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UHC Ethics and Compliance Section for Certification / Comprehensive Study Guide – Expert Strategies, Review of Key Quizzes, and Practice Questions for Guaranteed Success

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UHC Ethics and Compliance Section for Certification / Comprehensive Study Guide – Expert Strategies, Review of Key Quizzes, and Practice Questions for Guaranteed Success _____________Quiz____________? What is a servicing agent? - Answer an inactive, nonemployee who has signed a servicing 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 _____________Quiz____________? What does CMS stand for? - Answer center for medicare and medicaid services _____________Quiz____________? Who administers the medicare program and contracts with private health care companies to offer medicaid plans? -

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UHC Ethics and Compliance Section for
Certification / Comprehensive Study
Guide – Expert Strategies, Review of
Key Quizzes, and Practice Questions
for Guaranteed Success
_____________Quiz____________?

What is a servicing agent? -

Answer✓✓

an inactive, nonemployee who has signed a servicing 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



_____________Quiz____________?

What does CMS stand for? -

Answer✓✓

center for medicare and medicaid services



_____________Quiz____________?

Who administers the medicare program and contracts with private health care companies to

offer medicaid plans? -



1

, Answer✓✓

CMS



_____________Quiz____________?

Who holds the authority to approve or disaprove plans that can be sold, and is the regulating

agency that also monitors our progresses? -

Answer✓✓

CMS



_____________Quiz____________?

Who regulates MA's and PDP's -

Answer✓✓

CMS



_____________Quiz____________?

Enrolling a customer in a plan when you are not certified in the product is non-compliant and

considered____? -

Answer✓✓

an unqualified sale



_____________Quiz____________?

Agents who are not qualified to sell the product will not be? -

Answer✓✓

2

,compensated and may receive corrective and or disciplinary action up to an including

termination



_____________Quiz____________?

What is the purpose of an educational event? -

Answer✓✓

its designed to inform medicare consumers about original medicare, medicare advantage,

prescription drug and other medicare programs.



_____________Quiz____________?

Where must educational events be conducted? -

Answer✓✓

in a public venue



_____________Quiz____________?

Are the educational events unbiased so that it doesn't steer the consumer towards a specific

plan or limited number of plans? -

Answer✓✓

yes



_____________Quiz____________?

WHat is a marketing/sales event? -

Answer✓✓


3

, 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.



_____________Quiz____________?

Can marketing/sales be formal or informal? -

Answer✓✓

both



_____________Quiz____________?

What describes a formal marketing/sales event? -

Answer✓✓

a full plan presentation, given in a presenter-audience format.



_____________Quiz____________?

What is an inform marketing/sales event? -

Answer✓✓

they're passive in nature where the consumer approaches the agent to engage in conversation.

a booth, table, or kiosk is typically used



_____________Quiz____________?

What are marketing appointments? -

Answer✓✓




4

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