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United HealthCare - Ethics and Compliance 2021/2022 Rated A

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United HealthCare - Ethics and Compliance 2021/2022 Rated A In terms of events, which of the following is true? ✔✔WRONG - Agents must report formal marketing/sales events only to UnitedHealthca... re When completing an enrollment application in LEAN, why is an agent prohibited from entering their 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. Annual Election Period (AEP) is a time when: ✔✔Consumers can elect to join a Medicare Advantage Plan or switch to a different plan. You have scheduled an appointment and obtained a Scope of Appointment (SOA) form to discuss Medicare Advantage Plans with a consumer. When you arrive at the appointment, a friend of the consumer who is Medicare-eligible is present to hear your presentation. What should you do? ✔✔Before you can start the appointment with both consumers, ask the consumer's friend to complete an SOA. Educational events allow for which of the following to occur? ✔✔Provide objective information about the Medicare program and/or health improvement and wellness. Agent Brenda is presenting Medicare Advantage plan options to her consumer, Melanie. During the presentation, Brenda tells Melanie that Medicare gives each plan a Star Rating. Which of the following is not an appropriate response when Melanie asks what the Star Rating means? ✔✔Brenda should tell Melanie that the Star Rating is the same for every plan and it does not accurately reflect a plan's performance in certain categories. When does Permission to Contact for Medicare Advantage and/or Prescription Drug Plans expire? ✔✔Once contact is made or 9 months from the date the consumer provided permission (e.g. consumer signature date on BRC) or 90 days if on federal do not call list, whichever comes first. Julie, a consumer, is having difficulty understanding the information her agent, Victor, is presenting at her in-home appointment. She provides Victor with her cousin's telephone number and email address and asks him to explain the plan to her cousin, who frequently assists with her health care decisions. The next day, Victor emails Julie's cousin. Has Victor been compliant? ✔✔No. Victor violated United Healthcare permission to contact guidelines by emailing the cousin without the cousin's permission. John has Power of Attorney to act on behalf of his mother. What does that mean when it comes to his mother enrolling in a Medicare Advantage Plan? ✔✔John may sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates his authority under state law to enroll his mother. Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? ✔✔Mailing a marketing brochure to the consumer via postal mail. To sign an enrollment application on behalf of a consumer, what [Show More]

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