2015 One Exchange POD 1 Clients
Use your resources to find the answers about the clients our POD will be handling for the 2015 season.
- 1.If an SPX retiree asks what will happen to their savings account they previously had through SPX, what would you tell them?
- A.
They will receive a one-time allocation of their remaining balance automatically
- B.
Their savings account will be discontinued when they transition
- C.
They don't have a Savings Account and should really start thinking about their future.
- D.
They will receive a one-time allocation of their remaining balance after meeting the enrollment requirements to qualify for their HRA
- 2.If a SPX retiree enrolls in a dental plan only, this will qualify them for their HRA
- A.
True
- B.
False
- 3.Can a SPX retiree use a recurring claim form to get their Part B Premiums reimbursed?
- A.
Yes
- B.
No
- C.
SPX doesn't reimburse Part B Premiums
- 4.An Avista retiree tells you he doesn't have Part B. What should you do?
- A.
Tell him he needs to call the Social Security Administration and enroll in Part B
- B.
Contact InfoSource
- C.
Tell him that's ok, we will still be able to enroll him
- D.
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
- 5.Avista HRAs will reimburse for LTC Premiums.
- A.
True
- B.
False
- 6.According to Fermilab's Announcement Letter, how many meetings will be held on campus?
- A.
4
- B.
7
- C.
3
- D.
2
- 7.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?
- A.
Yes, No
- B.
No, Yes
- C.
Yes, Yes
- D.
No, No
- 8.What happens to the Elfun fund a GE retiree is currently enrolled in?
- A.
This coverage will continue until Dec 31st, 2015
- B.
Elfun has nothing to do with Medicare, and will not be affected.
- C.
This coverage has no end date.
- D.
This coverage is ending Dec 31st, 2014
- 9.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?
- A.
Contact InfoSource. 1)Refer the participant to our website for more information. 2) Transfer to the CSR que since it is a CSR issue.
- B.
Contact InfoSource. Inform the participant they need to contact the GE Call center because they haven't sent us the information
- C.
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.
- D.
Refer the participant to the Benefit Center
- 10.Where would you look to find the HRA amount for a NRECA participant?
- A.
Refer to the HRA Spreadsheet in the Client Guide
- B.
In the Funding Guide in the SSC
- C.
Upper right hand corner of the SSC
- D.
NRECA participants do not have an HRA
- 11.NRECA participants are Automatically Qualified to receive their HRA and do not have to enroll through One Exchange
- A.
True
- B.
False
- 12.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?
- A.
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.
- B.
Tell her that because she is pre-65, she will keep her current Group Coverage until she turns 65.
- C.
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.
- D.
Tell her all pre-65 medicare eligible participants will be transitioning into Medigap plans because of their need for comprehensive coverage.
- 13.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?
- A.
We can't send out Announcement letters again, so he should contact a friend.
- B.
Refer the participant to the Benefit Center
- C.
Transfer him to the CSR que, as it is a CSR issue.
- D.
Send an email to InfoSource with the participants information and request.
- 14.Are Rio Tinto participants able to reimburse their Rx OOP?
- A.
Yes
- B.
No
- C.
Rio Tinto participants do not get reimbursements
- 15.A Rio Tinto participant calls to change the address we have on file. What steps do you take?
- A.
Update the address and send a Case Management Ticket
- B.
Update the address and instruct the participant to call Rio Tinto's Service Center Number
- C.
Contact InfoSource
- D.
Transfer to the CSR que, as this is a CSR issue.
- 16.A Rio Tinto Participant with Select Health (IHC) coverage must enroll through One Exchange in order to be eligible for their funding.
- A.
True
- B.
False
- 17.Lubrizol funding does not rollover or rollback.
- A.
True
- B.
False
- 18.A Lubrizol participant wants to enroll through his neighbor, who is an insurance agent. What do you tell them?
- A.
He is free to do so, but explain the benefits of enrolling through One Exchange
- B.
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.
- C.
He needs to enroll through One Exchange in order to be eligible for his funding
- D.
Thank him for updating us, and wish him luck.
- 19.According the bulletin posted 9/25/2014, GE is offering One-on-One Individual appointments. Which is true regarding these appointments?
- A.
It is a 30 minute consultation with a GE and One Exchange representative.
- B.
These meetings will be held over a 6 day period during office-hours.
- C.
Appointments are First-Come, First Serve basis.
- D.
There are very few appointments available, and once they are filled up, they are gone.
- E.
All of the above
- 20.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.
- A.
True
- B.
False
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