UHC 2024 Ethics & Compliance Assessment

UHC 2024 Ethics & Compliance Assessment 100%Clarification Annual Election Period (AEP) is a time when. . . - Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan. Aries is currently a member of a stand-alone PDP. Aries would like to have additional medical coverage. A thorough needs analysis indicates a Medicare Advantage Plan would be a good fit, there are plans available in his area, and he is in a valid election period. Which option is available to Aries? - Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which will disenroll him from his PDP. 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 In what product should agents enroll consumers? - A product that is suitable for the consumer's needs, goals and financial resources. 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 Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? - Mrs. Violet can access the Star Rating for a plan on M or in the Enrollment Guide. Select the option that describes the coverage combinations a member can be enrolled in at the same time. - MA-Only PFFS plan and a stand-alone PDP 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. Which of the following describes Permission to Contact (PTC) guidelines? - Contact can only be made by the method(s) requested by the consumer and the agent can only market the product(s) indicated by the consumer. Which of the following must an agent obtain from the consumer no less than 48 hours (unless an exception applies) before an in-person, online, or telephonic marketing appointment? - Scope of Appointment Which statement about discussing benefits with the consumer before an enrollment is true? - The agent must explain any provider and/or pharmacy network limitations. Which statement is accurate when a consumer has a Power of Attorney (POA)? - If the POA signs the Enrollment Application, they must be able to provide documentation upon request by the Plan that indicates authority under state law to enroll the consumer. While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - Leave the field requesting a consumer email address blank. Why must an agent present accurate, complete, and factual plan information to consumers? (Select 3) - -To help avoid misunderstandings -To help avoid confusing the consumer -To help the consumer foc