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    agents are permitted to call former members who have voluntarily disenrolled or current members in the process of disenrolling to market plans or products.

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    Medicare Certification Flashcards

    Start studying Medicare Certification. Learn vocabulary, terms, and more with flashcards, games, and other study tools.

    Medicare Certification

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    In order to qualify for Medicare, an individual must be 65 years old, lawfully present in the United States, and meet one more CMS enrollment criteria. What is that?

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    Be eligible to recieve Social Security

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    A plan is not required to disenroll a member under CMS guidelines if the member.....

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    Fails to pay plan premium. In fact an MAO is never required to terminate a member on their own.

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    Terms in this set (244)

    In order to qualify for Medicare, an individual must be 65 years old, lawfully present in the United States, and meet one more CMS enrollment criteria. What is that?

    Be eligible to recieve Social Security

    A plan is not required to disenroll a member under CMS guidelines if the member.....

    Fails to pay plan premium. In fact an MAO is never required to terminate a member on their own.

    Mrs. Smith submits an enrollment request on November 11 and has no special election period. What regular election period may she use and what will her coverage effective date be?

    Annual Election Period, Jan 1

    Are there open enrollment risks when a beneficiary has a Employer Group Plan?

    Yes, members should check with their benefits administrator at work to avoid possibly losing coverage. Beneficiaries may still be able to use employer coverage with the plan that they join

    What is the first step in finding appropriate Medicare coverage?

    The first step is to determine if the individual is elegible to be covered under employer group coverage.

    What is the second step in finding appropriate Medicare coverage?

    Decide whether to select original Medicare A & B or Medicare part C

    If an individual chooses Medicare Part C, what is the next important choice?

    To decide if they want medical benefits only or Part C with drug coverage.

    If an individual wants Parts A and B original Medicare, what are the next two choices to be made?

    Decide if they want Part D perscription Drug coverage, and decide if they want supplemental coverage.

    Can a Part D PDP be added to Original Medicare without cancelling Original Medicare?

    Yes, these work together

    Can a Part D PDP be added to another Part D PDP without cancelling the original Part D PDP?

    No, only one plan is allowed

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    Verified questions

    QUESTION

    Find the future values of the following ordinary annuities: a. FV of $400 paid each 6 months for 5 years at a nominal rate of 12% compounded semiannually. b. FV of$200 paid each 3 months for 5 years at a nominal rate of 12% compounded quarterly. c. These annuities receive the same amount of cash during the 5-year period and earn interest at the same nominal rate, yet the annuity in part b ends up larger than the one in part a. Why does this occur?

    Verified answer QUESTION

    Suppose you are the money manager of a

    4.82 million investment fund. The fund consists of four stocks with the following investments and betas:

    4.82millioninvestmentfund.Thefundconsistsoffourstockswiththefollowinginvestmentsandbetas:

    \begin{matrix} \text{Stock} & \text{Investment} & \text{Beta}\\ \text{A} & \text{\$ 460.000} & \text{1.50}\\ \text{B} & \text{500.000} & \text{(0.50)}\\ \text{C} & \text{1.260.000} & \text{1.25}\\ \text{D} & \text{2.600.000} & \text{0.75}\\ \end{matrix}

    Stock A B C D ​ Investment $ 460.000 500.000 1.260.000 2.600.000 ​ Beta 1.50 (0.50) 1.25 0.75 ​

    $ If the market’s required rate of return is 8% and the risk-free rate is 4%, what is the fund’s required rate of return?

    Verified answer QUESTION

    Find the amount to which $500 will grow under each of these conditions: a. 12% compounded annually for 5 years. b. 12% compounded semiannually for 5 years. c. 12% compounded quarterly for 5 years. d. 12% compounded monthly for 5 years. e. 12% compounded daily for 5 years. f. Why does the observed pattern of FVs occur?

    Verified answer QUESTION

    Adamson Corporation is considering four average-risk projects with the following costs and rates of return: $$ \begin{matrix} \text{Project } & \text{Cost} & \text{Expected Rate of Return}\\ \text{1} & \text{\$ 2.000} & \text{16.00\\%}\\ \text{2} & \text{3.000} & \text{15.00}\\ \text{3} & \text{5.000} & \text{13.78}\\ \text{4} & \text{2.000} & \text{12.50}\\ \end{matrix} $$ The company estimates that it can issue debt at a rate of $\mathrm{r}_{\mathrm{d}}=10 \%$, and its tax rate is 30%. It can issue preferred stock that pays a constant dividend of $5.00 per year at$50.00 per share. Also, its common stock currently sells for $38.00 per share; the next expected dividend, [math]D_1[/math], is$4.25, and the dividend is expected to grow at a constant rate of 5% per year. The target capital structure consists of 75% common stock, 15% debt, and 10% preferred stock. a. What is the cost of each of the capital components? b. What is Adamson’s WACC? c. Only projects with expected returns that exceed WACC will be accepted. Which projects should Adamson accept?

    Source : quizlet.com

    [Senate Hearing 110-207]

    [From the U.S. Government Printing Office]

    S. Hrg. 110-207

    MEDICARE ADVANTAGE MARKETING AND SALES: WHO HAS THE ADVANTAGE?

    =======================================================================

    HEARING before the

    SPECIAL COMMITTEE ON AGING

    UNITED STATES SENATE

    ONE HUNDRED TENTH CONGRESS

    FIRST SESSION __________ WASHINGTON, DC __________ MAY 16, 2007 __________ Serial No. 110-8

    Printed for the use of the Special Committee on Aging

    Available via the World Wide Web: http://www.gpoaccess.gov/congress/

    index.html

    U.S. GOVERNMENT PRINTING OFFICE

    38-618 WASHINGTON : 2007

    _____________________________________________________________________________

    For Sale by the Superintendent of Documents, U.S. Government Printing Office

    Internet: bookstore.gpo.gov Phone: toll free (866) 512-1800; (202) 512�091800

    Fax: (202) 512�092104 Mail: Stop IDCC, Washington, DC 20402�090001

    SPECIAL COMMITTEE ON AGING

    HERB KOHL, Wisconsin, Chairman

    RON WYDEN, Oregon GORDON H. SMITH, Oregon

    BLANCHE L. LINCOLN, Arkansas RICHARD SHELBY, Alabama

    EVAN BAYH, Indiana SUSAN COLLINS, Maine

    THOMAS R. CARPER, Delaware MEL MARTINEZ, Florida

    BILL NELSON, Florida LARRY E. CRAIG, Idaho

    HILLARY RODHAM CLINTON, New York ELIZABETH DOLE, North Carolina

    KEN SALAZAR, Colorado NORM COLEMAN, Minnesota

    ROBERT P. CASEY, Jr., Pennsylvania DAVID VITTER, Louisiana

    CLAIRE McCASKILL, Missouri BOB CORKER, Tennessee

    SHELDON WHITEHOUSE, Rhode Island ARLEN SPECTER, Pennsylvania

    Deb Whitman, Staff Director

    Catherine Finley, Ranking Member Staff Director

    (ii) ? C O N T E N T S ---------- Page

    Opening Statement of Senator Herb Kohl........................... 1

    Panel I

    Abby L. Block, director, Center for Beneficiary Choices, Centers

    for Medicare and Medicaid Services (CMS), Baltimore, MD........ 3

    Panel II

    Sean Dilweg, Wisconsin Office of the Commissioner of Insurance,

    Madison, WI.................................................... 14

    Kim Holland, Oklahoma Insurance Department, Oklahoma City, OK.... 43

    Sherry Mowell, Georgia Office of the Commissioner of Insurance,

    Atlanta, GA.................................................... 55

    Albert Sochor, vice president and director of Marketing, Old

    Surety Life Insurance, Oklahoma City, OK....................... 60

    Panel III

    Karen Ignagni, president and CEO, America's Health Insurance

    Plans, Washington, DC.......................................... 70

    Heidi Margulis, senior vice president, Humana Inc., Louisville,

    KY............................................................. 86

    Peter J. Clarkson, senior vice president, Distributions

    Operations, UnitedHealth Group, Minnetonka, MN................. 108

    Gary Bailey, vice president, Medicare Operational Performance,

    WellCare, Tampa, FL............................................ 116

    APPENDIX

    Prepared Statement of Senator Robert P. Casey.................... 143

    Responses to Senator Kohl's Questions from Abby Block............ 143

    Responses to Senator Smith's Questions from Abby Block........... 144

    Responses to Senator Lincoln's Questions from Abby Block......... 149

    Responses to Senator Smith's Questions from Commissioner Dilweg.. 157

    Responses to Senator Lincoln's Questions from Commissioner Dilweg 159

    Response to Senator Kohl's Question from Commissioner Holland.... 160

    Responses to Senator Smith's Questions from Commissioner Holland. 160

    Responses to Senator Smith's Questions from Sherry Mowell........ 161

    Responses to Senator Smith's Questions from Albert Sochor........ 162

    Responses to Senator Smith's Questions from Karen Ignagni........ 163

    Responses to Senator Smith's Questions from Heidi Margulis....... 167

    Responses to Senator Lincoln's Questions from Heidi Margulis..... 174

    Responses to Senator Smith's Questions from Peter Clarkson....... 176

    Responses to Senator Smith's Questions from Gary Bailey.......... 188

    Additional information submitted by the Oklahoma Insurance

    Department..................................................... 206

    Statement submitted by Janet Stokes Trautwein, executive vice

    president and CEO, National Association of Health Underwriters. 260

    National Insurance Producer Registry User's Guide................ 263

    (iii)

    MEDICARE ADVANTAGE MARKETING AND SALES: WHO HAS THE ADVANTAGE?

    ---------- --

    WEDNESDAY, MAY 16, 2007

    U.S. Senate,

    Special Committee on Aging,

    Washington, DC.

    The Committee met, pursuant to notice, at 11:49 a.m., in

    room SD-106, Dirksen Senate Office Building, Hon. Herb Kohl

    (chairman of the committee) presiding.

    Present: Senators Kohl, Wyden, Whitehouse, and Smith.

    OPENING STATEMENT OF SENATOR HERB KOHL, CHAIRMAN

    The Chairman. I thank you all for being here today, and I

    apologize for having kept you waiting an hour. As you know,

    Source : www.govinfo.gov

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