UHC Ethics and Compliance Exam |
Practice Questions and Verified Answers
| Rated A+ | Latest 2024/2025
Rina, a consumer, has requested an appointment with Connor, an
agent, to discuss DSNPs. Prior to the appointment Rina
completed a Scope of Appointment (SOA) form. On the day of the
appointment, Rina brings her friend Shelley, who is Medicare-
eligible, to the meeting. Shelley also wants to talk about DSNPs.
What should Connor do when he sees both Rina and Shelley at
the appointment?
-Ask Shelley to leave since she has not scheduled the
appointment.
-Ask Shelley to complete the SOA and schedule a separate
appointment without Rina.
- Correct Answer - -Ask Shelley to complete an SOA before the
start of the meeting.
-Tell Rina that he will come back another day.
,Which describes the purpose of educational events?
- Correct Answer - -Educational events provide objective
information about the Medicare program and/or health
improvement and wellness.
-Educational events provide an opportunity to steer a consumer
toward a specific or limited number of plans.
-Educational events provide an opportunity to review benefits,
premiums and product information with consumers.
-Educational events are often exclusively conducted at a
personal/individual (e.g., in-home) marketing appointment.
How should agent Erin respond when consumer Mrs. Rose
notices that the presented MA Plan has a Star Rating of 2 stars?
-Erin should tell Mrs. Rose that each plan has the same Star
Rating and it does not accurately reflect an individual plan's
performance in certain categories.
-Erin should let Mrs. Rose know that the rating is for agent use
only and has accidentally been printed in the Enrollment Guide.
- Correct Answer - -Erin should tell Mrs. Rose that the plan has
received a "Below Average" rating.
-Erin should tell Mrs. Rose that the plan has received an "Above
Average" rating.
, When does Permission to Contact for Medicare Advantage and/or
Prescription Drug Plans expire?
-Once contact is made.
-At the end of the calendar year.
- Correct Answer - -Once contact is made or 9 months from the
date the consumer provided permission (e.g., consumer signature
date on BRC) or 90 days if on federal do not call list, whichever
comes first.
-9 months (or 90 days if on federal do not call list) from the date
the consumer provided permission (e.g., consumer signature date
on BRC).
Agent Ralph wants to market Medicare Advantage Plans in his
neighborhood - an area that consists of single-family houses, an
assisted living facility, a church, and public library. Which of the
following methods of contact is permitted?
-Ralph puts a flyer inviting consumers to a marketing/sales event
on the door of each house.
-Ralph puts a flyer inviting consumers to a marketing/sales event
on the windshield of each car in the church parking lot on Sunday
morning.
- Correct Answer - -Ralph sends a flyer inviting consumers to a
marketing/sales event to each resident via postal mail.
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