UHC/United Health Care Compliance Exam
Agent John is planning to conduct a series of events. Some will be strictly educational,
others will be formal presentations of specific UnitedHealthcare plans, and others will
be informal marketing events where he can generate leads and schedule future in-home
marketing appointments. Of the three types of events John plans to conduct, which need
to be reported to United Healthcare?
- All events: educational and marketing/sales, formal and informal.
Whose email address may the agent enter into the LEAN enrollment application?
- Only the consumer's (or leave it blank).
Which election period runs from October 15 to December 7 and allows consumers to
elect to join a Medicare Advantage Plan or switch to a different plan?
- Annual Election Period (AEP)
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-network pharmacy.
Rina, a consumer, has requested an appointment with Connor, an agent, to discuss
DSNPs. Prior to the appointment Rina completed a Scope of Appointment (SOA) form.
On the day of the appointment, Rina brings her friend Shelley, who is Medicare-
eligible, to the meeting. Shelley also wants to talk about DSNPs. What should Connor
do when he sees both Rina and Shelley at the appointment?
- Ask Shelley to complete an SOA before the start of the meeting.
Educational events allow for which of the following to occur?
Provide objective information about the Medicare program and/or health improvement
and wellness.
Provide an opportunity to review benefits, premiums and product information with
consumers.
Provide an opportunity to steer a consumer toward a specific or limited number of
plans.
Provide an opportunity to give an introductory presentation followed by an informal
marketing/sales event.
, Janine, currently enrolled in a 3-star plan, discovers there is 5-star plan available where
she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can advise
Janine of each of the following except:
Josh should tell Janine that the new coverage will start the first of the month after she
enrolls in the 5 star plan.
Josh should tell Janine that she can change her current plan to a 5 star plan since one is
available in the area where she lives.
Josh should tell Janine that she can only change her current plan to a 5 star plan during
the Annual Election Period.
Josh should tell Janine that she can only use the 5-Star SEP once per calendar year.
Which of the following describes Permission to Contact guidelines?
It allows the agent to discuss the products identified during the marketing appointment.
It does not have to be provided by the consumer, but can be provided by the consumer's
spouse or adult child.
It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is
made), and event specific (i.e., limited to the products identified).
- It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is
made), and event specific (i.e., limited to the products identified).
Agent Ralph wants to market Medicare Advantage Plans in his neighborhood - an area
that consists of single-family houses, an assisted living facility, a church, and public
library. Which of the following methods of contact is permitted?
Ralph sends a flyer inviting consumers to a marketing/sales event to each resident via
postal mail.
Ralph stands in the lobby of the assisted living facility and hands out to the residents a
flyer inviting them to a marketing/sales event.
Ralph puts a flyer inviting consumers to a marketing/sales event on the door of each
house.
Ralph puts a flyer inviting consumers to a marketing/sales event on the windshield of
each car in the church parking lot on Sunday morning.
- Ralph sends a flyer inviting consumers to a marketing/sales event to each resident via
postal mail.
An individual with Power of Attorney is an example of what authority?
Agent John is planning to conduct a series of events. Some will be strictly educational,
others will be formal presentations of specific UnitedHealthcare plans, and others will
be informal marketing events where he can generate leads and schedule future in-home
marketing appointments. Of the three types of events John plans to conduct, which need
to be reported to United Healthcare?
- All events: educational and marketing/sales, formal and informal.
Whose email address may the agent enter into the LEAN enrollment application?
- Only the consumer's (or leave it blank).
Which election period runs from October 15 to December 7 and allows consumers to
elect to join a Medicare Advantage Plan or switch to a different plan?
- Annual Election Period (AEP)
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-network pharmacy.
Rina, a consumer, has requested an appointment with Connor, an agent, to discuss
DSNPs. Prior to the appointment Rina completed a Scope of Appointment (SOA) form.
On the day of the appointment, Rina brings her friend Shelley, who is Medicare-
eligible, to the meeting. Shelley also wants to talk about DSNPs. What should Connor
do when he sees both Rina and Shelley at the appointment?
- Ask Shelley to complete an SOA before the start of the meeting.
Educational events allow for which of the following to occur?
Provide objective information about the Medicare program and/or health improvement
and wellness.
Provide an opportunity to review benefits, premiums and product information with
consumers.
Provide an opportunity to steer a consumer toward a specific or limited number of
plans.
Provide an opportunity to give an introductory presentation followed by an informal
marketing/sales event.
, Janine, currently enrolled in a 3-star plan, discovers there is 5-star plan available where
she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can advise
Janine of each of the following except:
Josh should tell Janine that the new coverage will start the first of the month after she
enrolls in the 5 star plan.
Josh should tell Janine that she can change her current plan to a 5 star plan since one is
available in the area where she lives.
Josh should tell Janine that she can only change her current plan to a 5 star plan during
the Annual Election Period.
Josh should tell Janine that she can only use the 5-Star SEP once per calendar year.
Which of the following describes Permission to Contact guidelines?
It allows the agent to discuss the products identified during the marketing appointment.
It does not have to be provided by the consumer, but can be provided by the consumer's
spouse or adult child.
It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is
made), and event specific (i.e., limited to the products identified).
- It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is
made), and event specific (i.e., limited to the products identified).
Agent Ralph wants to market Medicare Advantage Plans in his neighborhood - an area
that consists of single-family houses, an assisted living facility, a church, and public
library. Which of the following methods of contact is permitted?
Ralph sends a flyer inviting consumers to a marketing/sales event to each resident via
postal mail.
Ralph stands in the lobby of the assisted living facility and hands out to the residents a
flyer inviting them to a marketing/sales event.
Ralph puts a flyer inviting consumers to a marketing/sales event on the door of each
house.
Ralph puts a flyer inviting consumers to a marketing/sales event on the windshield of
each car in the church parking lot on Sunday morning.
- Ralph sends a flyer inviting consumers to a marketing/sales event to each resident via
postal mail.
An individual with Power of Attorney is an example of what authority?
