United HealthCare Insurance exam with complete verified solutions
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Course
UHC Ethics and Compliance 2024
Institution
UHC Ethics And Compliance 2024
When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her 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
By agreeing to the Statement...
United HealthCare Insurance exam with complete verified solutions
When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? - answer The consumer/member would not receive plan related correspondence intended for him/her
By agreeing to the Statement of Understanding, the consumer: - answer Acknowledges that they clearly understand they are enrolling in a plan, combined with knowing the specific plan in which they are enrolling
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? - answer John may complete 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
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? - answer Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which will disenroll him
from his PDP
In what product should agents enroll consumers? - answer A product that is suitable for the consumer's needs, goals and financial resources
To avoid confusing or misleading a consumer, what type of information must the agent provide when presenting a plan? (Select 3) - answer Factual
Complete
Accurate Annual Election Period (AEP) is a time when. . . - answer Consumers can elect to switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan
How should agent Erin respond when consumer Mrs. Rose notices that the presented MA Plan has a Star
Rating of 2 stars? - answer Erin should tell Mrs. Rose that the plan has received a "Below Average" rating
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? - answer Mailing a marketing brochure to the consumer via postal mail
While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - answer Leave the field requesting applicant email address 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 - answer Statement of Understanding
A one-on-one marketing appointment, whether in-person or telephonic, is always considered a marketing/sales event, but it is not reported to UnitedHealthcare or CMS; instead the consumer must provide ___________________ agreement prior to the start of the appointment - answer Scope of Appointment
Melanie is currently enrolled in a Medicare Supplement Insurance Plan and a PDP . Assuming she has a valid election period, what would happen if she enrolled in an HMO MAPD plan? - answer She would be automatically disenrolled from the PDP
In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an
MA plan? - answer Premiums are not paid on a timely basis
In which situation must the Medicare Advantage (MA) organization disenroll a member from an MA plan? - answer The member loses entitlement to either Medicare Part A or Part B
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