrollment Period
- D.
None of the above
- 13.True or False: Customers using ICEP can only enroll during Annual Enrollment?
- A.
True
- B.
False
- 14.If a customer has ICEP and SEP-LEC, which enrollment period is used for a Legacy customer?
- A.
I am new to Medicare.
- B.
I am losing group coverage.
- C.
I have a disability.
- D.
None of the above
- 15.A customer aging-in to Medicare will turn 65 on December 1st 2014. What should the Medicare Part A effective date be?
- A.
12/01/2014
- B.
11/01/2014
- C.
12/31/2014
- D.
None of the above
- 16.Mr. Blakely is aging-in, and will turn 65 on 12/16/2014. What should his Medicare Part A effective date be?
- A.
12/01/2014
- B.
11/01/2014
- C.
12/31/2014
- D.
None of the above
- 17.Being new to which of the following would make a customer GI for a Medigap plan?
- A.
Medicare Part B
- B.
Medicare Part D
- C.
OneExchange
- D.
None of the above
- 18.If a customer has ICEP and SEP-LEC, which enrollment period is used for a New customer?
- A.
I have moved from another state.
- B.
I am losing group coverage.
- C.
I am new to Medicare.
- D.
None of the above
- 19.What does SEP stand for?
- A.
Special Enforcement Personnel
- B.
Special Enrollment Period
- C.
Special Election Period
- D.
Savory Eggplant Parmesan
- 20.What does LEC stand for?
- A.
Light Emitting Cathode
- B.
Losing Employer Coverage
- C.
Losing Employer Compensation
- D.
Losing Executive Consideration
- 21.True or False: LEC can be a voluntary loss of employer coverage.
- A.
True
- B.
False
- 22.True or False: You are losing employer coverage, which makes you GI for a Medigap plan from the date of notification, and up to 63 days following your loss of coverage date.
- A.
True
- B.
False
- 23.When are we able to enroll a customer into a plan under the SEP-LEC?
- A.
1 month before loss of coverage
- B.
63 days before loss of coverage
- C.
3 months before loss of coverage
- D.
Upon notification of the loss of coverage
- 24.What is the most common SEP used at OneExchange?
- A.
ICEP (Age-in)
- B.
SEP-LTC
- C.
SEP-LEC
- D.
SEP-MOV
- 25.When does the SEP-LEC end?
- A.
After the plan has gone into effect
- B.
2 months after loss of coverage
- C.
30 days after loss of coverage
- D.
A and/or B
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