UHC United Healthcare 2026-2027 Certifications
Questions And Answers Graded A+
What should you do if the consumer is interested in an MA Plan that has a 2-star
rating?
You should inform the consumer that the plan has received a "below average"
rating.
A member can voluntarily disenroll from an MA Plan or PDP or they can be
involuntarily disenrolled by the plan. Select the reasons below for involuntary
disenrollment. (select all that apply)
1. Member moves out of the plan's service area
2. Member loses entitlement to either Part A or Part B
Can you identify these terms associated with enrollment and disenrollment basics?
Read each statement and then drag the matching term to the statement.
1. Appeal: Action members take if they disagree with coverage or payment
decision
2. Summary of benefits: Detailed summary of plan's benefits, cost sharing and
special features
3. Required involuntary disenrollment: Happens when member loses Part A or B
entitlement
4. Statement of understanding: Required to be read and acknowledged by the
consumer at the enrollment
,5. Star Rating: Medicare's measure of a plan's quality and performance
Jared is planning a formal marketing/sales event for October 24. While it is
strongly recommended that Jared reports his event at least 14 calendar days in
advance, what is the last date the Event Request Form can be submitted to
UnitedHealthcare?
October 17
Tori needs to cancel an event. To allow ample time for UnitedHealthcare to
process the cancellation in the event reporting application, when should Tori
submit a Cancel Event Request Form?
At least 6 business days prior to the date of the event
Janet is conducting an informal marketing/sales event at her local soup kitchen.
When speaking to the Activities Director, Janet finds out that lunch is served daily
from 11:00 AM-1:00 PM. Which of the following is a compliant time when Janet
can host her event?
9 am to 11 am
Bonnie, a D-SNP member, lost her Medicaid eligibility. She has a Special Election
Period available to enroll in a new plan. When does that begin?
Upon notification or effective date of the loss, which ever is earlier
, Harold lost his Medicaid eligibility. What is he responsible for paying? (select all
that apply)
1. Deductibles
2. Copayments
3. Coinsurance
Consumer John provides his cell phone number on agent Mark's Permission to
Contact (PTC) mechanism and indicates he wants to be called as a means of
contact. What does that mean? (select all that apply)
1.Agent Mark may only call John, not text him.
2. Agent Mark may only speak to John, the person who provided the PTC.
Agent Charlie receives a Business Reply Card from consumer Rebecca. Rebecca
has provided her email address only and wants information about standalone
Prescription Drug Plans. What can Charlie do?
Charlie may only email Rebecca marketing material related to Prescription Drug
Plans.
From the list below, select the items that should be confirmed or obtained when
conducting a thorough needs assessment. (select all that apply)
1. Eligibility
2. Current coverage
3. Current providers
4. Current prescription medications
5. Daily living needs such as transportation, fitness, travel
Questions And Answers Graded A+
What should you do if the consumer is interested in an MA Plan that has a 2-star
rating?
You should inform the consumer that the plan has received a "below average"
rating.
A member can voluntarily disenroll from an MA Plan or PDP or they can be
involuntarily disenrolled by the plan. Select the reasons below for involuntary
disenrollment. (select all that apply)
1. Member moves out of the plan's service area
2. Member loses entitlement to either Part A or Part B
Can you identify these terms associated with enrollment and disenrollment basics?
Read each statement and then drag the matching term to the statement.
1. Appeal: Action members take if they disagree with coverage or payment
decision
2. Summary of benefits: Detailed summary of plan's benefits, cost sharing and
special features
3. Required involuntary disenrollment: Happens when member loses Part A or B
entitlement
4. Statement of understanding: Required to be read and acknowledged by the
consumer at the enrollment
,5. Star Rating: Medicare's measure of a plan's quality and performance
Jared is planning a formal marketing/sales event for October 24. While it is
strongly recommended that Jared reports his event at least 14 calendar days in
advance, what is the last date the Event Request Form can be submitted to
UnitedHealthcare?
October 17
Tori needs to cancel an event. To allow ample time for UnitedHealthcare to
process the cancellation in the event reporting application, when should Tori
submit a Cancel Event Request Form?
At least 6 business days prior to the date of the event
Janet is conducting an informal marketing/sales event at her local soup kitchen.
When speaking to the Activities Director, Janet finds out that lunch is served daily
from 11:00 AM-1:00 PM. Which of the following is a compliant time when Janet
can host her event?
9 am to 11 am
Bonnie, a D-SNP member, lost her Medicaid eligibility. She has a Special Election
Period available to enroll in a new plan. When does that begin?
Upon notification or effective date of the loss, which ever is earlier
, Harold lost his Medicaid eligibility. What is he responsible for paying? (select all
that apply)
1. Deductibles
2. Copayments
3. Coinsurance
Consumer John provides his cell phone number on agent Mark's Permission to
Contact (PTC) mechanism and indicates he wants to be called as a means of
contact. What does that mean? (select all that apply)
1.Agent Mark may only call John, not text him.
2. Agent Mark may only speak to John, the person who provided the PTC.
Agent Charlie receives a Business Reply Card from consumer Rebecca. Rebecca
has provided her email address only and wants information about standalone
Prescription Drug Plans. What can Charlie do?
Charlie may only email Rebecca marketing material related to Prescription Drug
Plans.
From the list below, select the items that should be confirmed or obtained when
conducting a thorough needs assessment. (select all that apply)
1. Eligibility
2. Current coverage
3. Current providers
4. Current prescription medications
5. Daily living needs such as transportation, fitness, travel
