2015 - Adp - Knowledge Assessment - Sojo #2 - 08/21/2014

25 Questions | Total Attempts: 53

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2015 - Adp - Knowledge Assessment - Sojo #2 - 08/21/2014

 Sign in using your first and last name.You will have two hours to complete both this assessment and the Using Resources assessment.Both assessments are open book. (Manual, speedsheets, notes, system tools)You will need to score 84% to pass this assessment.  This will allow you to miss up to four questions. The same criteria will apply to the Using Resources assessment.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.


Questions and Answers
  • 1. 
    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

  • 2. 
    Are you Guaranteed Issue if you are aging-in?
    • A. 

      Yes

    • B. 

      No

  • 3. 
    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

  • 4. 
    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

  • 5. 
    True or False: Customers using ICEP can only enroll during Annual Enrollment?
    • A. 

      True

    • B. 

      False

  • 6. 
    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

  • 7. 
    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

  • 8. 
    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

  • 9. 
    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

  • 10. 
    If a customer has ICEP and SEP-LEC, which enrollment period is used for a new client?
    • A. 

      I have moved from another state.

    • B. 

      I am losing group coverage.

    • C. 

      I am new to Medicare.

    • D. 

      None of the above

  • 11. 
    What does SEP stand for?
    • A. 

      Special Enforcement Personnel

    • B. 

      Special Enrollment Period

    • C. 

      Special Election Period

    • D. 

      Both B and C

  • 12. 
    What does LEC stand for?
    • A. 

      Light Emitting Cathode

    • B. 

      Losing Employer Coverage

    • C. 

      Losing Employer Compensation

    • D. 

      Losing Executive Consideration

  • 13. 
    True or False: LEC can be a voluntary loss of employer coverage.
    • A. 

      True

    • B. 

      False

  • 14. 
    True or False: You are losing employer coverage, so you are Guaranteed Issue during the 3 months  prior to and 63 following your loss of coverage date. 
    • A. 

      True

    • B. 

      False

  • 15. 
    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

  • 16. 
    What is the most common SEP used at OneExchange?
    • A. 

      ICEP (Age-in)

    • B. 

      SEP-LTC

    • C. 

      SEP-LEC

    • D. 

      SEP-MOV

  • 17. 
    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 B

  • 18. 
    What plan types are available during the SEP-LEC?
    • A. 

      Medicare Advantage with prescription drug coverage (MAPD)

    • B. 

      Medicare Advantage (MA)

    • C. 

      Medicare Part D (PDP)

    • D. 

      All of the above

  • 19. 
    What situations would allow a customer to enroll into Medicare prior to age 65?
    • A. 

      End Stage Renal Disease

    • B. 

      Disability

    • C. 

      Because they asked Medicare nicely

    • D. 

      A & B

  • 20. 
    If the customer has two homes (e.g."snowbirds"), which one should you use as the address on the application?
    • A. 

      Wherever they are when you are speaking to them

    • B. 

      The address Medicare/IRS has as their permanent address

    • C. 

      The address AARP has on file

    • D. 

      Their Approved (HIPAA) Representative’s address

  • 21. 
    If you have a Power of Attorney (POA) with a customer on the line and the customer is able to act for himself/herself, how would you process the application?
    • A. 

      Let either of them answer any question because, in the eyes of the law, they are the same person for this call

    • B. 

      Address only the POA since the customer is too old to understand any of this anyway

    • C. 

      Address only the customer and ignore the POA because they don’t need to be there if the customer doesn’t need help

    • D. 

      Treat the POA as a HIPAA Representative; do not complete the POA section of the application; take the voice signature from the customer.

  • 22. 
    If you have answered every question “NO” on the application, what does that mean and what should happen?
    • A. 

      The application is perfectly uncomplicated and nothing bad will happen.

    • B. 

      The application guide was not followed, and the application will need to be corrected before you submit it.

    • C. 

      The customer knows what the answers should be, so they know what will happen if they don’t get it right.

    • D. 

      The customer will be arrested for fraud because not all the answers can be “NO.”

  • 23. 
    When is AEP (Annual Enrollment Period)?
    • A. 

      November 15 – December 15

    • B. 

      January 1 – March 31

    • C. 

      October 15 – December 7

    • D. 

      None of the above

  • 24. 
    What does HMO stand for?
    • A. 

      Health Maintenance Organization

    • B. 

      Health Management Organization

    • C. 

      Holistic Medicine Organization

    • D. 

      Happy Management Organization

  • 25. 
    Which of the following best describes an arrangement by employers to set aside pre-tax money for medical expenses for their employees?
    • A. 

      Health Reimbursement Arrangement (HRA) or Funding

    • B. 

      Co-Payment

    • C. 

      Deductible

    • D. 

      Rationing

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