United HealthCare - Ethics and Compliance Exam 100% scored already

United HealthCare - Ethics and Compliance Exam 100% scored already. 1. In terms of events, which of the following is true?: WRONG - Agents must report formal marketing/sales events only to UnitedHealthcare 2. 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?: The consumer/member would not receive plan related correspondence intended for him/her. 3. Annual Election Period (AEP) is a time when:: Consumers can elect to join a Medicare Advantage Plan or switch to a different plan. 4. 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?: Before you can start the appointment with both consumers, ask the consumer's friend to complete an SOA. 5. Educational events allow for which of the following to occur?: Provide objective information about the Medicare program and/or health improvement and wellness. 6. Agent Brenda is presenting Medicare Advantage plan options to her con- sumer, 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?: 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. 14. What is the purpose of the Statement of Understanding?: It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Applica- tion, they are acknowledging their understanding that they are actually enrolling, in which plan they are enrolling, and standard disclosures. 15. What is the definition of Fraud?: Fraud is intentionally misrepresenting or concealing facts to obtain something of value. 16. Which of the items listed are examples of Fraud, Waste, and Abuse (FWA)?: - Submitting claims for services or supplies that were never provided - Consulting with a number of doctors in order to obtain multiple prescriptions for the same drug. - Billing for brand name drugs when generics were dispensed. 17. Whose email address may the agent enter into the LEAN enrollment application?: Only the consumer's (or leave it blank). 18. Which election period occurs from October 15 to December 7?: Annual Election Period (AEP) 19. Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing /sales event?: 5 dollar gift cards to an in-net- work pharmacy. 21. Agent Bryan wants to grow his book of business. Which of the following lead generating activities is NOT compliant?: At each appointment he asks the consumer for the name and phone number of at least one acquaintance who is 65 or older and calls the referred individual. 22. Consumer Gary his friend's telephone number and email address to agent Bethany. What should Bethany do?: Bethany may accept the information, but must observe permission to contact and unsolicited contact guidelines, which will limit her to using postal mail to contact Bethany's friend.