Marketing, Sales Compliance, and Ethics Flashcards

Which of the following is a permissible activity for an agent when conducting a community education event?

Answer: Providing objective educational information about Medicare without promoting a specific plan

Community education events are intended for objective Medicare education; agents may not conduct sales activities, distribute enrollment forms, or promote specific plans at these events.

An agent receives a referral lead from a friend who is a doctor. Under the Anti-Kickback Statute, what must the agent be careful about?

Answer: Avoiding providing any compensation or anything of value to the doctor for the referral

Providing compensation or anything of value to a physician in exchange for Medicare referrals could violate the Anti-Kickback Statute.

Under CMS rules, unsolicited contact with Medicare beneficiaries via telephone (cold calling) is:

Answer: Prohibited unless the beneficiary has given prior permission

CMS prohibits unsolicited telephone contact (cold calling) with Medicare beneficiaries; agents may only call beneficiaries who have requested to be contacted.

An agent must retain the Scope of Appointment (SOA) form for a minimum of:

Answer: 10 years

CMS requires that SOA forms be retained for a minimum of 10 years.

When a beneficiary is enrolled in a Medicare plan, the agent must provide them with:

Answer: The Evidence of Coverage (EOC), Summary of Benefits, and Annual Notice of Change (if applicable)

Plans are required to provide enrollees with key documents including the Evidence of Coverage (EOC), Summary of Benefits, and the Annual Notice of Change.

Which of the following statements about Medicare marketing rules for door-to-door sales is correct?

Answer: Uninvited door-to-door sales contact with Medicare beneficiaries is prohibited

CMS prohibits uninvited door-to-door solicitation of Medicare beneficiaries to protect them from high-pressure sales tactics.