UHC ETHICS AND COMPLIANCE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
◉ When completing an enrollment application in LEAN, why is an
agent prohibited from entering their own email address in a field
available for the consumer's email address? Answer: The
consumer/member would not receive plan related correspondence
intended for him/her.
◉ Annual Election Period (AEP) is a time when: Answer: Consumers
can elect to join a Medicare Advantage Plan or switch to a different plan.
◉ You have scheduled an appointment and obtained a Scope of
Appointment (SOA) form to discuss Medicare Advantage Plans with a
consumer. When you arrive at the appointment, a friend of the consumer
who is Medicare-eligible is present to hear your presentation. What
should you do? Answer: Before you can start the appointment with both
consumers, ask the consumer's friend to complete an SOA.
◉ Educational events allow for which of the following to occur?
Answer: Provide objective information about the Medicare program
and/or health improvement and wellness.
◉ Agent Brenda is presenting Medicare Advantage plan options to her
consumer, Melanie. During the presentation, Brenda tells Melanie that
Medicare gives each plan a Star Rating. Which of the following is not an
, appropriate response when Melanie asks what the Star Rating means?
Answer: Brenda should tell Melanie that the Star Rating is the same for
every plan and it does not accurately reflect a plan's performance in
certain categories.
◉ When does Permission to Contact for Medicare Advantage and/or
Prescription Drug Plans expire? Answer: Once contact is made or 9
months from the date the consumer provided permission (e.g. consumer
signature date on BRC) or 90 days if on federal do not call list,
whichever comes first.
◉ Julie, a consumer, is having difficulty understanding the information
her agent, Victor, is presenting at her in-home appointment. She provides
Victor with her cousin's telephone number and email address and asks
him to explain the plan to her cousin, who frequently assists with her
health care decisions. The next day, Victor emails Julie's cousin. Has
Victor been compliant? Answer: No. Victor violated United Healthcare
permission to contact guidelines by emailing the cousin without the
cousin's permission.
◉ John has Power of Attorney to act on behalf of his mother. What does
that mean when it comes to his mother enrolling in a Medicare
Advantage Plan? Answer: John may sign the Enrollment Application and
must be able to provide documentation upon request by the Plan that
indicates his authority under state law to enroll his mother.
FULL QUESTIONS AND CORRECT ANSWERS
◉ When completing an enrollment application in LEAN, why is an
agent prohibited from entering their own email address in a field
available for the consumer's email address? Answer: The
consumer/member would not receive plan related correspondence
intended for him/her.
◉ Annual Election Period (AEP) is a time when: Answer: Consumers
can elect to join a Medicare Advantage Plan or switch to a different plan.
◉ You have scheduled an appointment and obtained a Scope of
Appointment (SOA) form to discuss Medicare Advantage Plans with a
consumer. When you arrive at the appointment, a friend of the consumer
who is Medicare-eligible is present to hear your presentation. What
should you do? Answer: Before you can start the appointment with both
consumers, ask the consumer's friend to complete an SOA.
◉ Educational events allow for which of the following to occur?
Answer: Provide objective information about the Medicare program
and/or health improvement and wellness.
◉ Agent Brenda is presenting Medicare Advantage plan options to her
consumer, Melanie. During the presentation, Brenda tells Melanie that
Medicare gives each plan a Star Rating. Which of the following is not an
, appropriate response when Melanie asks what the Star Rating means?
Answer: Brenda should tell Melanie that the Star Rating is the same for
every plan and it does not accurately reflect a plan's performance in
certain categories.
◉ When does Permission to Contact for Medicare Advantage and/or
Prescription Drug Plans expire? Answer: Once contact is made or 9
months from the date the consumer provided permission (e.g. consumer
signature date on BRC) or 90 days if on federal do not call list,
whichever comes first.
◉ Julie, a consumer, is having difficulty understanding the information
her agent, Victor, is presenting at her in-home appointment. She provides
Victor with her cousin's telephone number and email address and asks
him to explain the plan to her cousin, who frequently assists with her
health care decisions. The next day, Victor emails Julie's cousin. Has
Victor been compliant? Answer: No. Victor violated United Healthcare
permission to contact guidelines by emailing the cousin without the
cousin's permission.
◉ John has Power of Attorney to act on behalf of his mother. What does
that mean when it comes to his mother enrolling in a Medicare
Advantage Plan? Answer: John may sign the Enrollment Application and
must be able to provide documentation upon request by the Plan that
indicates his authority under state law to enroll his mother.
