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2024 Ethics and Compliance Assessment – MC EXAM QUESTIONS AND CORRECT ANSWERS.
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2024 Ethics and Compliance Assessment – MC EXAM QUESTIONS AND CORRECT ANSWERS.
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2024 Ethics and Compliance Assessment – MC EXAMQUESTIONS AND CORRECT ANSWERS
On .October .20, .Aries .decides .to .switch .his .PDP .to .a .Medicare .Advantage .plan. .Aries .would .like .this .
change .to .be .effective .November .1. .Which .statement .is .true .for .Aries? .- .(correct .answer) .-
He .may .be .able .to .use .a .Special .Election .Period .to .change .plans .if .he .qualifies .for .one.
Annual .Election .Period .(AEP) .is .a .time .when. .. .- .(correct .answer) .-
Consumers .can .elect .to .switch .to .a .different .plan .or .join .a .Medicare .Advantage .plan .or .Prescription
.Drug .Plan.
Which .statement .regarding .Star .Ratings .is .true? .- .(correct .answer) .-Medicare .uses .a .5-
star .rating .system .to .illustrate .a .plan's .performance .and .quality.
Which .of .the .following .is .not .considered .unsolicited .contact .with .a .Medicare .eligible .consumer .acco
rding .to .CMS .regulations .and .UnitedHealthcare's .rules, .policies, .and .procedures? .- .(correct .answer) .-
Mailing .a .marketing .brochure .to .the .consumer .via .postal .mail.
What .information .should .be .obtained .from .the .consumer .when .conducting .a .thorough .needs .assess
ment? .(Select .2) .- .(correct .answer) .-
Their .current .health .care .coverage, .including .what .they .like .about .it .and .what .they .don't.
The .providers .they .see .and .medications .they .take .to .determine .network .and .formulary .status.
Whose .email .address .may .the .agent .enter .into .the .applicant .information .section .of .LEAN .enrollmen
t .application? .- .(correct .answer) .-Only .the .consumer's .email .(or .leave .it .blank).
The .__________ .ensures .that .when .consumers .provide .their .verbal .agreement .during .the .telephoni
c .enrollment, .they .acknowledge .and .understand .they .are .actually .enrolling, .in .which .plan .they .are .e
nrolling, .as .well .as .the .standard .disclosures. .- .(correct .answer) .-Statement .of .Understanding
Which .of .the .following .must .an .agent .obtain .from .the .consumer .no .less .than .48 .hours .
(unless .an .exception .applies) .before .an .in-person, .online, .or .telephonic .marketing .appointment? .- .
(correct .answer) .-Scope .of .Appointment
Which .statement .is .accurate .when .a .consumer .has .a .Power .of .Attorney .(POA)? .- .(correct .answer) .-
If .the .POA .signs .the .Enrollment .Application, .they .must .be .able .to .provide .documentation .upon .requ
est .by .the .Plan .that .indicates .authority .under .state .law .to .enroll .the .consumer.
, What .happens .on .the .plan .effective .date .when .a .member .enrolled .in .a .Medicare .Supplement .Insur
ance .Plan .and .stand-
alone .PDP .enrolls .in .a .Medicare .Advantage .plan .that .includes .drug .coverage? .- .(correct .answer) .-
When .MUST .an .MA .Plan .or .stand-alone .PDP .disenroll .a .member? .- .(correct .answer) .-
When .eligibility .requirements .are .no .longer .met
Aries .is .currently .a .member .of .a .stand-
alone .PDP. .Aries .would .like .to .have .additional .medical .coverage. .A .thorough .needs .analysis .indicate
s .a .Medicare .Advantage .Plan .would .be .a .good .fit, .there .are .plans .available .in .his .area, .and .he .is .in .
a .valid .election .period. .Which .option .is .available .to .Aries? .- .(correct .answer) .-
Aries .can .enroll .into .a .Medicare .Advantage .plan .with .prescription .drug .coverage, .which .will .disenrol
l .him .from .his .PDP.
As .an .agent, .you .have .an .obligation .to .only .enroll .a .consumer .in .a .product: .- .(correct .answer) .-That
.is .suitable .for .the .consumer's .needs, .goals .and .financial .resources.
Dino, .an .agent, .received .a .phone .call .on .September .29 .from .a .consumer .interested .in .Medicare .Ad
vantage .plans .for .the .new .plan .year. .Dino .proceeded .to .verify .the .consumer's .Medicare .eligibility, .d
escribe .the .costs .and .benefit .coverage .of .the .plan, .and .explained .that .he .could .not .accept .an .enroll
ment .application .until .October .15. .What .did .Dino .do .that .was .NOT .compliant? .- .(correct .answer) .-
Dino .presented .a .plan .prior .to .October .1.
Which .of .the .following .are .examples .of .lead .generation .materials .that .might .result .in .an .inbound .ca
ll .from .a .Medicare-eligible .consumer? .- .(correct .answer) .-Direct .mail, .TV .ads, .billboards
Jane, .a .consumer, .calls .your .call .center .and .asks .to .be .enrolled .in .the .plan .that .will .put .money .bac
k .into .her .Social .Security .every .month. .What .do .you .keep .in .mind .when .you .hear .the .consumer .me
ntion .a .specific .plan .benefit .from .an .ad? .(Select .3) .- .(correct .answer) .-
While .I .take .note .of .what .might .be .important .to .the .consumer, .I .do .not .want .to .rely .on .one .benefi
t .and .become .biased .as .to .what .type .of .plan .to .recommend
I .make .sure .whatever .plan .I .recommend .has .that .stated .benefit .because .I .know .it .will .be .the .best .
fit .plan .for .the .consumer
I .remember .to .not .overlook .the .importance .of .a .thorough .needs .assessment .Wrong
What .are .you .required .to .do .prior .to .making .a .plan .recommendation? .- .(correct .answer) .-
Conduct .a .thorough .needs .assessment .to .make .sure .I .gather .information .about .the .consumer's .situ
ation .and .preferences
What .is .the .purpose .of .a .needs .assessment? .- .(correct .answer) .-
To .gather .as .much .information .about .the .consumer .as .possible .to .ensure .I .am .recommending .the .p
lan .that .is .the .best .fit .for .the .consumer
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