UHC Ethics and Compliance Section for Certification Study Guide Test.

UHC Ethics and Compliance Section for Certification Study Guide Test. 1. What is a servicing agent? 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 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 of- fer medicaid plans? 4. Who holds the authority to approve or disaprove plans that can be sold, and is the regulating agency that also monitors our progresses? 5. Who regulates MA's and PDP's 6. Enrolling a customer in a plan when you are not certified in the product is non-compliant and consid- ered ? 7. Agents who are not quali- fied to sell the product will not be? CMS CMS CMS an unqualified sale compensated and may receive corrective and or disciplinary action up to an including termination 8. What is the purpose of an educational event? 9. Where must educational events be conducted? 10. Are the educational events unbiased so that it doesn't steer the consumer to- wards a specific plan or lim- ited number of plans? 11. WHat is a marketing/sales event? its designed to inform medicare consumers about original medicare, medicare advantage, prescription drug and other medicare programs. in a public venue yes 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 for- both mal or informal? 13. What describes a formal marketing/sales event? 14. What is an inform market- ing/sales event? 15. What are marketing ap- pointments? a full plan presentation, given in a presenter-audience format. they're passive in nature where the consumer approaches the agent to engage in conversation. a booth, table, or kiosk is typically used 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 mar- cottee shop, or even over the phone keting appointments hap- pen? 17. because marketing ap- pointments are not for- mal and informal market- ing sales events, they're not reported to who? 18. To report events, what should agents use? 19. to ensure that events are in UHC's event reporting application no less than 7 calender days prior to the event... 20. event request forms sub- mitted within7 calendar days will NOT be what? 21. conducting an unreported event is ? UHC or CMS. instead, agents must obtain a completed scope of appointment prior to conducting the appointment. an event request form submit the event request form, according to instructions on the form, NO LESS THAN 14 CALENDAR DAYS