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Compliance
UHC Company Facts
Dates
Medicare Acronyms
Medicare 101
100
On the generic CMS approved scope, what products are listed?
Part D, Medicare Advantage, Dental/Vision/Hearing, HI, Medicare Supplement
100
What is the amount of E&O coverage required in order to contract with United HealthCare?
$1,000,000 per occurrence or $1,000,000 annual aggregate required
100
Between what dates may beneficiaries make a plan selection for the next year, which will be effective on January 1st
Oct 15 - Dec 7th
100
What does "MOOP" stand for?
Max out of pocket
100
A list of prescription drugs covered by a Part D plan or another insurance plan offering prescription drug benefits.
Formulary
200
The frequency in which agents have to ceritify for Medicare Advantage
Annually
200
Name at least 2 types of Medicare Advantage plans United HealthCare offers?
HMO, POS, PPO, PFFS, SNP
200
Clients can start getting plan information for 2014 premiums and benefits on what date?
Oct 1st
200
What does "I-SNP" stand for?
Institutional SNP
200
Part B premium for an individual who files a tax return of $85,00 or less is?
$104.90
300
For 2013, the nominal gift value per item is:
$15
300
United HealthCare offers what 2 types of Medicare?
Part C and D
300
January 1 — February 14
MADP
300
What does "LIS" stand for?
Low Income Subsidy
300
How often do the Medicare Deductibles and Co Insurances change?
Annually
400
When can an agent be present during an Outbound Enrollment and Verification call?
Never
400
What are United Health Care transfer rules?
6 months non-production or 6 months from contracted date
400
What Year was Medicare implemented?
1966
400
What does "HIC" stand for?
Health Insurance Claim number used by CMS
400
An amount clients may be required to pay as their share of the cost for services. Usually a percentage of the bill.
Coinsurance
500
When does the Part D carrier need to provide an enrollment instruction form?
They don’t
500
Name one of United HealthCare's stand alone Part D plans.
Saver Plus Preferred Enhanced
500
October 4th?
Agent University
500
What does "NAIC" stand for?
National Association of Insurance Commissioners
500
December 8 through November 30 beneficiaries can switch to a Medicare Advantage Plan with what star rating?
5 Star