UHC ETHIC AND COMPLIANCE TEST 2024 NEWEST
EXAM COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
What is a servicing agent? - ANSWER: 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? - ANSWER: center for medicare and medicaid services
Who administers the medicare program and contracts with private health care
companies to offer medicaid plans? - 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? - ANSWER: CMS
Who regulates MA's and PDP's - ANSWER: CMS
Enrolling a customer in a plan when you are not certified in the product is non-
compliant and considered____? - ANSWER: an unqualified sale
Agents who are not qualified to sell the product will not be? - ANSWER:
compensated and may receive corrective and or disciplinary action up to an
including termination
What is the purpose of an educational event? - ANSWER: its designed to inform
medicare consumers about original medicare, medicare advantage, prescription drug
and other medicare programs.
Where must educational events be conducted? - 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? - ANSWER: yes
WHat is a marketing/sales event? - 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? - ANSWER: both
What describes a formal marketing/sales event? - ANSWER: a full plan presentation,
given in a presenter-audience format.
, What is an inform marketing/sales event? - 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 marketing appointments? - ANSWER: They're commonly referred to as "in
home, face to face, or one on one appointment" and typically take place in the
consumers home.
What other places can marketing appointments happen? - ANSWER: coffee shop, or
even over the phone
because marketing appointments are not formal and informal marketing sales
events, they're not reported to who? - ANSWER: UHC or CMS. instead, agents must
obtain a completed scope of appointment prior to conducting the appointment.
To report events, what should agents use? - ANSWER: an event request form
to ensure that events are in UHC's event reporting application no less than 7
calender days prior to the event... - ANSWER: submit the event request form,
according to instructions on the form, NO LESS THAN 14 CALENDAR DAYS
event request forms submitted within7 calendar days will NOT be what? - ANSWER:
processed
conducting an unreported event is _____? - ANSWER: prohibited
to schedule a sign language interpreter for a formal marketing/sales event or a
personal/individual marketing appointment, enter the consumer's request direct;y in
bconnected at least? - ANSWER: 14 days prior to the event or appointment
What are marketing materials used for? - ANSWER: 1) draw attention to a plan
sponsor or their plan(s) and
2) influence a consumer's decision when selecting a plan in which to enroll or a
member's decision to remain enrolled in their current plan
Marketing materials contain information about the plan or plans: - ANSWER: 1)
benefits or benefit structure
2) cost sharing ( including premiums, copayments, and deductibles)
3) Measurements or ranking standards ( such as star ratings. comparisons to other
plans, or statistical studies or surveys)
Approval is required for? - ANSWER: 1) ALL medicare marketing materials or
2) ANY material that mentions a plan sponsor ( such as " united health care") one of
its affliated plans or displays any logos
EXAM COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
What is a servicing agent? - ANSWER: 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? - ANSWER: center for medicare and medicaid services
Who administers the medicare program and contracts with private health care
companies to offer medicaid plans? - 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? - ANSWER: CMS
Who regulates MA's and PDP's - ANSWER: CMS
Enrolling a customer in a plan when you are not certified in the product is non-
compliant and considered____? - ANSWER: an unqualified sale
Agents who are not qualified to sell the product will not be? - ANSWER:
compensated and may receive corrective and or disciplinary action up to an
including termination
What is the purpose of an educational event? - ANSWER: its designed to inform
medicare consumers about original medicare, medicare advantage, prescription drug
and other medicare programs.
Where must educational events be conducted? - 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? - ANSWER: yes
WHat is a marketing/sales event? - 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? - ANSWER: both
What describes a formal marketing/sales event? - ANSWER: a full plan presentation,
given in a presenter-audience format.
, What is an inform marketing/sales event? - 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 marketing appointments? - ANSWER: They're commonly referred to as "in
home, face to face, or one on one appointment" and typically take place in the
consumers home.
What other places can marketing appointments happen? - ANSWER: coffee shop, or
even over the phone
because marketing appointments are not formal and informal marketing sales
events, they're not reported to who? - ANSWER: UHC or CMS. instead, agents must
obtain a completed scope of appointment prior to conducting the appointment.
To report events, what should agents use? - ANSWER: an event request form
to ensure that events are in UHC's event reporting application no less than 7
calender days prior to the event... - ANSWER: submit the event request form,
according to instructions on the form, NO LESS THAN 14 CALENDAR DAYS
event request forms submitted within7 calendar days will NOT be what? - ANSWER:
processed
conducting an unreported event is _____? - ANSWER: prohibited
to schedule a sign language interpreter for a formal marketing/sales event or a
personal/individual marketing appointment, enter the consumer's request direct;y in
bconnected at least? - ANSWER: 14 days prior to the event or appointment
What are marketing materials used for? - ANSWER: 1) draw attention to a plan
sponsor or their plan(s) and
2) influence a consumer's decision when selecting a plan in which to enroll or a
member's decision to remain enrolled in their current plan
Marketing materials contain information about the plan or plans: - ANSWER: 1)
benefits or benefit structure
2) cost sharing ( including premiums, copayments, and deductibles)
3) Measurements or ranking standards ( such as star ratings. comparisons to other
plans, or statistical studies or surveys)
Approval is required for? - ANSWER: 1) ALL medicare marketing materials or
2) ANY material that mentions a plan sponsor ( such as " united health care") one of
its affliated plans or displays any logos
