UHC Ethics and Compliance Section for Certification Exam 2022/2023

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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 What does CMS stand for? - center for medicare and medicaid services Who administers the medicare program and contracts with private health care companies to offer medicaid plans? - CMS Who holds the authority to approve or disaprove plans that can be sold, and is the regulating agency that also monitors our progresses? - CMS Who regulates MA's and PDP's - CMS Enrolling a customer in a plan when you are not certified in the product is non-compliant and considered____? - an unqualified sale Agents who are not qualified to sell the product will not be? - compensated and may receive corrective and or disciplinary action up to an including termination What is the purpose of an educational event? - its designed to inform medicare consumers about original medicare, medicare advantage, prescription drug and other medicare programs. Where must educational events be conducted? - in a public venue Are the educational events unbiased so that it doesn't steer the consumer towards a specific plan or limited number of plans? [Show More]

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