2015 - Adp - Using Resources #1 - Sojo - 09/17/2014

25 Questions | Total Attempts: 51

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2015 - Adp - Using Resources #1 - Sojo - 09/17/2014

Sign in using your first and last name.You will have one hour to complete this assessment.This assessment is open book. (Manual, speedsheets, notes, system tools)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.


Questions and Answers
  • 1. 
    Mr. Ripley has just aged-in to Medicare. How would you answer the following question: “Are you within 6 months of your 65th birthday (before or after)?”
    • A. 

      Yes

    • B. 

      No

  • 2. 
    Mrs. Flood, an Agilent customer, is unsure of how to answer the following question: “Will your plan effective date be within 6 months of your 65th birthday and your Medicare Part B effective date?” She turns 65 October 19, 2014, and her Medicare Part A and B will go into effect October 1st of 2014. How should this question be answered?
    • A. 

      Yes

    • B. 

      No

  • 3. 
    True or False: When the application asks for the customer's age, it’s referring to the age as of the month their plan goes into effect.
    • A. 

      True

    • B. 

      False

  • 4. 
    In general, what determines the effective date for under an SEP-LEC?
    • A. 

      The first of the month following the date of coverage loss (as determined by the employer)

    • B. 

      Whatever date the ADP selects

    • C. 

      The date of notification of loss of coverage

    • D. 

      The date COBRA expires

  • 5. 
    True or False: When a customer is enrolling under GI due to LEC, they have had coverage within the past 63 days?
    • A. 

      True

    • B. 

      False

  • 6. 
    If an application was being completed after December 7th, which enrollment period would need to be used for a new client losing group coverage?
    • A. 

      SEP-LEC

    • B. 

      ICEP

    • C. 

      A & B

    • D. 

      None of the above

  • 7. 
    If the Medicare Claim Number (HICN) is incorrect, who do you contact to change it?
    • A. 

      LBS

    • B. 

      Supervisor

    • C. 

      InfoSource

    • D. 

      CSR

  • 8. 
    If the Medicare Part B effective date is wrong, what do you do? 
    • A. 

      Transfer to LBS

    • B. 

      Change it yourself in the personal profile.

    • C. 

      Ping InfoSource

    • D. 

      Get your Supervisor

  • 9. 
    The customer wants mail to go to a P.O. Box, but it’s not pre-populated. Who do you contact?
    • A. 

      LBS

    • B. 

      No one; change it yourself in the personal profile.

    • C. 

      Supervisor

    • D. 

      InfoSource

  • 10. 
    You are in the middle of an application and Mrs. Jones’ daughter joins the phone call.  What do you do?
    • A. 

      Politely tell her that she cannot be on the phone because she is not an Authorized Representative ( HIPAA Rep).

    • B. 

      Continue the application as if she was not on the phone.

    • C. 

      Authorize her as an Approved Representative (HIPAA Rep).

    • D. 

      None of the above

  • 11. 
    Based on the BMI calculator, what is the BMI for someone who is 5’4” and 120 pounds?
    • A. 

      22.1

    • B. 

      17.9

    • C. 

      19.4

    • D. 

      20.6

  • 12. 
    For BCBS of TX Medigap, Losing Employer Coverage, what is the answer to “Do you intend to replace your current coverage with this Medicare supplement policy?” 
    • A. 

      Yes

    • B. 

      No

    • C. 

      Whichever answer the customer gives

    • D. 

      This answer is always yes.

  • 13. 
    For AARP/UHC of NY, Losing Employer Coverage, what is the answer to “Will this new Medigap plan be replacing a Medicare supplement or a Medicare Advantage (individual plan, not a group plan)?”
    • A. 

      Yes

    • B. 

      No

    • C. 

      Whichever answer the customer gives

  • 14. 
    You are talking to an IBM customer; what number can they call to reach OneExchange?
    • A. 

      855-359-7380

    • B. 

      800-796-9876

    • C. 

      866-823-0996

    • D. 

      855-873-0101

  • 15. 
    You are talking to a DuPont customer in the Losing Group Medical Only campaign.  Will his HRA funding rollover to the next year?
    • A. 

      Yes

    • B. 

      No

  • 16. 
    Your customer is enrolling into VSP.  When will VSP take out the first payment?
    • A. 

      3-5 Business days

    • B. 

      The effective date

    • C. 

      Upon receipt of the application

    • D. 

      1-2 weeks before the effective date

  • 17. 
    Your customer does NOT want to give out their banking information.  Will their TX Humana Medigap application for Losing Employer Coverage allow other payment methods?
    • A. 

      Yes

    • B. 

      No

  • 18. 
    Your customer is enrolling into a Presbyterian MAPD and they would like to know where Presbyterian’s headquarters are. What do you tell them?
    • A. 

      Give them the customer service number for Presbyterian so they can call and ask themselves.

    • B. 

      Add an LBS to the line

    • C. 

      Albuquerque, NM

    • D. 

      Detroit, MI

  • 19. 
    You need to add Mrs. Jones to her husband’s AARP membership.  What phone number do you call?
    • A. 

      800-523-5800

    • B. 

      800-972-9719

    • C. 

      888-381-8581

    • D. 

      888-687-2277

  • 20. 
    The BA entered a phone number in the PCP field (as well as in the notes). What do you do?
    • A. 

      Leave it alone; it is the BA’s job; not yours.

    • B. 

      Call an LBS.

    • C. 

      Look in the client guide to find out how you look up a PCP number.

    • D. 

      Ask your supervisor.

  • 21. 
    If a P.O. Box is listed as the primary address and no change is needed to the zip code or county, what should you do?
    • A. 

      Ping InfoSource

    • B. 

      Call an LBS

    • C. 

      Ask your supervisor to change the address

    • D. 

      Update the address on the application and refresh the record

  • 22. 
    If a HICN is incorrect, you should…
    • A. 

      Continue, and tell them to contact Social Security

    • B. 

      Change it

    • C. 

      Ping InfoSource

    • D. 

      Call an LBS

  • 23. 
    The customer is enrolling using the SEP-LEC on 9/12/14. His group coverage ends on 10/31/14. The plans in the cart have a 12/1/14 effective date. How should you proceed?
    • A. 

      Contact InfoSource

    • B. 

      Call an LBS

    • C. 

      Do nothing; the effective dates are correct

    • D. 

      None of the above; this cannot happen

  • 24. 
    Where do you find the HMO-POS options?
    • A. 

      Summary of Benefits

    • B. 

      Situation Analysis

    • C. 

      InfoSource

  • 25. 
    How do you get to the correct application guide for a specific carrier?
    • A. 

      Choose Application Guide, Select Enrollment Reason, Select a Plan, Select a State, Select a Carrier

    • B. 

      Choose Application Guide, Select a State, Select a Plan, Select a Carrier, Select an Enrollment Reason

    • C. 

      Either way will get you to the correct application guide

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