Exam (elaborations) (Answered) UHC ethics and compliance section for certification Exam Test Bank, A+ Rated guide.

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Exam (elaborations) (Answered) UHC ethics and compliance section for certification Exam Test Bank, A+ Rated guide. What is a servicing agent? >>>an inactive, nonemployee who has signed a servicing ... agreement in order to receive renewal commissions 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? >>>center for Medicare and Medicaid services Who administers the Medicare program and contracts with private health care companies to offer Medicaid plans? >>>CMS Who holds the authority to approve or disapprove plans that can be sold, and is the regulating agency that also monitors our progresses? >>>CMS Who regulates MA's and PDP's >>>CMS Enrolling a customer in a plan when you are not certified in the product is non-compliant and considered____? >>>an unqualified sale Agents who are not qualified to sell the product will not be? >>>compensated and may receive corrective and or disciplinary action up to an including termination What is the purpose of an educational event? >>>it’s designed to inform Medicare consumers about original Medicare, Medicare advantage, prescription drug and other Medicare programs. Where educational events must be conducted? >>>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? >>>yes WHat is a marketing/sales event? >>>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? >>>both What describes a formal marketing/sales event? >>>a full plan presentation, given in a presenter-audience format.What is an inform marketing/sales event? >>>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? >>>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? >>>coffee shop, or even over the phone because marketing appointments are not formal and informal marketing sales events, they're not reported to who? >>>UHC or CMS. instead, agents must obtain a completed scope of appointment prior to conducting the appointment. [Show More]

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