Ethics and Compliance Assessment - United Healthcare Study Guide.

Ethics and Compliance Assessment - United Healthcare Study Guide. 1. On October 20, Aries decides talks He may be able to use a Special Election Period to change with an agent to switch his PDP that he had since January 1 to a Medicare Advantage plan. What election period will Aries need to use(if eligible) to get a November 1 effective date? 2. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? 3. In which of the following situa- tions can telephonic contact be made with a Medicare eligible con- sumer? 4. Which of the following are exam- plans if he qualifies for one. The plan's Star Rating is available on M, the Plan's website, or in plan specific material, such as the Enrollment Guide. When the consumer consented to be contacted for sales activities and the permission has not yet expired. The plan's network characteristics and how using ples of what an agent must review out-of-network providers may impact coverage and with a consumer prior to complet- ing an enrollment application? 5. When completing an enrollment application in JarvisEnroll, why is an agent prohibited from entering their own email address in a field available for the consumer's email address? 6. By agreeing to the Statement of Understanding, the consumer: 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. 7. When must the Scope of Appoint- ment be obtained from the con- sumer for an in-person or tele- phonic sales presentation(unless an exception applies?) 8. To complete an Enrollment Appli- cation on behalf of a consumer, Acknowledges that they clearly understand they are en- rolling in a plan, combined with knowing the specific plan in which they are enrolling. No less than 48 hours before the marketing appointment The individual must be legally authorized under applica- ble law in the state in which the consumer resides to act what authority must the individual on behalf of the consumer. have? 9. Which of the following options will Enroll in a PFFS MA-Only plan and a stand-alone PDP enable a consumer to obtain pre- scription drug coverage? Enroll in any MA-PD plan 10. What might happen if you rely on a I might be tempted to skip doing a thorough needs benefit or plan feature a consumer assessment and/or be biased only toward plans with that mentions they saw or heard in an ad? Aries is currently a member of a stand-alone PDP. Aries would like to have additional medical cover- age. A thorough needs analysis in- dicates a Medicare Advantage Plan would be a good fit, there are