ROC Group Review

Which step is required when requesting a subgroup transfer in ROC region?

• Create a SharePoint

• Create a case in EMWS

• Place record On Hold for RFI

• Call the LOB

FEHB High Option B form can be submitted with a Group EF in which Region?

• Northern California

• Colorado

• Northwest

• Georgia

Group SEP must be used when processing a 'retro' effective date.

• True

• False

What information do I need from a member MSME screen to verify a Group offers Medicare?

• Group, Subgroup only

• Group, Subgroup, Bill Group

• MRN, MED#, DOB

• Group, Subgroup, Program Carrier

In ROC region, click Route by System when submitting an EMWS case.

• True

• False

Choose the correct Election Period and Effective date for this Group Enrollment.

• IEP for Part D, eff 06/01/2022

• Group SEP, eff 06/01/2022

• Five Star, eff 08/01/2022

• Send to Retro team eligible for 03/01/2022

What do you do when a HI member provides a new address on their EF?

• Send a SharePoint Escalations handoff

• Update in PEP

• Update in MP

• Call HI MRN Corrections

What is the appropriate product when a contract has Part D, but the member only has Part B & D entitlements per MARx?

• Enroll on MA-Only

• Enroll on EGHP MAPD

• Enroll on B & D only

• Enroll in FEHP

What election period would you use to enroll the member for an 01/01/2023 effective date?

• Five Star

• MA-OEP

• 2nd IEP

• AEP

What next steps would you take?

• Enroll Member eff. 11/01/2022 using IEP for Part

• Enroll Member eff. 05/01/2022 using W-SEP

• Leave in Work and submit Medicare Escalations handoff

• Deny for Out of Election.