2015 One Exchange POD 1 Clients

1. NRECA participants are Automatically Qualified to receive their HRA and do not have to enroll through One Exchange

True

False

NRECA participants are automatically qualified to receive their Health Reimbursement Arrangement (HRA) and do not have to enroll through One Exchange. This means that they do not need to go through the process of enrolling or signing up for the HRA benefits separately, as it is automatically provided to them. Therefore, the statement "NRECA participants are automatically qualified to receive their HRA and do not have to enroll through One Exchange" is true.

Explanation

NRECA participants are automatically qualified to receive their Health Reimbursement Arrangement (HRA) and do not have to enroll through One Exchange. This means that they do not need to go through the process of enrolling or signing up for the HRA benefits separately, as it is automatically provided to them. Therefore, the statement "NRECA participants are automatically qualified to receive their HRA and do not have to enroll through One Exchange" is true.

2. GE participants who are only losing Part B Premium Reimbursement must still enroll into a Medical and/or Prescription plan through One Exchange in order to qualify for their RRA.

True

False

Participants in the GE program who are only losing Part B Premium Reimbursement need to enroll in a Medical and/or Prescription plan through One Exchange in order to be eligible for their RRA. This means that even if they are only losing Part B Premium Reimbursement, they still need to enroll in a plan to continue receiving their benefits.

Explanation

Participants in the GE program who are only losing Part B Premium Reimbursement need to enroll in a Medical and/or Prescription plan through One Exchange in order to be eligible for their RRA. This means that even if they are only losing Part B Premium Reimbursement, they still need to enroll in a plan to continue receiving their benefits.

3. Where would you look to find the HRA amount for a NRECA participant?

Refer to the HRA Spreadsheet in the Client Guide

In the Funding Guide in the SSC

Upper right hand corner of the SSC

NRECA participants do not have an HRA

To find the HRA amount for a NRECA participant, one should refer to the HRA Spreadsheet in the Client Guide. This spreadsheet contains the necessary information regarding the HRA amount for NRECA participants. The Client Guide is a comprehensive document that provides guidance and instructions on various aspects of the program, including the HRA. Therefore, consulting the HRA Spreadsheet in the Client Guide is the appropriate source to obtain the HRA amount for NRECA participants.

Explanation

To find the HRA amount for a NRECA participant, one should refer to the HRA Spreadsheet in the Client Guide. This spreadsheet contains the necessary information regarding the HRA amount for NRECA participants. The Client Guide is a comprehensive document that provides guidance and instructions on various aspects of the program, including the HRA. Therefore, consulting the HRA Spreadsheet in the Client Guide is the appropriate source to obtain the HRA amount for NRECA participants.

4. Julie, a NRECA retiree, is on disability which allowed her to enroll into Medicare early. She is 55 years old and wants to know what is going on. What do you tell her?

Her Group Health Insurance through NRECA will be ending Dec 31st and we will be able to assist in finding her a new plan that will meet her needs.

Tell her that because she is pre-65, she will keep her current Group Coverage until she turns 65.

Tell her that we only work with post-65 participants, and she will need to contact the state to find out what options she has available to her.

Tell her all pre-65 medicare eligible participants will be transitioning into Medigap plans because of their need for comprehensive coverage.

The correct answer explains that Julie's Group Health Insurance through NRECA will be ending on December 31st and assures her that they will help her find a new plan that suits her needs. This answer acknowledges Julie's concern about her insurance coverage and offers assistance in finding a suitable replacement plan.

Explanation

The correct answer explains that Julie's Group Health Insurance through NRECA will be ending on December 31st and assures her that they will help her find a new plan that suits her needs. This answer acknowledges Julie's concern about her insurance coverage and offers assistance in finding a suitable replacement plan.

5. Lubrizol funding does not rollover or rollback.

True

False

The statement "Lubrizol funding does not rollover or rollback" is false. This means that Lubrizol funding does have the capability to rollover or rollback. Rollover refers to extending the duration of a funding arrangement, while rollback refers to reverting to a previous state or condition. Therefore, Lubrizol funding can be extended or reverted if necessary.

Explanation

The statement "Lubrizol funding does not rollover or rollback" is false. This means that Lubrizol funding does have the capability to rollover or rollback. Rollover refers to extending the duration of a funding arrangement, while rollback refers to reverting to a previous state or condition. Therefore, Lubrizol funding can be extended or reverted if necessary.

6. A Lubrizol participant wants to enroll through his neighbor, who is an insurance agent. What do you tell them?

He is free to do so, but explain the benefits of enrolling through One Exchange

One Exchange offers lower rates because we are contracted with all of the Carriers in his area, so he may pay more if he enrolls through his friend.

He needs to enroll through One Exchange in order to be eligible for his funding

Thank him for updating us, and wish him luck.

The correct answer suggests that the Lubrizol participant is free to enroll through his neighbor, who is an insurance agent. However, it is recommended to explain the benefits of enrolling through One Exchange. This implies that while the participant has the freedom to choose any enrollment option, enrolling through One Exchange may provide certain advantages or benefits that the participant should be made aware of.

Explanation

The correct answer suggests that the Lubrizol participant is free to enroll through his neighbor, who is an insurance agent. However, it is recommended to explain the benefits of enrolling through One Exchange. This implies that while the participant has the freedom to choose any enrollment option, enrolling through One Exchange may provide certain advantages or benefits that the participant should be made aware of.

7. If a SPX retiree enrolls in a dental plan only, this will qualify them for their HRA

True

False

If a SPX retiree enrolls in a dental plan only, it means that they have chosen to only participate in the dental coverage and not in any other healthcare plans. By enrolling in a dental plan, they are fulfilling the requirement for their HRA (Health Reimbursement Arrangement). This suggests that the retiree is eligible to receive reimbursement for dental expenses through their HRA. Therefore, the statement is true.

Explanation

If a SPX retiree enrolls in a dental plan only, it means that they have chosen to only participate in the dental coverage and not in any other healthcare plans. By enrolling in a dental plan, they are fulfilling the requirement for their HRA (Health Reimbursement Arrangement). This suggests that the retiree is eligible to receive reimbursement for dental expenses through their HRA. Therefore, the statement is true.

8. What happens to the Elfun fund a GE retiree is currently enrolled in?

This coverage will continue until Dec 31st, 2015

Elfun has nothing to do with Medicare, and will not be affected.

This coverage has no end date.

This coverage is ending Dec 31st, 2014

The Elfun fund that a GE retiree is currently enrolled in will end on December 31st, 2014.

Explanation

The Elfun fund that a GE retiree is currently enrolled in will end on December 31st, 2014.

9. According to Fermilab's Announcement Letter, how many meetings will be held on campus?

4

7

3

2

According to Fermilab's Announcement Letter, there will be a total of four meetings held on campus.

Explanation

According to Fermilab's Announcement Letter, there will be a total of four meetings held on campus.

10. Joe is a 66 year old current employee of GE. He tells you he is interested in looking at what plans we have available, because he wants to determine if it would be worth it to change his coverage. He is retiring on 1/1/2015 and isn't sure if he is eligible for an RRA. You are unable to find him in the SSC. According to the bulletin released on 9/25/2014, what steps should you take?

Contact InfoSource. 1)Refer the participant to our website for more information. 2) Transfer to the CSR que since it is a CSR issue.

Contact InfoSource. Inform the participant they need to contact the GE Call center because they haven't sent us the information

Contact InfoSource. 1) Create a New Record. 2)Schedule an appointment and be helpful answering questions about the process, plan pricing (if during the enrollment season), direct them to our website, etc. 3) Recommend they contact the GE call center to find out about their RRA eligibility.

Refer the participant to the Benefit Center

The correct answer is to contact InfoSource, create a new record for Joe, schedule an appointment to discuss his options, and recommend that he contact the GE call center to find out about his RRA eligibility. This is the appropriate course of action because Joe is interested in exploring different plans and wants to determine if it would be worth it to change his coverage. By creating a new record and scheduling an appointment, the employee can provide Joe with personalized assistance and answer any questions he may have. Additionally, recommending that Joe contact the GE call center will ensure that he receives accurate information about his RRA eligibility.

Explanation

The correct answer is to contact InfoSource, create a new record for Joe, schedule an appointment to discuss his options, and recommend that he contact the GE call center to find out about his RRA eligibility. This is the appropriate course of action because Joe is interested in exploring different plans and wants to determine if it would be worth it to change his coverage. By creating a new record and scheduling an appointment, the employee can provide Joe with personalized assistance and answer any questions he may have. Additionally, recommending that Joe contact the GE call center will ensure that he receives accurate information about his RRA eligibility.

11. Will funding cease for a Fermilab retiree if their coverage they enrolled in through One Exchange is dropped? And can they regain their funding by re-enrolling through One Exchange?

Yes, No

No, Yes

Yes, Yes

No, No

If a Fermilab retiree's coverage through One Exchange is dropped, their funding will cease. However, they can regain their funding by re-enrolling through One Exchange.

Explanation

If a Fermilab retiree's coverage through One Exchange is dropped, their funding will cease. However, they can regain their funding by re-enrolling through One Exchange.

12. A Rio Tinto participant calls to change the address we have on file. What steps do you take?

Update the address and send a Case Management Ticket

Update the address and instruct the participant to call Rio Tinto's Service Center Number

Contact InfoSource

Transfer to the CSR que, as this is a CSR issue.

The correct answer is to update the address and instruct the participant to call Rio Tinto's Service Center Number. This is the appropriate action to take when a participant requests a change in their address. By updating the address and instructing the participant to call the service center, it ensures that the correct information is recorded and any further assistance or clarification can be provided by the service center.

Explanation

The correct answer is to update the address and instruct the participant to call Rio Tinto's Service Center Number. This is the appropriate action to take when a participant requests a change in their address. By updating the address and instructing the participant to call the service center, it ensures that the correct information is recorded and any further assistance or clarification can be provided by the service center.

13. If an SPX retiree asks what will happen to their savings account they previously had through SPX, what would you tell them?

They will receive a one-time allocation of their remaining balance automatically

Their savings account will be discontinued when they transition

They don't have a Savings Account and should really start thinking about their future.

They will receive a one-time allocation of their remaining balance after meeting the enrollment requirements to qualify for their HRA

The correct answer states that the SPX retiree will receive a one-time allocation of their remaining balance after meeting the enrollment requirements to qualify for their HRA. This means that the retiree's savings account will not be automatically discontinued when they transition, but instead, they will receive their remaining balance as a one-time payment. The retiree needs to meet the enrollment requirements for their Health Reimbursement Arrangement (HRA) in order to qualify for this allocation.

Explanation

The correct answer states that the SPX retiree will receive a one-time allocation of their remaining balance after meeting the enrollment requirements to qualify for their HRA. This means that the retiree's savings account will not be automatically discontinued when they transition, but instead, they will receive their remaining balance as a one-time payment. The retiree needs to meet the enrollment requirements for their Health Reimbursement Arrangement (HRA) in order to qualify for this allocation.

14. Avista HRAs will reimburse for LTC Premiums.

True

False

Avista HRAs do not reimburse for LTC (Long-Term Care) premiums. This means that if an individual has an Avista HRA, they will not receive reimbursement for the premiums they pay towards their long-term care insurance.

Explanation

Avista HRAs do not reimburse for LTC (Long-Term Care) premiums. This means that if an individual has an Avista HRA, they will not receive reimbursement for the premiums they pay towards their long-term care insurance.

15. According the bulletin posted 9/25/2014, GE is offering One-on-One Individual appointments. Which is true regarding these appointments?

It is a 30 minute consultation with a GE and One Exchange representative.

These meetings will be held over a 6 day period during office-hours.

Appointments are First-Come, First Serve basis.

There are very few appointments available, and once they are filled up, they are gone.

All of the above

The given answer states that all of the statements regarding the One-on-One Individual appointments offered by GE are true. This means that the appointments are indeed a 30 minute consultation with a GE and One Exchange representative, they will be held over a 6 day period during office hours, appointments are on a first-come, first-serve basis, and there are limited appointments available which will be filled up quickly.

Explanation

The given answer states that all of the statements regarding the One-on-One Individual appointments offered by GE are true. This means that the appointments are indeed a 30 minute consultation with a GE and One Exchange representative, they will be held over a 6 day period during office hours, appointments are on a first-come, first-serve basis, and there are limited appointments available which will be filled up quickly.

16. Are Rio Tinto participants able to reimburse their Rx OOP?

Yes

No

Rio Tinto participants do not get reimbursements

Rio Tinto participants are not able to reimburse their Rx OOP (out-of-pocket) expenses. This means that they are responsible for paying for their prescription medications without any reimbursement from Rio Tinto.

Explanation

Rio Tinto participants are not able to reimburse their Rx OOP (out-of-pocket) expenses. This means that they are responsible for paying for their prescription medications without any reimbursement from Rio Tinto.

17. A Rio Tinto Participant calls to say he never received his announcement letter, and doesn't want to do anything else until he has proof his coverage is ending. What do you do?

We can't send out Announcement letters again, so he should contact a friend.

Refer the participant to the Benefit Center

Transfer him to the CSR que, as it is a CSR issue.

Send an email to InfoSource with the participants information and request.

The correct answer is to send an email to InfoSource with the participant's information and request. This is the appropriate action to take in order to address the participant's concern about not receiving the announcement letter and to obtain proof of coverage ending. By contacting InfoSource, the necessary steps can be taken to resolve the issue and provide the participant with the required information.

Explanation

The correct answer is to send an email to InfoSource with the participant's information and request. This is the appropriate action to take in order to address the participant's concern about not receiving the announcement letter and to obtain proof of coverage ending. By contacting InfoSource, the necessary steps can be taken to resolve the issue and provide the participant with the required information.

18. A Rio Tinto Participant with Select Health (IHC) coverage must enroll through One Exchange in order to be eligible for their funding.

True

False

The statement is false because it states that a Rio Tinto Participant with Select Health (IHC) coverage must enroll through One Exchange in order to be eligible for their funding. However, this is not true as there may be other ways for a Rio Tinto Participant to be eligible for funding without enrolling through One Exchange.

Explanation

The statement is false because it states that a Rio Tinto Participant with Select Health (IHC) coverage must enroll through One Exchange in order to be eligible for their funding. However, this is not true as there may be other ways for a Rio Tinto Participant to be eligible for funding without enrolling through One Exchange.

19. An Avista retiree tells you he doesn't have Part B. What should you do?

Tell him he needs to call the Social Security Administration and enroll in Part B

Contact InfoSource

Tell him that's ok, we will still be able to enroll him

Tell him his group health insurance will end January 1st, and he will only have Medicare Part A until next July when his Part B becomes effective when we can enroll him

The correct answer is to contact InfoSource. This is because InfoSource is a reliable source of information and guidance for retirees, and they will be able to provide accurate and up-to-date information on what the retiree should do regarding their Part B enrollment.

Explanation

The correct answer is to contact InfoSource. This is because InfoSource is a reliable source of information and guidance for retirees, and they will be able to provide accurate and up-to-date information on what the retiree should do regarding their Part B enrollment.

20. Can a SPX retiree use a recurring claim form to get their Part B Premiums reimbursed?

Yes

No

SPX doesn't reimburse Part B Premiums

A SPX retiree cannot use a recurring claim form to get their Part B Premiums reimbursed. This suggests that the retiree does not have the option to seek reimbursement for their Part B Premiums through this particular method. Additionally, the answer implies that SPX does not provide reimbursement for Part B Premiums, further reinforcing the idea that the retiree cannot use a recurring claim form for this purpose.

Explanation

A SPX retiree cannot use a recurring claim form to get their Part B Premiums reimbursed. This suggests that the retiree does not have the option to seek reimbursement for their Part B Premiums through this particular method. Additionally, the answer implies that SPX does not provide reimbursement for Part B Premiums, further reinforcing the idea that the retiree cannot use a recurring claim form for this purpose.