UHC ethics and compliance section for certification

UHC ethics and compliance section for certification 1. What is a servicing agent?: an inactive, nonemployee who has signed a servic- ing 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 2. What does CMS stand for?: center for medicare and medicaid services 3. Who administers the medicare program and contracts with private health care companies to offer medicaid plans?: CMS 4. Who holds the authority to approve or disaprove plans that can be sold, and is the regulating agency that also monitors our progresses?: CMS 5. Who regulates MA's and PDP's: CMS 6. Enrolling a customer in a plan when you are not certified in the product is non-compliant and considered ?: an unqualified sale 7. Agents who are not qualified to sell the product will not be?: compensated and may receive corrective and or disciplinary action up to an including termination 8. What is the purpose of an educational event?: its designed to inform medicare consumers about original medicare, medicare advantage, prescription drug and other medicare programs. 9. Where must educational events be conducted?: in a public venue 10. Are the educational events unbiased so that it doesn't steer the consumer towards a specific plan or limited number of plans?: yes 11. WHat is a marketing/sales event?: 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. 12. Can marketing/sales be formal or informal?: both 13. What describes a formal marketing/sales event?: a full plan presentation, given in a presenter-audience format. 14. What is an inform marketing/sales event?: they're passive in nature where the consumer approaches the agent to engage in conversation. a booth, table, or kiosk is typically used 15. What are marketing appointments?: They're commonly referred to as "in home, face to face, or one on one appointment" and typically take place in the consumers home. 16. What other places can marketing appointments happen?: coffee shop, or even over the phone 17. because marketing appointments are not formal and informal marketing sales events, they're not reported to who?: UHC or CMS. instead, agents must obtain a completed scope of appointment prior to conducting the appointment. 18. To report events, what should agents use?: an event request form 19. to ensure that events are in UHC's event reporting application no less than 7 calender days prior to the event...: submit the event request form, according to instructions on the form, NO LESS THAN 14 CALENDAR DAYS 20. event request