Options :
A. Refuse to change the date or waive the premiums, but decide not to mention the request to a supervisors or the compliance department
B. Make the requested changes because the sales agent determines the beneficiary's start date and monthly premiums
C. Tell the sales agent you will take care of it, but then process the application properly (without the requested revisions) - you will not file a report because you don't want the sales agent to retaliate against you
D. Process the application properly (without the requested revisions), inform your supervision and the compliance officer about the sales agent's request
E. Contact law enforcement and the Centers for Medicare & Medicaid Services (CMS) to report the sales agent's behaviro
Answer: D. Process the application properly (without the requested revisions), inform your supervision and the compliance officer about the sales agent's request.
Explanation: In the scenario described above, the sales agent request are huge and probably violates ideal business process. When such requests are made, it is important to take note of the requester and it's requests even though such request of rolling back enrollment date and waiving of monthly premium should not be processed. The appropriate heads and stakeholders should be duly informed such as the suowrvisor and compliance officer in other to investigate and uncover why such request was made by the sales agent and then take necessary steps required.
