UHC Ethic And Compliance 2022 Questions And
Answers Latest Solutions
What is the definition of Abuse? Correct answer: Abuse includes any practice that results in the
provision of services that are not medically necessary
An agent should only enroll a consumer in a product: Correct answer: That is suitable for the
consumer's needs, goals and financial resources.
When marketing United Healthcare Medicare Advantage plans to consumers, which of the following
must an agent do? Correct answer: Provide current marketing materials that have been approved by
CMS and United Healthcare.
Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal
representative for her father. What must Jacob explain to Emily when completing an Enrollment
Application for her father? Correct answer: Jacob must explain that Emily will sign the Enrollment
Application and must be able to provide documentation upon request by the Plan that indicates her
legal authority to enroll her father.
When can telephonic contact with a Medicare eligible consumer be made? Correct answer: When the
consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet
occurred, and the permission has not yet expired.
An individual with Power of Attorney is an example of what authority? Correct answer: Legal authority
under state law to act on behalf of another individual.
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: Correct answer: Josh should tell Janine that she can only change her current plan to
a 5-star plan during the Annual Election Period.
Educational events allow for which of the following to occur? Correct answer: Provide objective
information about the Medicare program and/or health improvement and wellness.
Dino, an agent, received a phone call on September 29 from a consumer interested in Medicare
Advantage plans for the new plan year. Dino proceeded to verify the consumer's Medicare eligibility,
describe the costs and benefit coverage of the plan, and explained that he could not accept an
enrollment application until October 15. What did Dino do that was NOT compliant? Correct answer:
Dino presented a plan prior to October 1.
Annual Election Period (AEP) is a time when: Correct answer: Consumers can elect to join a
Medicare Advantage Plan or switch to a different plan.
What type of events must an agent report to UnitedHealthcare? Correct answer: Formal and informal
marketing/sales events
Which of the following are the ways to report potential FWA? Correct answer: Producer Help Desk
(DHP)
Answers Latest Solutions
What is the definition of Abuse? Correct answer: Abuse includes any practice that results in the
provision of services that are not medically necessary
An agent should only enroll a consumer in a product: Correct answer: That is suitable for the
consumer's needs, goals and financial resources.
When marketing United Healthcare Medicare Advantage plans to consumers, which of the following
must an agent do? Correct answer: Provide current marketing materials that have been approved by
CMS and United Healthcare.
Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal
representative for her father. What must Jacob explain to Emily when completing an Enrollment
Application for her father? Correct answer: Jacob must explain that Emily will sign the Enrollment
Application and must be able to provide documentation upon request by the Plan that indicates her
legal authority to enroll her father.
When can telephonic contact with a Medicare eligible consumer be made? Correct answer: When the
consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet
occurred, and the permission has not yet expired.
An individual with Power of Attorney is an example of what authority? Correct answer: Legal authority
under state law to act on behalf of another individual.
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: Correct answer: Josh should tell Janine that she can only change her current plan to
a 5-star plan during the Annual Election Period.
Educational events allow for which of the following to occur? Correct answer: Provide objective
information about the Medicare program and/or health improvement and wellness.
Dino, an agent, received a phone call on September 29 from a consumer interested in Medicare
Advantage plans for the new plan year. Dino proceeded to verify the consumer's Medicare eligibility,
describe the costs and benefit coverage of the plan, and explained that he could not accept an
enrollment application until October 15. What did Dino do that was NOT compliant? Correct answer:
Dino presented a plan prior to October 1.
Annual Election Period (AEP) is a time when: Correct answer: Consumers can elect to join a
Medicare Advantage Plan or switch to a different plan.
What type of events must an agent report to UnitedHealthcare? Correct answer: Formal and informal
marketing/sales events
Which of the following are the ways to report potential FWA? Correct answer: Producer Help Desk
(DHP)
