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2024 UHC Ethics and compliance question and answers latest update

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Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? - On the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. An agent is explaining Medicare Advantage plan options to a consumer. During the conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is true? - The agent said that Medicare uses a 5-star rating system to illustrate the plan's performance and quality. Which of the following describes Permission to Contact guidelines? - it allows the agent to discuss the products identified during the marketing appointment Which statement about discussing benefits with the consumer before an enrollment is true? - 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? - The consumer/member would not receive plan related correspondence intended 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 that identifies the scope of products that can be discussed at a personal/individual marketing appointment (in-person or telephonic) To complete an Enrollment Application on behalf of a consumer, what authority must the individual have? - The individual must be legally authorized in the state in which the consumer resides to act on behalf of the consumer (e.g., Power of Attorney). melanie is currently enrolled in an HMO MAPD, and she is talking to sales agent Brenda about enrolling in a Medicare Supplement Insurance Plan. What should Brenda tell Melanie? - Brenda should tell her that she is automatically disenrolled from her MA Plan if she enrolls in a Medicare Supplement Insurance Plan

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