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    mrs. fields wants to know whether applying for the part d low-income subsidy will be worth the time to fill out the paperwork. what could you tell her?

    James

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    get mrs. fields wants to know whether applying for the part d low-income subsidy will be worth the time to fill out the paperwork. what could you tell her? from EN Bilgi.

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    Ms. Gardner is currently enrolled in an MA-PD plan. However,

    she wants to disenroll from the MA-PD plan and instead enroll in a Part D only

    plan and go back to Original Medicare. According to Medicare's enrollment

    guidelines, when could she do this?

    She

    may do it only during the MA Disenrollment Period, which runs from January 1 to

    February 14 of each year.

    You have finished a sales presentation with Mrs. Slade, who

    chose to enroll into a Part D plan you represent. At the end of the

    presentation, she asks you to stay in contact to ensure that she is being well

    served by the plan. How would Medicare's guidelines for making contact with

    Mrs. Slade apply in this situation?

    You

    may initiate a call to Mrs. Slade to conduct normal business related to her

    enrollment in the Part D plan and to discuss other products her plan sponsor

    offers.

    Several agents you work with are planning sales events in

    your area.  One plans on giving door

    prizes worth $5, refreshments valued at $8 per anticipated attendee, and coupon

    books with discounts worth $10.  Since no

    gift or prize exceeds the $15 limit he believes his plan is acceptable.  What should you tell them?

    He can give away more than one gift during a single event,

    but the aggregate retail value cannot exceed $15.

    Mr. Yu is concerned that his neighbor, Gladys, has not

    scheduled an appointment to review Medicare Advantage plan options for this

    year, even though she sent you a reply card requesting a call from you. You

    have not yet been successful in reaching Gladys and Mr. Yu would like to see

    that happen, so that her needs can be well served. What could you offer to do?

    You could continue calling Gladys until you reach her and

    offer to either schedule an in-home presentation to explain the plans you

    represent or provide her with the plan enrollment kit to review herself.

    Mr.Bush is 49 years old and has been receiving disability

    benefits from the Social Security Administration for 12 months. Can you sell

    him a Medicare Advantage or Part D Prescription Drug policy?

    No, he cannot

    purchase a Medicare Advantage or Part D policy because he has not received

    Social Security or Railroad Retirement disability benefits for 24 months.

    You are accustomed to obtaining names and contact

    information through a variety of means, and then calling potential clients in

    an attempt to set up a sales appointment. Under the rules applicable to

    marketing Medicare Advantage and Part D plans, what sorts of activities can you

    engage in with respect to beneficiaries who have not previously given you

    permission to contact them?

    You may not make any unsolicited call or visit to any

    beneficiary, unless explicit permission was given by the beneficiary for a call

    or visit.

    Mr. Lombardi is interested in a Medicare Advantage (MA) PPO

    plan that you represent. It is one of three plans operated by the same

    organization in Mr. Lombardi's area. The MA PPO plan does not include drug coverage,

    but the other two plans do. Mr. Lombardi likes the PPO plan that does not

    include drug coverage and intends to obtain his drug coverage through a

    stand-alone Medicare prescription drug plan. What should you tell him about

    this situation? He

    could enroll in one of the MA plans that include prescription drug coverage or

    a Medigap plan and a stand-alone prescription drug plan, but he cannot enroll

    in the MA-only PPO plan and a stand-alone prescription drug plan.

    Mr. Cole has been a Medicaid beneficiary for some time, and

    recently qualified for Medicare as well.

    He is concerned about changes in his cost-sharing.  What should you tell him?

    1. For Medicaid beneficiaries, Medicare reduces its

    cost-sharing amounts to match those charged by the state Medicaid program so

    there will be no change in his cost-sharing amounts.

    2. He

    should know that Medicaid will pay cost sharing only for services provided by

    Medicaid participating providers.

    3.

    Medicaid will cover his cost-sharing, regardless of from which physician or

    hospital he receives his Medicare-covered services.

    4.

    Medicaid will no longer pay any cost sharing once he is eligible for Medicare,

    so he will need to rely only on Medicare providers.

    Ms. Deboy was a homemaker and was employed in jobs that

    Source : freezingblue.com

    COVID

    An official website of the United States government.

    Here’s how you know

    U.S. DEPARTMENT OF LABOR

    Employment and Training Administration

    submenu

    submenu COVID-19 Frequently Asked Questions

    The links below take you to that section of the frequently asked questions.

    All Grants – Paid Leave/Stipends

    All Grants – Transitioning Services

    All Grants – Administrative Flexibilities

    All Grants WIOA General

    WIOA General – American Job Centers

    Rapid Response Layoff Aversion

    WIOA Dislocated Worker Program

    National Dislocated Worker Grants

    Youth

    Pandemic Unemployment Assistance

    Performance – WIOA Performance – All

    Trade Act, or Trade Adjustment Assistance (TAA), Programs

    Indian and Native American Program (INAP)

    Wagner-Peyser Act Monitor Advocate System

    National Farmworker Jobs Program (NFJP)

    Senior Community Service Employment Program (SCSEP)

    Apprenticeship Grants

    American Apprenticeship Initiative

    Apprenticeship: Closing the Skills Gap

    Foreign Labor Certification

    Foreign Labor Certification Activities of State Workforce Agencies

    All Grants – Leave and Stipends

    Q: Are the costs of a grantee’s leave policy that provides paid leave to employees (including part-time employees and employees of subrecipients) when their work hours have been reduced due to COVID-19 closures or disruptions (e.g., if a grantee’s offices are shut down due to COVID-19) allowable costs of the federal grant?

    Response: Beginning November 1, 2020, grant recipients and subrecipients must make every effort to provide services remotely or, where feasible and consistent with state and local laws, in-person. Any paid leave to staff beyond this time must be approved by the Grant Officer.

    Yes. 2 CFR 200.431(b) states that a leave policy is allowable if is an established, written policy that applies equitably and consistently to all staff regardless of employee class, and if it is reasonable. However, a state or grantee may only charge an employee’s paid-time-off to the Federal grant if it is the state’s/grantee’s overarching policy to pay all employees in this situation, regardless of the funding source used to cover such an expense. If a grantee amends its existing leave policy or develops a new emergency leave policy applicable to all employees affected by the COVID-19 pandemic, costs incurred under that policy would be allowable provided they meet the requirements in 2 CFR 200.431(b). For any change in policy that impacts the budget, competitive or discretionary grantees may need to submit a budget realignment request. If the change in policy impacts an approved indirect cost rate or cost allocation plan, the grantee must request a change or obtain an extension from its federal cost negotiator. Grant recipients and subrecipients must maintain appropriate records and cost documentation as required by 2 CFR 200.302 - Financial management and 2 CFR 200.333 - Retention requirement of records to substantiate the charging of any salaries and other project activities costs related to interruption of operations or services. Salary and Bonus limitations (Pursuant to P.L. 115-141, Division H, Title I, Section 105) remain in effect. At this time, no additional funds will be provided by ETA to cover these expenses. Should the need for such leave be longer than 60 days, ETA will provide additional guidance on these paid leave policies.

    Q: Can WIOA formula and competitive grants continue to pay wages or stipends if program participants were actively being served prior to the pandemic or if they were in a work experience placement (e.g., subsidized employment, OJT, paid internship) which has been recently cancelled due to COVID-19?

    Response: If the program participant’s time commitment, stipend structure, and/or other academic or work terms were established prior to the national health emergency declaration, grantees should continue to pay the participant for the remainder of the established term.

    Q: Can grantees who are interested in applying for a Small Business Administration Payroll Protection Program loan use ETA grant funds to pay back the loan?

    Response: No. A grant recipient or subrecipient should not use grant funds to repay the Payroll Protection Program (PPP) loan. There should be no need to take out a PPP loan to cover grant payroll expenses because ETA grant funds can be used to cover salaries and fringe benefits and paid leave during this emergency. See the published FAQs located at https://www.workforcegps.org/resources/2020/03/18/23/35/Coronavirus-COVID-19-Resources. For further information on PPP, please see the interim final rule at https://www.sba.gov/sites/default/files/2020-04/PPP--IFRN%20FINAL_0.pdf.

    Q: During the pandemic, can grantees charge the grant for an employee's sick or family leave if such costs were originally to be allocated to the subrecipient contract.

    Response: No. Any pandemic-related paid leave must be charged to the contract from which the employee is paid. If a grantee has a contract with a subrecipient and the employees of the subrecipient are paid sick leave or family leave, the cost must be billed and charged to the subrecipient contract.

    Q: Can grant recipients, subrecipients, and service providers continue to pay participants and/or employers if their work site is still shut down or training or work cannot be provided?

    Source : www.dol.gov

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    The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)

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