Systems/Overview
Individual Enrollment/Disenrollment
TRC/LIS
Election Periods/Address Change
Group Enrollment/Disenrollment
100
The name of our Part D program.
What is Silverscript
100
The group number for individual accounts is what?
What is 2 million series
100
This is where you validate LIS levels.
What is Marx
100
What is the Hierocracy of enrollment periods.
IEP/SEP/AEP
100
What does RDS stand for?
Retiree Drug Subsidy
200
Does everyone with Part D pay the same premium
NO
200
Who is allowed to submit a disenrollment request.
the member or legal rep (POA)
200
This is the TRC that is associate with LIS.
What is 121
200
What is the election period for some one who has both Medicare and Medicaid (Dual Eligible)
What is SEP
200
It is not possible for a group to request a retro involuntary disenrollment.
False
300
This is the system where TRC's are worked out of.
What is Pega
300
If an enrollment is missing other information, outside of the election type, and it cannot be resolved by an OBC, the next step is?
What is ICE (incomplete enrollment)
300
The name of the document that is a comprehensive list of TC's and TRC's.
What is PCUG
300
What is the election period for some one who has been eligible for medicare prior to turning 65, and is now turning 65.
IEP II
300
What is the PBP for Group Members
What is 800 Series
400
The name of the print vendor that uses Oneclick
What is O'neil
400
Is it true or false that a member can disenroll at anytime?
What is False
400
The color of the letter that is sent to the member to let them know they will be auto-enrolled.
What is Yellow
400
True or False- If an individual request that mail be sent to an alternate address, such as a POA or Legal Guardian, the PDP sponsor should NOT accommodate this request?
False
400
What is the enrollment period for all group enrollments
What is SEP
500
Where are you Work Instructions located.
Rx Source
500
Who determines the effective date of valid disenrollments.
What is PDP
500
How long is the Turn Around Time (TAT) for TRC's.
What is 24 hours
500
What is the system where we update members addresses.
What is Facets
500
What does a TRC 127 indicate?
An individual who is being claimed for RDS