UHC0ETHICS0AND0COMPLIANCE0SECTION0FOR0CERTIFICATION0EXAM020
24-
20250WITH01800ACTUAL0EXAM0QUESTIONS0AND0CORRECT0ANSWERS0(100
%0CORRECT0VERIFIED0ANSWERS)0UNITED0HEALTHCARE0ETHICS0&0CO
MPLIANCE0TEST0(NEWEST!!)
What is a servicing agent? -
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CORRECT ANSWER >>>>an inactive,nonemployee who has sign
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ed a servicing agreement in order toreceive renewal commisions
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on medicare advantage and prescription drug plan enrollments
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on or after 1-1-
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2014. the agent must maintain an active resident license and ap
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pointment and pass medicare basics and ethics compliance asse
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ssments on an annual basis 0 0 0 0
What does CMS stand for? -
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CORRECT ANSWER >>>>center formedicare and medicaid servi
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ces
Who administers the medicare program and contracts with
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private health care companies to offer medicaid plans? -
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CORRECT ANSWER >>>>CMS
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Who holds the authority to approve or disaprove plans that canb
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e sold, and is the regulating agency that also monitors our progre
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sses? - CORRECT ANSWER >>>>CMS
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Who regulates MA's and PDP's - CORRECT ANSWER >>>>CMS
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Enrolling a customer in a plan when you are not certified in thep
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roduct is non-compliant and considered
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CORRECT ANSWER >>>>an unqualified sale
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Agents who are not qualified to sell the product will not be? -
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CORRECT ANSWER >>>>compensated and may receive correc
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tive and or disciplinary action up to an including termination
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What is the purpose of an educational event? -
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CORRECT ANSWER >>>>its designed to inform medicare consu
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mers about original medicare, medicare advantage, prescription
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drugand other medicare programs.
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Where must educational events be conducted? -
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CORRECTANSWER >>>>in a public venue
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Are the educational events unbiased so that it doesn't steer thec
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onsumer towards a specific plan or limited number of plans? -
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CORRECT ANSWER >>>>yes
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WHat is a marketing/sales event? -
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CORRECT ANSWER >>>>an event designed to steer or attempt t
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o steer, consumers toward
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a plan or limited set of plans. Agents may discuss plan specificinf
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ormation and collect applications. 0 0 0
Can marketing/sales be formal or informal? -
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CORRECTANSWER >>>>both
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What describes a formal marketing/sales event? -
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CORRECTANSWER >>>>a full plan presentation, given in a pr
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esenter-audience format. 0 0
What is an inform marketing/sales event? - CORRECT ANSWER
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>>>>they're passive in nature where the consumer approachest0 0 0 0 0 0 0 0
he agent to engage in conversation. a booth, table, or kiosk is ty
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pically used 0
What are marketing appointments? - CORRECT ANSWER
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>>>>They're commonly referred to as "in home, face to face, oro
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ne on one appointment" and typically take place in the consume
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rs home.0
What other places can marketing appointments happen? -
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CORRECT ANSWER >>>>coffee shop, or even over the phone
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because marketing appointments are not formal and informal
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marketing sales events, they're not reported to who? -
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CORRECT ANSWER >>>>UHC or CMS. instead, agents must obt
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ain a completed scope of appointment prior to conductingthe
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appointment.