2014 - Qm - Ba Prohibited Practices

6 Questions | Total Attempts: 189

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2014 - Qm - Ba Prohibited Practices

Questions and Answers
  • 1. 
    A customer calls in already knowing what plan he wants; the BA adds the plan to the cart and transfers the call to the enrollment team without going over the premium or plan benefits.Would QM score this as a Prohibited Practice because the BA did not go over the benefits or premium?
    • A. 

      Yes

    • B. 

      No

  • 2. 
    The customer will be enrolling in an MAPD and the BA states that payment may be required at the time of enrollment. Would this statement be a Prohibited Practice?
    • A. 

      Yes

    • B. 

      No

  • 3. 
    If the BA states that the customer's HICN is the same as their social security number with a letter, would this be marked as a Prohibited Practice?
    • A. 

      Yes

    • B. 

      No

  • 4. 
    The BA and the customer do not have a good phone connection so the customer asks the BA to email some information on the plan they are discussing. The BA copies the plan information from the Summary of Benefits and sends it to the customer. Is it acceptable for the BA to do this?
    • A. 

      Yes

    • B. 

      No

  • 5. 
    Which of the following phrases contain absolute superlatives? Check all that apply. 
    • A. 

      This plan is the most comprehensive.

    • B. 

      It's projected that this plan will be more cost effective than the other plans in my system that are available to you.

    • C. 

      You will not find a plan with greater coverage.

    • D. 

      Plan F is the Cadillac of Medigap plans.

    • E. 

      You will have the lowest copay if you fill your drugs at the preferred pharmacy which, for this plan, is Walmart.

    • F. 

      This plan is projected to be the most cost effective for you.

    • G. 

      This Medigap plan is the top of the line.

    • H. 

      This plan will save you more money throughout the year.

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