UHC Certification Ethics and
Compliance Exam Questions and
Answers Graded A+ | Latest
2024/2025
Define compensation according to CMS?
- Correct 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.
What does compensation not involve?
- Correct Answer - payment of fees to comply with stat
appointment laws.: costs related to training, certification, and
testing requirements; reimbursement for mileage to and from
educational and marketing/sales events or marketing
appointments with consumers
Are you required to disclose compensation?
- Correct Answer - no
,What does ISR stand for?
- Correct Answer - internal sales representatives
What is a sales incentive plan?
- Correct Answer - Employed agents are paid an incentive when
specific goals have been met.
referral/finder's fees?
- Correct Answer - UHC does not sponsor a lead referral
program; therefore, no payment is made in exchange for a referral
or as a result of referred consumer's enrollment
Marketing fees?
- Correct Answer - Agents are prohibited from charging a
consumer or member any type of fee for the marketing of a
Medicare insurance product, including but not limited to : entrance
fees to attend educational or marketing/sales events, fees to
conduct a personal/individual meeting appointment, or to cover
the cost of materials
What is another name for compensation recovery?
- Correct Answer - charge backs
,What is compensation recovery?
- Correct Answer - Incentive amounts are deducted from a SIP
participant's incentive payment for previously paid advances on
sales that aren't earned. generally the result of a member's rapid
disenrollment from their plan, but can occur for other reasons.
When does rapid dis-enrollment occur?
- Correct Answer - it occurs when a member voluntarily dis-
enrolls or moves from one UHC plan to another prior to the
member's FOURTH month effective date following the original
effective date.
What does EDC stand for?
- Correct Answer - external distribution channel
What does ICA stand for?
- Correct Answer - independent career agent
How does UHC pay non-employee agents in the EDC and ICA? -
Correct Answer - pays on commission for enrollment of a
consumer into a UHC Medicare solutions MA plan, PDP, or med
sup insurance policies according to the terms of their agent
agreement.
, How are commissions paid on sales written by a solicitor?
- Correct Answer - paid to the solicitor's up-line.
for each MA, MA-PD and PDP enrollment, CMS determines if the
enrollment qualifies for
- Correct Answer - Initial or renewal compensation
If a member disenrolls from one plan and enrolls in another, CMS
determines the compensation type for the ______
- Correct Answer - new enrollment
What is initial compensation?
- Correct Answer - is paid at an amount at or below the fair
market value (FMV)
When a member enrolls in a plan and has no prior plan history,
the plan sponsor may pay the full year initial compensation
amount or a ?
- Correct Answer - pro-rated amount based on the number of
months the member is enrolled
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