2025 ETHICS AND COMPLIANCE ASSESSMENT - MC EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A+ 2025/2026

2025 ETHICS AND COMPLIANCE ASSESSMENT - MC EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A+ 2025/2026 Terms in this set (72) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? He may be able to use a Special Election Period to change plans if he qualifies for one. Annual Election Period (AEP) is a time when. . Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan. Which statement regarding Star Ratings is true? Medicare uses a 5-star rating system to illustrate a plan's performance and quality. 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. What information should be obtained from the consumer when conducting a thorough needs assessment? (Select 2) Their current health care coverage, including what they like about it and what they don't. The providers they see and medications they take to determine network and formulary status. Whose email address may the agent enter into the applicant information section of LEAN enrollment application? Only the consumer's email (or leave it blank). The ensures that when consumers provide their verbal agreement during the telephonic enrollment, they acknowledge and understand they are actually enrolling, in which plan they are enrolling, as well as the standard disclosures. Statement of Understanding Which of the following must an agent obtain from the consumer no less than 48 hours (unless an exception applies) before an in-person, online, or telephonic marketing appointment? Scope of Appointment Which statement is accurate when a consumer has a Power of Attorney (POA)? If the POA signs the Enrollment Application, they must be able to provide documentation upon request by the Plan that indicates authority under state law to enroll the consumer. What happens on the plan effective date when a member enrolled in a Medicare Supplement Insurance Plan and stand- alone PDP enrolls in a Medicare Advantage plan that includes drug coverage? When MUST an MA Plan or stand-alone PDP disenroll a member? When eligibility requirements are no longer met Aries is currently a member of a stand- alone PDP. Aries would like to have additional medical coverage. A thorough needs analysis indicates a Medicare Advantage Plan would be a good fit, there are plans available in his area, and he is in a valid election period. Which option is available to Aries? Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which will disenroll him from his PDP.