Enrollment and Disenrollment Refresher

Member called in and stated that he wanted to disenroll from his active plan. Where will you transfer the call?

• MRC

• DEC

Member called in and stated that he has an enrollment dispute showing that the effective date is incorrect. What department should you be calling?

• MRC

• DEC

What do you call a team that is handling member requests related to enrollment or disenrollment and making efforts to retain the member through resolving issues and providing education?

• MRC

• DEC

What is the definition of SEP?

• Special Energy Pinnacle

• Special Election Period

• Special Elearner Price

This period provides Medicare eligible individuals an initial opportunity to enroll in Medicare and is a seventh-month period surrounding their birthday.

• IEP

• AEP

• OEP

• SEP

This period occurs annually between October 15 and December 7 and allows Medicare eligible individuals and opportunity to add, change or leave a plan.

• AEP

• IEP

• OEP

• SEP

Julie moved from Chicago to Hawaii and got disenrolled without her knowledge. Can he re-enroll?

• Yes

• No

What is the OEP Timeframe?

• Jan 1-Mar 1

• Jan 1 - Mar 31

• Jan 1 - Mar 21

• Jan 21 - Mar 31

What would be the timeframe for AEP

• Oct 12 - Dec 7

• Oct 15 - Dec 7

• Oct 11 - Dec 8

• Oct 13 - Dec 9

Robert didn't know he got disenrolled from her account. When he called in, the advocate stated that he enrolled to other plan. Robert stated that he didn't do that. Is he eligible for an SEP?

• Yes

• No