UHC ethics and compliance section for certification(with complete solutions)
What is a servicing agent? correct answers 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 answers center for medicare and medicaid services Who administers the medicare program and contracts with private health care companies to offer medicaid plans? correct answers 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 answers CMS Who regulates MA's and PDP's correct answers CMS Enrolling a customer in a plan when you are not certified in the product is non-compliant and considered____? correct answers an unqualified sale Agents who are not qualified to sell the product will not be? correct answers compensated and may receive corrective and or disciplinary action up to an including termination What is the purpose of an educational event? correct answers its designed to inform medicare consumers about original medicare, medicare advantage, prescription drug and other medicare programs. Where must educational events be conducted? correct answers 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 answers yes WHat is a marketing/sales event? correct answers 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 answers both What describes a formal marketing/sales event? correct answers a full plan presentation, given in a presenter-audience format.
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- December 17, 2023
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