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WorksheetsCompliance Quiz
Total questions: 15
Worksheet time: 8mins
When dealing with an UCA lead, when must the Cooling-Off period be explained to a customer?
Only if the customer asks about it
At the end of the sales call
Before processing the application and as part of the compliance script
After the first payment has been made
If a customer asks whether a specific treatment is covered under their policy, what is the correct response?
Guess based on past cases
Confirm the details only if you are 100% sure, otherwise refer them to the fund
Tell them all policies cover all treatments
Say it’s probably covered and they can check later
Ambulance cover should not be discussed when...
The customer lives in QLD
There is no ambulance cover on the policy
There is comprehensive ambulance cover provided on the policy
You should always talk about Ambulance cover
What is the correct action of the below options if a customer provides expired Medicare details?
Please proceed with the application and fix it later
Use a different person's Medicare number
Estimate the expiry date to proceed
Pause the application and instruct the customer to update their Medicare with Services Australia
What is the primary purpose of the Private Health Insurance Code of Conduct?
To ensure customers receive accurate information and ethical sales practices are followed
To help insurers increase sales through marketing strategies
To regulate how insurers compete in the market
To create more policy options for consumers
Which of the following would be considered misleading conduct?
Using plain language to explain policy details
Telling a customer a policy has “full dental” without explaining limits
Advising the customer to read the brochure
Recommending a Basic or Bronze policy for a low-income customer
Which statements below about the Medicare Levy Surcharge (MLS) are correct?
If I earn over $101k as a Single and don't hold Health Insurance, I pay between 1-1.5% of my taxable income towards Medicare
Every day you hold onto a Hospital Insurance Policy is another day where MLS is not applied if you earn over the Taxable Income Thresholds
As a single income, you earn $98,000 you need Hospital cover to avoid MLS
You can claim PHI as a tax deduction to lower your taxable income and then avoid the MLS
When are notes technically required to be captured?
Only when you sell a customer
Only when you quote or sell a customer
Whenever you have a conversation with a customer
Whenever the customer has said something
When should you complete the policy presentation?
When completing the Application but before Payment details
Prior to an application being commenced
At the end of the call during a Compliance Checklist
During the Needs Analysis
Who can we complete the Verbal AGR with?
Select all that apply.
Someone who the primary member has said it's ok to complete it with.
When we are speaking to a POA and we have received confirmation that they are a legal representative
We can complete the Verbal AGR with the person we've being speaking to throughout the whole call, the Primary Member doesn't need to be present
The Primary member is the only person I can complete the verbal AGR with*
A customer says, “Just give me the cheapest.” What’s your responsibility?
Provide the lowest-priced product immediately
Ask questions to ensure the product still meets their needs
Offer optional add-ons for value
Let them call back when they’re ready
Why is it risky to assume the customer's old cover included a particular benefit?
Policies are mostly the same
The fund will clarify it anyway
Each policy is unique and benefits vary, which may cause misrepresentation
Most customers don’t remember their old policy anyway
If someone believes purchasing a Hospital policy will reduce their Medicare Levy and their Taxable Income as a single is $87,000, what should you advise?
They will be able to save 1% extras Tax when purchasing a Hospital policy
Explain the difference between the Medicare Levy and the Medicare Levy Surcharge and that they will still pay 2% towards the Medicare Levy
Explain that each day they hold a Hospital policy they will no longer have to pay the Medicare Levy
There is nothing that needs to be said at all, this is a trick question
If a quote is needed urgently, but there's no time for a needs analysis, you should:
Email it anyway
Ask a couple of basic details and send one based on past experiences
Book a time to complete needs analysis
Use a generic quote
Once compliance feedback has been given, why is it important to action a compliance/risk assessment ASAP?
To avoid any potential payout
To avoid any bad word of mouth
To ensure the customer does not cancel or complain
To ensure ItsMy Group delivers the best experience possible
