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UHC ETHICS AND COMPLIANCE SECTION FOR CERTIFICATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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UHC ETHICS AND COMPLIANCE SECTION FOR CERTIFICATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS 2024
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UHC ETHICS AND COMPLIANCE SECTION FOR CERTIFICATIONEXAM QUESTIONS WITH COMPLETE SOLUTIONS
1. What is a servicing agent?
a) An active employee managing Medicare enrollments
b) A former employee with a license but no renewal commissions
c) A nonemployee with an agreement to receive renewal commissions on Medicare enrollments
d) An agent who monitors enrollment for private insurance
Answer: C
2. What does CMS stand for?
a) Centers for Managed Services
b) Center for Medicare and Medicaid Services
c) Certified Medicare Services
d) Consumer Medicare Standards
Answer: B
3. Which organization administers Medicare and contracts with private health companies for
Medicaid plans?
a) UHC
b) FDA
c) CMS
d) Medicare Board
Answer: C
4. Who has the authority to approve or disapprove Medicare plans and monitor progress?
a) State Insurance Departments
b) CMS
c) Health Plans
d) Medicare Beneficiaries
Answer: B
5. Who regulates Medicare Advantage (MA) and Prescription Drug Plans (PDP)?
a) Local Government
,b) UHC
c) CMS
d) Private Companies
Answer: C
6. Enrolling a customer in a plan without being certified is considered?
a) Compliant
b) Non-compliant
c) Encouraged
d) Optional
Answer: B
7. What is the consequence for agents not certified to sell a product?
a) Full compensation
b) Disciplinary action
c) Promotion
d) Reduced workload
Answer: B
8. What is the purpose of an educational event?
a) To sell specific plans
b) To inform consumers about Medicare options
c) To promote a specific insurance company
d) To enroll consumers in Medicaid
Answer: B
9. Where should educational events be conducted?
a) Private homes
b) Public venues
c) Agent offices
d) Hospitals
Answer: B
,10. Are educational events designed to steer consumers toward specific plans?
a) Yes
b) No
c) Only sometimes
d) Yes, if authorized
Answer: B
11. What is a marketing/sales event?
a) A neutral information session
b) An event to steer consumers toward specific plans
c) A place to discuss only Original Medicare
d) A charity event
Answer: B
12. Can marketing/sales events be formal or informal?
a) Formal only
b) Informal only
c) Both formal and informal
d) Neither
Answer: C
13. What describes a formal marketing/sales event?
a) One-on-one discussion
b) A presentation with an audience
c) Distribution of general information
d) Private home appointments
Answer: B
14. What is an informal marketing/sales event?
a) Audience presentation
b) Booth or kiosk setup where consumers approach the agent
c) In-home private appointment
d) Public seminar
Answer: B
, 15. What are marketing appointments commonly called?
a) Informal meetings
b) Face-to-face appointments
c) Group seminars
d) Virtual events
Answer: B
16. Where can marketing appointments be held besides the consumer’s home?
a) Public library
b) Gym
c) Coffee shop or phone call
d) Mall
Answer: C
17. Marketing appointments are not reported to CMS or UHC but require?
a) An email confirmation
b) A written contract
c) A completed Scope of Appointment
d) A signed document from a supervisor
Answer: C
18. To report events, what form should agents use?
a) Customer Feedback Form
b) Agent Agreement Form
c) Event Request Form
d) Medicare Plan Submission Form
Answer: C
19. For an event to appear in UHC's system 7 days prior, the request form must be submitted
no less than?
a) 7 days before
b) 10 days before
c) 14 days before
d) 21 days before
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