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They've asked you to come to their home to clear up a few questions. Prescription drug plan because his retiree plan does not cover two important. At the beginning of the presentation, which of the following must you do? By contacting plans available in your area, you have learned that the plan you represent has a significantly lower monthly premium than the others. Available to low income individuals under the Medicare program? Mr. Ziegler is turning 65 next month and has asked you what he can do, and when he must do it, with respect to enrolling in Part D. What could you tell him? Is this a prohibited activity at an event that has been advertised as educational? A period, outside of the Annual Election Period, when a Medicare beneficiary can select a new or different Medicare Advantage and/or Part D prescription drug plan. Also provide your recommendation for MCC and a rationale for that recommendation.

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Provided taxable income only sporadically. All Medicare marketing rules. Ms. Brooks has an aggressive cancer and would like to know if Medicare will cover hospice services in case she needs them. Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage. Ms. Gardner is currently enrolled in an MA-PD plan. It would like to use its enrollees' protected health information to market non-health related products such... [Show More] as life insurance and annuities. This month, you identify the same enrollees on the report again. Ms. Deboy was a homemaker and was employed in jobs that. As a result of violations of ACA Section 1557 nondiscrimination rules, Question #366. Agent Willis believes that the choices they made are not ideal for them and would like to get their business back during the Medicare Advantage Open Enrollment Period (MA-OEP). Client Mildred Jones has expressed interest in a Medicare Advantage plan. Whose email address may the agent enter into the LEAN enrollment application? Centene's 2023 product expansion represents a __% increase from 2022. Eleanor takes several high-cost prescription drugs.

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Authorization may be obtained by directing a beneficiary to a website to provide consent. Which of these statements is true about the drug utilization management (UM) rules? Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare would become the primary payor of his healthcare claims and Smallcap does not have to continue to offer him coverage comparable to those under age 65 under its employer-sponsored group health plan. Anita's older neighbor Mel has told her about the Medigap Plan F in which he is enrolled. Based on the information provided, which consumer must wait until the Annual Election Period (AEP) or Open Enrollment Period (OEP) to enroll? She is in excellent health and will have considerable income when she retires. You have received an advertisement from a vendor who says they can provide you with an extensive list of publicly available e-mail addresses for individuals who are Medicare beneficiaries. Third drug works for him and it is not on his Part D plan's formulary. Last year Agent Melanie Meyers marketed and enrolled several clients in Medicare Advantage (MA) health plans.

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Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under the Part D program, and Cost plans must accept enrollments during these periods. Which of the following statements best describes what you can and cannot do in order to stay in compliance? Anita intends to enroll in Original Medicare Part A and Part B. She may enroll in an MA plan beginning three months immediately before her first entitlement to both Medicare Part A and Part B. Goodman enrolled in an MA-PD plan during the Annual Election Period. Marketing Resources. Correct Which of the following statements about Medicare Part D are correct? Under ACA Section 1557, a health plan premium sold through a state exchange may, based on an individual's age, Question #363. He has a stand-alone. His neighbor recently told him about a concept called TrOOP and he asks you if any of his other medications could count toward TrOOP should he ever reach the Part D catastrophic limit. Mr. Barker had surgery recently and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. Co-payments associated with Original Medicare. They are not required to offer the standard plan. Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan or switch to a different plan?

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The retiree plan, he may not be able to get it back and he also may lose his. You have decided to focus on doing in-home presentations to market the Medicare Advantage (MA) plans you represent. Mr. Diaz continued working with his company and was insured under his employer's group plan until he reached age 68. Enrollments through Ascend offer the following unique benefits: - Validation of important data to help prevent incorrect or missing information. Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums and cost sharing. You could continue calling Gladys until you reach her and. Mr. Nunez attended one of your sales presentations. Since the employer plan does not cover prescription drugs, she wants to enroll in a Medicare prescription drug plan. OPEN THE SPREADSHEET TLA_CH11. What CMS compensation rules apply to this situation?

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Waste includes any misuse of resources, such as the overuse of services or other practices that directly or indirectly result in unnecessary costs to the Medicare Program. Wellcare offers a range of Medicare plans to provide members with affordable access to: Question #427. Ms. Townsend wants to understand the relationship between. What can you do in this situation? Several agents you work with are planning sales events in. Enrollment form for a MA-PD plan you represent.

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The process must include a clear and distinct step that requires the applicant to activate an "Enroll Now" or "I Agree" type of button or tool. XYZ Agency maintains a website marketing the MA plans with which it has contracts. Where might he turn for help with his prescription drug costs? What advice would you give Mr. Rockwell about special election periods (SEPs)? The Part B deductible is no longer covered for individuals newly eligible for Medicare starting January 1, 2020. You will be holding a sales event soon, at which you would like to offer door prizes to attendees. Which of the following best describes the obligation(s) of Winthrop Brokerage regarding the advertisement?

Should you include on your tip list? He has had a successful business career and is now able to retire with a comfortable income. The POS option might be a good solution for him as it will allow him to visit out-of-network providers, generally without prior approval. Which Medicare programs are covered by ACA Section 1557? Which of the following statements best describes the scope of operations subject to Section 1557 under the 2020 Final Rule? Onboarding and Certifications. Gift or prize exceeds the $15 limit he believes his plan is acceptable. Which of the following best describes the responsibilities of Ms. Lopez?

Toronto's Hospital for Sick Children was hit with a ransomware attack in late December that delayed lab results and shut down phone systems. Q: On the subject of deterring crime, there are people who disagree with defunding police departments based on the fear that crime would increase, and then there wouldn't be enough police officers to address that. Editor, Carolyn Fox. Due to the massive number of books sent our way each year, we cannot give all of them a full review. What are some examples of what new models of public safety could potentially look like? It's every country for themselves. Doing this, advocates argue, free up police departments to respond to violent crimes, rather than having to respond to mental health crises or homelessness or behavioral challenges in schools, for which their departments aren't trained or fully equipped to respond to. Federal legislation authorized the transfer of military-grade equipment (e. g., grenade launchers, fully automatic weapons, armored vehicles, and aircraft) to state and local police departments. "In general, our policy is not to pay for ransomware. "The ransomware, phishing emails of five years ago are not the same as the ransomware emails of today. What a paper jam may cause crossword jam. And for others, it will look like very little reliance of police at all in Black and Latinx communities.

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But everything looks like a law enforcement issue to the police. However, many vulnerable communities do not feel safe. Cobbina: Many of these neighborhoods where violence is common have high rates of poverty, unemployment, underemployment, high levels of decay, and long histories of structural discrimination.

Requests for calendar spotlights must be made at least two weeks in advance and must be accompanied by a good-quality photograph representing the event [minimum 300 dpi if emailed]. Advocates of defunding police departments look to bolster neglected services in underserved communities. Click here for club date submission form. Q: We know that advocates of defunding police departments are pushing for a reimagining of what public safety would look like, by redirecting that tax money to programs addressing issues like homelessness, mental health, substance misuse, education, youth services and more. Music will be reviewed roughly in the order received, with consideration given to release-party dates. What a paper jam may cause crossword puzzle. Short fiction is published once a year, in the Winter Reading Issue, and is assigned by the editors. Poetry books may be submitted for review to: We generally do not review self-published poetry. No phone calls, please! Jennifer Cobbina is an associate professor in the School of Criminal Justice at Michigan State University whose research focuses on race, policing and protests. Please note that we are not looking for new cartoons at this time, but will keep yours on hand for consideration at a later date. With the mediator's assistance, the victim and offender begin to resolve the conflict and to construct their own approach to achieving justice in the face of that particular crime.

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The cyber centre releases an annual report detailing threats and rated ransomware as the threat most likely to hit Canadians. The agency has identified four occasions so far in which it used those powers, including once against a group of cyber criminals, but it was vague on the details of those operations. Local police departments had access to cash and military equipment earmarked for the drug war. Defunding police to build stronger social services in communities - The. "The IT systems are old, and they'd been under invested in because no one wins an election saying we bought new servers for the hospital.

We're seeing, also, capabilities that used to be in the nation state category now move into the cyber criminal organization, " he said. What does this fear — that a focus on social services would come at the expense of enforcing laws — say about our understanding of policing and how it should work? Please send a cover letter stating your objectives and interests, along with a resume and estimated schedule for the semester. "Our Communications Security Establishment has some amazing capabilities and it's time to build out an offensive cyber capacity, " he said. "They've lost a lot of their wealth and they're gonna have to go back and really work it, and that, I think, is going to prompt new ingenuitive attacks. Why is my printer saying paper jam. This type of justice holds people accountable while still holding them in the community. We've heard the calls from protesters, community organizers and activists to defund police departments across the country, and in the subsequent conversations about what that means, the general understanding is to redirect tax money from police departments to various social service programs. We aren't inside the walls and the reality is the economy depends on us delivering the goods inside the castle, " he said. Shipley acknowledges the government and the cyber centre do good work keeping government systems operating and secure, but he said they're like a medieval castle, with the rest of the country outside the walls. You may occasionally receive promotional content from the San Diego Union-Tribune.

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"Unfortunately for ransomware, I would say cyber criminals are indiscriminate and they have no scruples and they think that they can make money by affecting organizations that cannot afford any downtime then they will go after those organizations, " he said. He said he is particularly worried about health care where there isn't enough incentive to invest in upgrading technology. For another group, it will be a rejection of public safety being narrowly defined solely by crime rates and instead include high school graduation rates, employment rates and health statistics. And Lauren Speigel is research director at The Policing Project at New York University School of Law, and a former senior policy advisor on gun violence prevention to the mayor's office in Chicago. Lauren Speigel: Over the last few weeks, a widespread call has emerged for police reform and accountability across the United States, often framed in the language of "defunding" the police. These dollars have been used on police technology, surveillance equipment, manpower, and increased training in diversity, implicit bias, and de-escalation. How would this kind of investment deter the kind of crime that people typically expect police to protect them from? What led to cutting funding for social services and moving it into police departments? This could be the worst year ever for ransomware attacks: experts | National Post. Are there other ideas for reimagining what policing looks like and how it would function once it's defunded? News Editor, Matthew Roy.

Check out our interactive dating site at Problems/questions? Effort needs to be on helping communities, especially those that are most vulnerable, flourish rather than on trying to prevent bad things from happening. Anonymous letters will not be published. "They have made hundreds of millions, if not billions of dollars, on the back of ransoms, primarily facilitated through bitcoin, " he said. Q: In the weeks since the most recent protests against the killings of unarmed Black people have spread across the U. S. and to other countries, the call to defund police departments has grown with it. Burlington, VT 05402. The EI program runs on COBOL, a program language not widely in use today. Officials are confident the federal government is adequately secured from cyber attacks, but the tactics are always evolving. They will not be returned. The misalignment of problem and solution leads to many tragic and avoidable outcomes, and also fails to resolve the underlying social policy problems police are being called to address, many of which are marked by significant racial inequities. "We've seen a growth and sophistication of some of these ransomware events.

"There are attempts at penetrating the government to deploy ransomware. He said a recent FBI raid on Hive, a ransomware group, could slow down the amount of activity, but the barrier to entry for cyber crime is incredibly low and new groups will come into the market. Movie Clips, Reviews, Showtimes: Margot Harrison. If you want to write for Seven Days, please email a résumé, cover letter indicating your areas of interest/expertise and story proposals, if any, along with at least three published writing samples to Publisher/Editor-in-Chief Paula Routly. To be considered, you must submit this form. Q: And how has that increase in funding shaped the way we've seen policing evolve in the years since? This requires a different idea of policing and public safety. So, again, never say never, but as far as we know, there hasn't been any payment. And poor Black and brown communities are the ones who are most vulnerable to these cuts. We do not accept interns under age 18. Q: In looking for examples of successful reform and successful defunding, conversations online have pointed to the police department in Camden, New Jersey, and a pilot program in Dallas, Texas (although Camden didn't defund, they chose reform through measures like increased community policing, de-escalation training, and an 18-page use-of-force policy). Ivan acknowledges the programs are older, but says updates are underway while ensuring the system remains stable until they are complete. Seven Days does not accept unsolicited fiction. Shirley Ivan, chief information security officer for the Government of Canada, says the federal government has never paid ransomware.

Shipley said the government should be prepared to use them more often. Applicants must be earning college credit.