Ethics and Compliance Assessment UHC Questions & Answers.

Ethics and Compliance Assessment UHC Questions & Answers. 1. Can consumer Gene, who enrolled in a Medicare Advantage (MA) Plan with a January 1 effective date, complete an enrollment applica- tion on February 15 for a different MA Plan? 2. Which of the following statements is true about using a 5-Star Special Enrollment Period (SEP)? 3. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? 4. Which of the following is not con- sidered prohibited unsolicited con- tact with a Medicare eligible con- sumer according to CMS regula- tions and UnitedHealthcare's rules, policies, and procedures? 5. Which of the following are exam- ples of what an agent must review with a consumer prior to complet- ing an enrollment application? 6. When completing an enrollment application in JarvisEnroll, why is an agent prohibited from entering Yes, he is still eligible to make a one-time change using the MA OEP election, and his new plan will be ettective March 1. It can be used once, from December 8 of the current year through November 30 of the next year, to enroll in a 5-star rated plan; coverage will start the first of the month following receipt of the enrollment application. The plan's Star Rating is available on M, the Plan's website, or in plan specific material, such as the Enrollment Guide. Next question Mailing a marketing brochure to the consumer via postal mail. The plan's network characteristics and how using out-of-network providers may impact coverage and costs, covered benefits and limitations, and plan related costs such as monthly premium and copayments/coin- surance for services received. The consumer/member would not receive plan related correspondence intended for them. their own email address in a field available for the consumer's email address? 7. What is the purpose of the State- ment of Understanding? 8. Which of the following must an agent obtain from the consumer no less than 48 hours (unless an exception applies) before an in-per- son, online, or telephonic market- ing appointment? 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. Scope of Appointment 9. To complete an Enrollment Applica- The individual must be legally authorized under applic- tion on behalf of a consumer, what able law in the state in which the consumer resides to authority must the individual have? act on behalf of the consumer (e.g., Power of Attorney). 10. Select the option that describes the MA-Only PFFS plan and a stand-alone PDP coverage combinations a member can use at the same time. 11. What guidelines must you keep in mind when receiving a call from a consumer as a result of an adver- tisement they read or heard? (Se- lect 2) 12.