UHC
Ethics And Compliance Section For
Certification,With Correct
Answers,Study Guide Comprehensive
Questions,Deep Rationale.
This Document Contains;
• Uhc
• Correct Answers
• Study Guide
• Comprehensive Questions
• Deep Rationale.
,What is a servicing agent? - CORRECT ANS 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 ANS center for medicare and medicaid services
Who administers the medicare program and contracts with private health care companies to
offer medicaid plans? - CORRECT ANS 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 ANS CMS
Who regulates MA's and PDP's - CORRECT ANS CMS
Enrolling a customer in a plan when you are not certified in the product is non-compliant and
considered____? - CORRECT ANS an unqualified sale
Agents who are not qualified to sell the product will not be? - CORRECT
ANS compensated and may receive corrective and or disciplinary action up to an including
termination
What is the purpose of an educational event? - CORRECT ANS its designed to inform
medicare consumers about original medicare, medicare advantage, prescription drug and other
medicare programs.
Where must educational events be conducted? - CORRECT ANS 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 ANS yes
WHat is a marketing/sales event? - CORRECT ANS 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 ANS both
What describes a formal marketing/sales event? - CORRECT ANS a full plan presentation,
given in a presenter-audience format.
What is an inform marketing/sales event? - CORRECT ANS 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 ANS They're commonly referred to as "in
home, face to face, or one on one appointment" and typically take place in the consumers
home.
What other places can marketing appointments happen? - CORRECT ANS 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 ANS 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 ANS an event request form
Ethics And Compliance Section For
Certification,With Correct
Answers,Study Guide Comprehensive
Questions,Deep Rationale.
This Document Contains;
• Uhc
• Correct Answers
• Study Guide
• Comprehensive Questions
• Deep Rationale.
,What is a servicing agent? - CORRECT ANS 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 ANS center for medicare and medicaid services
Who administers the medicare program and contracts with private health care companies to
offer medicaid plans? - CORRECT ANS 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 ANS CMS
Who regulates MA's and PDP's - CORRECT ANS CMS
Enrolling a customer in a plan when you are not certified in the product is non-compliant and
considered____? - CORRECT ANS an unqualified sale
Agents who are not qualified to sell the product will not be? - CORRECT
ANS compensated and may receive corrective and or disciplinary action up to an including
termination
What is the purpose of an educational event? - CORRECT ANS its designed to inform
medicare consumers about original medicare, medicare advantage, prescription drug and other
medicare programs.
Where must educational events be conducted? - CORRECT ANS 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 ANS yes
WHat is a marketing/sales event? - CORRECT ANS 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 ANS both
What describes a formal marketing/sales event? - CORRECT ANS a full plan presentation,
given in a presenter-audience format.
What is an inform marketing/sales event? - CORRECT ANS 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 ANS They're commonly referred to as "in
home, face to face, or one on one appointment" and typically take place in the consumers
home.
What other places can marketing appointments happen? - CORRECT ANS 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 ANS 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 ANS an event request form