UHC Ethics And Compliance Exam Section
For Certification With 100% Correct And
Verified Answers
What is a servicing agent? - Correct Answer-an inactive,
nonemployee who has signed a servicing agreement in order to
receive renewal commisions on medicare advantage and
prescription drug plan enrollments on or after 1-1-2014. the agent
must maintain an active resident license and appointment and
pass medicare basics and ethics compliance assessments on an
annual basis
What does CMS stand for? - Correct Answer-center for medicare
and medicaid services
Who administers the medicare program and contracts with private
health care companies to offer medicaid plans? - Correct Answer-
CMS
Who holds the authority to approve or disaprove plans that can be
sold, and is the regulating agency that also monitors our
progresses? - Correct Answer-CMS
Who regulates MA's and PDP's - Correct Answer-CMS
Enrolling a customer in a plan when you are not certified in the
product is non-compliant and considered____? - Correct Answer-
an unqualified sale
Agents who are not qualified to sell the product will not be? -
Correct Answer-compensated and may receive corrective and or
disciplinary action up to an including termination
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,What is the purpose of an educational event? - Correct Answer-its
designed to inform medicare consumers about original medicare,
medicare advantage, prescription drug and other medicare
programs.
Where must educational events be conducted? - Correct Answer-
in a public venue
Are the educational events unbiased so that it doesn't steer the
consumer towards a specific plan or limited number of plans? -
Correct Answer-yes
WHat is a marketing/sales event? - Correct Answer-an event
designed to steer or attempt to steer, consumers toward a plan or
limited set of plans. Agents may discuss plan specific information
and collect applications.
Can marketing/sales be formal or informal? - Correct Answer-both
What describes a formal marketing/sales event? - Correct Answer-
a full plan presentation, given in a presenter-audience format.
What is an inform marketing/sales event? - Correct Answer-they're
passive in nature where the consumer approaches the agent to
engage in conversation. a booth, table, or kiosk is typically used
What are marketing appointments? - Correct Answer-
They're commonly referred to as "in home, face to face, or
one on one appointment" and typically take place in the
consumers home.
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, What other places can marketing appointments happen? -
Correct Answer-coffee shop, or even over the phone
because marketing appointments are not formal and
informal marketing sales events, they're not reported to
who? - Correct Answer-UHC or CMS. instead, agents must
obtain a completed scope of appointment prior to conducting
the appointment.
To report events, what should agents use? - Correct Answer-
an event request form
to ensure that events are in UHC's event reporting
application no less than 7 calender days prior to the event... -
Correct Answer-submit the event request form, according to
instructions on the form, NO LESS THAN 14 CALENDAR
DAYS
event request forms submitted within7 calendar days will
NOT be what? - Correct Answer-processed
conducting an unreported event is _____? - Correct Answer-
prohibited
to schedule a sign language interpreter for a formal
marketing/sales event or a personal/individual marketing
appointment, enter the consumer's request direct;y in
bconnected at least? - Correct Answer-14 days prior to the
event or appointment
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