Problem:
Agent Lopez helps Ralph to enroll in Top Choice Medicare Advantage plan during the Annual Open Enrollment Period. Ralph's effective enrollment date is January 1st. Ralph disenrolls on February 12th because he discovers that the plan does not cover services furnished by several of his longtime providers. Which of the following statements best describes the impact of Ralph's action upon Agent Lopez's compensation? Need Assignment Help?
Question Answer
a. Agent Lopez's compensation is not impacted because Ralph's disenrollment occurred more than 30 days after the effective date of coverage.
b. Agent Lopez is entitled to a pro rata amount of the compensation earned including the full amount for February.
c. Agent Lopez's entire compensation must be recouped because Ralph disenrolled within 3 months of enrollment.
d. Agent Lopez's compensation is not impacted because Ralph's disenrollment occurred after the Annual Open Enrollment Period.