Broker Support End of AEP Review

A detailed illustration showing a healthcare agent assisting an elderly client with enrollment paperwork, incorporating elements like Medicare cards, a calculator, and charts for understanding chargebacks.

Broker Support AEP Review Quiz

Welcome to the Broker Support End of AEP Review quiz! Test your knowledge on charge backs and disenrollment processes in Medicare Advantage and related plans.

This quiz is designed for agents to solidify their understanding of policies and procedures in the insurance sector.

  • Assess your knowledge
  • Engage with real-world scenarios
  • Improve your expertise in Medicare policies
13 Questions3 MinutesCreated by AdvisingCaptain256
Agent A enrolls member B in a plan effective 3/1/22. Full initial is paid. ($646) Member disenrolls effective 8/30/2022. A charge back will be issued. T OR F?
True
False
Agent A enrolls member B in a plan effective 3/1/22. Full initial is paid. ($646) Member disenrolls effective 8/30/2022. If a charge back is due, how many months will be charged back?
1 Month
4 Months
6 months
12 Months
No charge back is due
Agent A enrolls member B in a plan effective 3/1/22. Full initial is paid. ($646) Member disenrolls effective 8/30/2022. If a charge back is due, what is the Broker Portion amount that will be charged back?
$323
$215.33
$646
$53.83
No charge back is due
Agent C enrolls Member D in plan effective 6/1/22. Replacement is paid. Member disenrolls effective 7/31/2022 due to plan switch. Will a charge back be issued?
Yes
No
Agent C enrolls Member D in plan effective 6/1/22. Replacement is paid. Member disenrolls effective 7/31/2022 due to plan switch. If a charge back is due, how many months will be charged back?
3 Months
10 Months
12 Months
2 Months
No charge back is due
What reason would a carrier charge back all 12 months of a policy?
Enrollment will new/different carrier
Rapid Disenrollment
Death
Member moved out of network (area not covered by carrier)
Up to how many months is considered a Rapid Disenrollment?
Up to 1 Month
Up to 2 Months
Up to 3 Months
Up to 4 Months
Agent A enrolls member B in plan effective 10/1/22. Full initial is paid. Member disenrolls effective 12/31/22 to enroll in new plan effective 1/1/23 during AEP. A charge back will be issued, T or F?
True
False
Agent B enrolls member C in plan effective 7/1/22. Full initial is paid. Member C disenrolls eff 8/31/22 due to death. Is this considered a Rapid Disenrollment?
Yes
No
Agent B enrolls member C in plan effective 7/1/22. Full initial is paid. Member C disenrolls eff 8/30/22 due to death. How many months will the agent be paid for?
0 Months - Rapid Disnenrollment
1 Month
2 Months
12 Months
Agent C enrolls member B in MA plan effective 2/1/22. Full initial is paid. Member disenrolls effective 7/31/2022 and enrolls in PDP plan effective 8/1/22. A charge back will be issued, T or F?
True
False
Agent C enrolls member B in MA plan effective 2/1/22. Full initial is paid. Member disenrolls effective 7/31/2022 and enrolls in PDP plan effective 8/1/22. If a charge back is due, how many months will be charged back?
5 Months
6 Months
7 Months
12 Months
No charge back is due
Agent C enrolls member B in MA plan effective 2/1/22. Full initial is paid. Member disenrolls effective 7/31/2022 and enrolls in PDP plan effective 8/1/22. The new PDP policy payment will be pro-rated, T or F?
True
False
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