2024 Ethics and Compliance Assessment UHC

2024 Ethics and Compliance Assessment UHC Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? - April 1 through October 31 Which of the following statements is true about using a five star special enrollment period (SEP)? - It can be used once from December 8 through November 30 and coverage will start the first of the month following recipient of the enrollment application Which statement regarding star ratings is true - Medicare uses a five star rating system to illustrate the plans performance and quality In which of the following situations can a telephonic contract be made with a Medicare eligible consumer? - When the consumer consented to be contracted for sales activities, and the permission has not yet expired What information should be obtained from the consumer when conducting a thorough needs assessment? (Select 2) - • their current health care coverage, including what they like about it, and what they don't • the providers they see in medication they take to determine network and formulary status Will using LEAN to complete an enrollment application with the consumer agent Jeff learns the consumer does not have an email address. What should Jeff do? - The consumer/member would not receive plan related, corresponds, intent for him/her What is the purpose of the statement of understanding? - 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. What is scope of appointment? - The agreement obtained from the consumer to that identifies the scope of products that can be discussed at a personal/individual marketing appointment Which statement is accurate when a consumer has a power of authority (POA) - If the POA signed the enrollment application, they must be able to provide documentation upon request for the plan that indicates authority under state law to enroll the consumer What happens on the plan effective date when a member enrolled in a Medicare supplement insurance plan and standalone PDP enroll in a Medicare vantage plan that includes drug coverage - Automatic disenrollment from the standalone PDP In which situation, MAY the Medicare advantage (MA) organization decide to disenroll a member from an MA plan? - Premiums are not paid on a timely basis Dennis a consumer is currently enrolled in the original Medicare, plus a Medicare supplement plan. His current plan is suitable for his Medicare needs, but he would like