UHC ETHICS AND COMPLIANCE SECTION
CERTIFICATION EXAM NEWEST 2024-2025
COMPLETE 190 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
When a consumer walks into an agent's office or a UHC
medicarestore, the agent must obtain an SOA - ANSWER- prior
to discussion
In leu of a SOA form, agents must announce the products that
will be presented at the formal or informal marketing/sales event
- ANSWER- agents may obtain an SOA for future face to face
or telephonic appointments if the consumer requests the future
appointment at the marketing/sales event
when conducting face to face or telephonic appointments to
present MA and or PDP plans, the agent MUST - ANSWER- 1)
obtain a signed SOA from the consumer prior to the start of the
appointment
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2) obtain a new SOA when the consumer or agent requests to
discuss a health related product not identified on the original
SOA. once obtained, the new product may be discussed
SOAs must be submitted how? - ANSWER- via fax or emailed
within 2 business days following the scheduled appointment
contracted agents using the generic SOA form must also include
- ANSWER- the corresponding fax coversheet
medicare marking guidelines prohibit marketing non-healh
related products (annuities, life insurance, LT
disability/disability plans) when presenting what to a consumer?
- ANSWER- MA plan or PDP plas
what is an authorized representitive? - ANSWER- is a person
who is authorized under state law to complete the enrollment
application, make health care decisions on behalf of the
consumer and is authorized to receive health care related on
his/her behalf
in order to determine if a POA or authorized representitive is
needed when enrolling a consumer, the agent MUST___? -
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ANSWER- consider the consumers mental and physical ability
to enroll themselves
if a consumer appears to have either a physical and or mental
challenges that may impede their ability to enroll themselves in
a plan, you must ask if they have a ____ or ____? - ANSWER-
POA or authorized representitive
a person assisting, including an agent cannot sign the enrollment
application on behalf of the - ANSWER- consumer.
only the consumer, POA, or authorized representative can sign
the enrollment application
agents can offer promotional gifts to attendees of any event type
as long as such gifts are of nominal retail value. nominal value is
any item _____ or less - ANSWER- $15 or less
the combined value of all giveaway items including food, must
not exceed______ per consumer - ANSWER- $15
What types of gifts are prohibited regardless of the amount? -
ANSWER- cash, gift certificates, gift cards, monetary rebates,
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as well as charitable contributions made on behalf of the
consumers/members
you must state that accepting a gift or prize does not obligate a
consumer to - ANSWER- enroll
when providing gifts, you must offer to - ANSWER- all persons
whether or not they're eigible for medicare
giving gifts to solicit business is - ANSWER- prohibited
what is the real on meals for sales/marketing events? -
ANSWER- it is prohibited including personal and individual
marketing appointments
agents may serve light refreshments providing the items cannot
be combined to equal a - ANSWER- meal.
Are you required to disclose compensation? - ANSWER- no
Define compensation according to CMS? - ANSWER- monetary
or non-monetary remuneration of any kind relating to the sale or
renewal of a policy including, but not limited to, commission,
bonuses, gifts, prizes, awards, and referral/finder's fees.
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