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Exam (elaborations)

UHC 2022 Ethics and Compliance Test with complete solutions

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UHC 2022 Ethics and Compliance Test with complete solutions Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need to be reported to UnitedHealthcare? When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan or switch to a different plan? Dino, an agent, received a phone call on September 29 from a consumer interested in Medicare Advantage plans for the new plan year. Dino proceeded to verify the consumer's Medicare eligibility, describe the costs and benefit coverage of the plan, and explained that he could not accept an enrollment application until October 15. What did Dino do that was NOT compliant? Mr. and Mrs. Nelson, who are current members, unexpectedly walk into Jake's insurance agency office and ask him to discuss Medicare Advantage Plans. Does Jake need to obtain a Scope of Appointment (SOA) form? Which describes the purpose of educational events? How should agent Erin respond when consumer Mrs. Rose notices that the presented MA Plan has a Star Rating of 2 stars? Which of the following describes Permission to Contact guidelines? Julie, a consumer, is having difficulty understanding the information her agent, Victor, is presenting at her in-home appointment. She provides Victor with her cousin's telephone number and email address and asks him to explain the plan to her cousin, who frequently assists with her health care decisions. The next day, Victor emails Julie's cousin. Has Victor been compliant? Which of the individuals below would not likely have the authority to enroll a consumer in a Medicare Advantage Plan? In which of the following situations can telephonic contact be made with a Medicare eligible consumer? Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal representative for her father. What must Jacob explain to Emily when completing an Enrollment Application for her father? Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage or Prescription Drug Plans to consumers? An agent should only enroll a consumer in a product: What is the purpose of the Statement of Understanding? What is the definition of Abuse?. Which of the following are the ways to report potential FWA? (Select 2) In terms of events, which of the following is true?. Whose email address may the agent enter into the LEAN enrollment application? Annual Election Period (AEP) is a time when: Agent Kim is conducting an event that has been advertised as educational. Which activities are permitted at an educational event? Educational events allow for which of the following to occur? Agent Brenda is presenting Medicare Advantage plan options to her consumer, Melanie. During the presentation, Brenda tells Melanie that Medicare gives each plan a Star Rating. Which of the following is not an appropriate response when Melanie asks what the Star Rating means?. John has Power of Attorney to act on behalf of his mother. What does that mean when it comes to his mother enrolling in a Medicare Advantage Plan? To sign an Enrollment Application on behalf of a consumer, what authority must the individual have?).

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Uploaded on
March 13, 2023
Number of pages
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Written in
2022/2023
Type
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