MSA Compensation

Jul 22, 2019

  1. lifeismylife76
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    lifeismylife76 Expert

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    I am working on AHIP and I don't know the answer to this question about how MSA Agents are paid. Is it different than MAPD?

    Agent Roderick enrolls retiree Mrs. Martinez in a medical savings account (MSA) Medicare health plan. The MSA plan does not offer prescription drug coverage, so Agent Roderick also enrolls Mrs. Martinez in a standalone prescription drug plan (PDP). What CMS compensation rules apply to this situation?

    Choose one answer.
    a. Regular CMS and renewal compensation rules apply to the PDP enrollment, but compensation is limited to $100 for the MSA health plan enrollment in order to recompense CMS for contributions made to the enrollee’s MSA account.
    b. When an MSA Medicare health plan is combined with a PDP, initial and renewal year(s) compensation is paid only for the MSA enrollment in order to recompense CMS for contributions made to the enrollee’s MSA account.
    c. This situation is considered a “dual enrollment,” and CMS compensation rules are applied to the two plans at once and independently of each other.
    d. MSA Medicare health plans are subject to special rules limiting initial year compensation to 50 percent of the fair market value (FMV) published annually by CMS. Regular initial year enrollment rules apply to the PDP.
     
  2. lifeismylife76
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    lifeismylife76 Expert

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    Another question I don't know!!! - I think it's D

    You are doing a sales presentation for Ms. Duarte and her son. Ms. Duarte has some cognitive impairment and her son informs you that he has power of attorney to make financial decisions for her. Can he execute the enrollment for her?

    Choose one answer.
    a. Yes, he can execute the enrollment for her. A financial power of attorney is sufficient.
    b. No, he cannot execute the enrollment for her. Only Ms. Duarte can sign the form, regardless of her mental capacities.
    c. No, he cannot execute the enrollment for her. He must have a legal authorization, under state law that explicitly allows him to make health care decisions for his mother.
    d. Yes, he can execute the enrollment for her. He can do so because he is an immediate family member. No power of attorney is necessary.
     
  3. Chazm
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    Chazm Guru

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    I think question 1 is C, but don't quote me!
     
    Chazm, Jul 23, 2019
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  4. XpressInsurance
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    XpressInsurance Super Genius

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  5. David Taylor Jr
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