UHC
2024
Ethics
&
Compliance
Assessment
Annual
Election
Period
(AEP)
is
a
time
when.
.
.
-
✔✔
-Consumers
can
elect
to
switch
to
a
different
plan
or
join
a
Medicare
Advantage
plan
or
Prescription
Drug
Plan.
Aries
is
currently
a
member
of
a
stand-alone
PDP.
Aries
would
like
to
have
additional
medical
coverage.
A
thorough
needs
analysis
indicates
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?
-
✔✔
-Aries
can
enroll
into
a
Medicare
Advantage
plan
with
prescription
drug
coverage,
which
will
disenroll
him
from
his
PDP.
Cynthia
is
turning
65
on
July
5.
Her
Medicare
Part
A
and
Part
B
will
be
effective
on
July
1.
Using
her
Initial
Election
Period
(IEP),
when
can
she
submit
an
application
for
a
Medicare
Advantage
or
Prescription
Drug
plan?
-
✔✔
-April
1
through
October
31
In
what
product
should
agents
enroll
consumers?
-
✔✔
-A
product
that
is
suitable
for
the
consumer's
needs,
goals
and
financial
resources.
In
which
situation
MAY
the
Medicare
Advantage
(MA)
organization
decide
to
disenroll
a
member
from
an
MA
plan?
-
✔✔
-Premiums
are
not
paid
on
a
timely
basis
Mrs.
Violet
asks
agent
Bob
where
she
can
find
the
Star
Rating
for
the
plan
he
has
been
presenting.
Which
statement
is
correct?
-
✔✔
-Mrs.
Violet
can
access
the
Star
Rating
for
a
plan
on
Medicare.gov
or
in
the
Enrollment
Guide.
Select
the
option
that
describes
the
coverage
combinations
a
member
can
be
enrolled
in
at
the
same
time.
-
✔✔
-MA-Only
PFFS
plan
and
a
stand-alone
PDP
What
is
the
purpose
of
the
Statement
of
Understanding?
-
✔✔
-It
ensures
that
when
consumers
complete
the
Medicare
Advantage
and/or
Part
D
Enrollment
Application,
they
are
acknowledging
their
understanding
that
they
are
actually
enrolling,
in
which
plan
they
are
enrolling,
and
standard
disclosures.
Which
of
the
following
describes
Permission
to
Contact
(PTC)
guidelines?
-
✔✔
-Contact
can
only
be
made
by
the
method(s)
requested
by
the
consumer
and
the
agent
can
only
market
the
product(s)
indicated
by
the
consumer.
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?
-
✔✔
-Scope
of
Appointment
Which
statement
about
discussing
benefits
with
the
consumer
before
an
enrollment
is
true?
-
✔✔
-The
agent
must
explain
any
provider
and/or
pharmacy
network
limitations.
Which
statement
is
accurate
when
a
consumer
has
a
Power
of
Attorney
(POA)?
-
✔✔
-If
the
POA
signs
the
Enrollment
Application,
they
must
be
able
to
provide
documentation
upon
request
by
the
Plan
that
indicates
authority
under
state
law
to
enroll
the
consumer.
While
using
LEAN
to
complete
an
enrollment
application
with
a
consumer,
Agent
Jeff
learns
the
consumer
does
not
have
an
email
address.
What
should
Jeff
do?
-
✔✔
-Leave
the
field
requesting
a
consumer
email
address
blank.
Why
must
an
agent
present
accurate,
complete,
and
factual
plan
information
to
consumers?
(Select
3)
-
✔✔
--To
help
avoid
misunderstandings
-To
help
avoid
confusing
the
consumer
-To
help
the
consumer
focus
on
plan-specific
information,
such
as
benefits
and
costsPowered by TCPDF (www.tcpdf.org)
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