Health Care > EXAM > UHC Ethics and Compliance Section for Certification Exam 2022/2023 (All)

UHC Ethics and Compliance Section for Certification Exam 2022/2023

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What is a servicing agent? Correct Answer: an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enroll... ments 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? Correct Answer: center for medicare and medicaid services Who administers the medicare program and contracts with private health care companies to offer medicaid plans? Correct Answer: CMS Who holds the authority to approve or disaprove plans that can be sold, and is the regulating agency that also monitors our progresses? Correct Answer: CMS Who regulates MA's and PDP's Correct Answer: CMS Enrolling a customer in a plan when you are not certified in the product is non-compliant and considered____? Correct Answer: an unqualified sale Agents who are not qualified to sell the product will not be? Correct Answer: compensated and may receive corrective and or disciplinary action up to an including termination What is the purpose of an educational event? Correct Answer: its designed to inform medicare consumers about original medicare, medicare advantage, prescription drug and other medicare programs. Where must educational events be conducted? Correct Answer: 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? Correct Answer: yes WHat is a marketing/sales event? Correct Answer: 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. Can marketing/sales be formal or informal? Correct Answer: both What describes a formal marketing/sales event? Correct Answer: a full plan presentation, given in a presenter-audience format. What is an inform marketing/sales event? Correct Answer: they're passive in nature where the consumer approaches the agent to engage in conversation. a booth, table, or kiosk is typically used What are marketi [Show More]

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