UnitedHealthcare Final Certification Exam
Version: 2026/2027 Verified Update.
Passing Score: 90%
Proctor: Certified CMS Marketing Officer
Domain 1: Medicare Enrollment & Eligibility Windows (10 Questions)
1. [Multiple-Choice] A beneficiary turns 65 on June 15, 2026. They are automatically enrolled
in Medicare Part A but wish to enroll in Part B. Regarding their Initial Enrollment Period (IEP),
which statement is accurate?
A. The IEP begins on May 1, 2026, and ends on September 30, 2026.
B. The IEP begins on March 1, 2026, and ends on September 30, 2026.
C. The IEP begins on June 1, 2026, and ends on December 31, 2026.
D. The IEP is strictly the month of their birthday, June 1 to June 30.
2. [Multiple-Choice] A beneficiary worked past age 65 and was covered by a Group Health
Plan (GHP). They retired on March 1, 2026. What is the duration of their Special Enrollment
Period (SEP) to enroll in Medicare Part B without a late penalty?
A. 3 months before and 3 months after retirement.
B. Anytime while they are still working.
C. 8 months following the month the group coverage or employment ends, whichever comes
first.
D. 12 months following their 65th birthday.
3. [True/False] An individual who is currently receiving Social Security Disability Insurance
(SSDI) benefits must wait until age 65 to qualify for the Initial Enrollment Period (IEP).
A. True
B. False
,4. [Multiple-Choice] During the Annual Election Period (AEP), a beneficiary enrolls in a new
Medicare Advantage plan on November 10, 2026. When does the new coverage become
effective?
A. December 1, 2026.
B. January 1, 2027.
C. The first day of the month following the enrollment request.
D. Immediately upon confirmation of enrollment.
5. [True/False] The Annual Election Period (AEP) runs from October 15 through December 7
each year; during this time, a beneficiary can switch from Original Medicare to a Medicare
Advantage plan, but they cannot switch from one Medicare Advantage plan to another.
A. True
B. False
6. [Multiple-Choice] A UnitedHealthcare member moves from New York to Florida on March
5. What Special Election Period (SEP) do they qualify for regarding their Medicare Advantage
coverage?
A. A one-time SEP to change plans only if they move back to New York within 12 months.
B. A SEP that begins when the individual notifies the plan of the move and lasts for two
months.
C. A SEP that allows enrollment only during the AEP of that calendar year.
D. A SEP that lasts for 30 days prior to the move and 30 days after the move.
7. [Multiple-Choice] A beneficiary loses their Medicaid eligibility on July 1. Which SEP applies
to this situation?
A. They qualify for a SEP for the loss of Medicaid eligibility, lasting 3 months from the date of
the loss.
B. They do not qualify for a SEP; they must wait for the AEP.
C. They qualify for a SEP that begins the month Medicaid is lost and ends 3 full months later.
, D. They qualify for a SEP, but only to enroll in a D-SNP plan.
8. [True/False] A beneficiary has a guaranteed-issue right to purchase a Medicare Supplement
(Medigap) policy during their Medigap Open Enrollment Period, which begins when they are
age 65 or older and enrolled in Medicare Part B.
A. True
B. False
9. [True/False] If a beneficiary attempts to purchase a Medicare Supplement policy outside of
their Open Enrollment Period and does not have a qualifying Special Enrollment Period,
insurance companies can medically underwrite the policy and charge a higher premium based
on health status.
A. True
B. False
10. [Select-All-That-Apply] Which of the following scenarios grants a beneficiary a Guaranteed
Issue Right for a Medicare Supplement policy? (Select all that apply)
A. The beneficiary’s Medicare Advantage Plan is leaving the Medicare program.
B. The beneficiary loses their Medicaid eligibility.
C. The beneficiary moves out of their Medicare Advantage plan’s service area.
D. The beneficiary simply wants to switch Medigap plans because they found a lower
premium.
Domain 2: Medicare Communications & Marketing Guidelines (MCMG) (15 Questions)
11. [Multiple-Choice] What is the required timeframe for a Scope of Appointment (SOA) form
to be signed by the beneficiary prior to a one-on-one sales appointment?
A. At least 24 hours before the scheduled appointment.
B. At least 48 hours before the scheduled appointment.
Version: 2026/2027 Verified Update.
Passing Score: 90%
Proctor: Certified CMS Marketing Officer
Domain 1: Medicare Enrollment & Eligibility Windows (10 Questions)
1. [Multiple-Choice] A beneficiary turns 65 on June 15, 2026. They are automatically enrolled
in Medicare Part A but wish to enroll in Part B. Regarding their Initial Enrollment Period (IEP),
which statement is accurate?
A. The IEP begins on May 1, 2026, and ends on September 30, 2026.
B. The IEP begins on March 1, 2026, and ends on September 30, 2026.
C. The IEP begins on June 1, 2026, and ends on December 31, 2026.
D. The IEP is strictly the month of their birthday, June 1 to June 30.
2. [Multiple-Choice] A beneficiary worked past age 65 and was covered by a Group Health
Plan (GHP). They retired on March 1, 2026. What is the duration of their Special Enrollment
Period (SEP) to enroll in Medicare Part B without a late penalty?
A. 3 months before and 3 months after retirement.
B. Anytime while they are still working.
C. 8 months following the month the group coverage or employment ends, whichever comes
first.
D. 12 months following their 65th birthday.
3. [True/False] An individual who is currently receiving Social Security Disability Insurance
(SSDI) benefits must wait until age 65 to qualify for the Initial Enrollment Period (IEP).
A. True
B. False
,4. [Multiple-Choice] During the Annual Election Period (AEP), a beneficiary enrolls in a new
Medicare Advantage plan on November 10, 2026. When does the new coverage become
effective?
A. December 1, 2026.
B. January 1, 2027.
C. The first day of the month following the enrollment request.
D. Immediately upon confirmation of enrollment.
5. [True/False] The Annual Election Period (AEP) runs from October 15 through December 7
each year; during this time, a beneficiary can switch from Original Medicare to a Medicare
Advantage plan, but they cannot switch from one Medicare Advantage plan to another.
A. True
B. False
6. [Multiple-Choice] A UnitedHealthcare member moves from New York to Florida on March
5. What Special Election Period (SEP) do they qualify for regarding their Medicare Advantage
coverage?
A. A one-time SEP to change plans only if they move back to New York within 12 months.
B. A SEP that begins when the individual notifies the plan of the move and lasts for two
months.
C. A SEP that allows enrollment only during the AEP of that calendar year.
D. A SEP that lasts for 30 days prior to the move and 30 days after the move.
7. [Multiple-Choice] A beneficiary loses their Medicaid eligibility on July 1. Which SEP applies
to this situation?
A. They qualify for a SEP for the loss of Medicaid eligibility, lasting 3 months from the date of
the loss.
B. They do not qualify for a SEP; they must wait for the AEP.
C. They qualify for a SEP that begins the month Medicaid is lost and ends 3 full months later.
, D. They qualify for a SEP, but only to enroll in a D-SNP plan.
8. [True/False] A beneficiary has a guaranteed-issue right to purchase a Medicare Supplement
(Medigap) policy during their Medigap Open Enrollment Period, which begins when they are
age 65 or older and enrolled in Medicare Part B.
A. True
B. False
9. [True/False] If a beneficiary attempts to purchase a Medicare Supplement policy outside of
their Open Enrollment Period and does not have a qualifying Special Enrollment Period,
insurance companies can medically underwrite the policy and charge a higher premium based
on health status.
A. True
B. False
10. [Select-All-That-Apply] Which of the following scenarios grants a beneficiary a Guaranteed
Issue Right for a Medicare Supplement policy? (Select all that apply)
A. The beneficiary’s Medicare Advantage Plan is leaving the Medicare program.
B. The beneficiary loses their Medicaid eligibility.
C. The beneficiary moves out of their Medicare Advantage plan’s service area.
D. The beneficiary simply wants to switch Medigap plans because they found a lower
premium.
Domain 2: Medicare Communications & Marketing Guidelines (MCMG) (15 Questions)
11. [Multiple-Choice] What is the required timeframe for a Scope of Appointment (SOA) form
to be signed by the beneficiary prior to a one-on-one sales appointment?
A. At least 24 hours before the scheduled appointment.
B. At least 48 hours before the scheduled appointment.
