UHC 2022 Ethics and Compliance Test
QUESTIONS AND ANSWERS GRADED A
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 UnitedHealthcare? Correct Answer:
*******
When completing an enrollment application in LEAN, why is an agent prohibited
from entering his or her own email address in a field available for the consumer's
email address? Correct Answer: The consumer/member would not receive plan
related correspondence intended for him/her.
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? Correct
Answer: Annual Election Period (AEP)
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.
Mr. and Mrs. Nelson, who are current members, unexpectedly walk into Jake's
insurance agency office and ask him to discuss Medicare Advantage Plans. Does
Jake need to obtain a Scope of Appointment (SOA) form? Correct Answer: Yes,
he needs to obtain an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events? Correct Answer: Educational
events provide objective information about the Medicare program and/or health
improvement and wellness.
How should agent Erin respond when consumer Mrs. Rose notices that the
presented MA Plan has a Star Rating of 2 stars? Correct Answer: Erin should tell
Mrs. Rose that the plan has received a "Below Average" rating.
, Which of the following describes Permission to Contact guidelines? Correct
Answer: 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).
Julie, a consumer, is having difficulty understanding the information her agent,
Victor, is presenting at her in-home appointment. She provides Victor with her
cousin's telephone number and email address and asks him to explain the plan to
her cousin, who frequently assists with her health care decisions. The next day,
Victor emails Julie's cousin. Has Victor been compliant? Correct Answer: No.
Victor violated United Healthcare permission to contact guidelines by emailing the
cousin without the cousin's permission
Which of the individuals below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? Correct Answer: The consumer's
spouse, who is neither a Power of Attorney nor legal guardian.
In which of the following situations can telephonic contact be made with a
Medicare eligible consumer? 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.
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.
Which of the following must you not do when marketing UnitedHealthcare
Medicare Advantage or Prescription Drug Plans to consumers? Correct Answer:
Provide only those items from the plan's Enrollment Guide that are most relevant
to the consumer's situation.
An agent should only enroll a consumer in a product: Correct Answer: That is
suitable for the consumer's needs, goals and financial resources.
What is the purpose of the Statement of Understanding? Correct Answer: It
ensures that when consumers sign the Medicare Advantage and/or Part D
QUESTIONS AND ANSWERS GRADED A
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 UnitedHealthcare? Correct Answer:
*******
When completing an enrollment application in LEAN, why is an agent prohibited
from entering his or her own email address in a field available for the consumer's
email address? Correct Answer: The consumer/member would not receive plan
related correspondence intended for him/her.
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? Correct
Answer: Annual Election Period (AEP)
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.
Mr. and Mrs. Nelson, who are current members, unexpectedly walk into Jake's
insurance agency office and ask him to discuss Medicare Advantage Plans. Does
Jake need to obtain a Scope of Appointment (SOA) form? Correct Answer: Yes,
he needs to obtain an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events? Correct Answer: Educational
events provide objective information about the Medicare program and/or health
improvement and wellness.
How should agent Erin respond when consumer Mrs. Rose notices that the
presented MA Plan has a Star Rating of 2 stars? Correct Answer: Erin should tell
Mrs. Rose that the plan has received a "Below Average" rating.
, Which of the following describes Permission to Contact guidelines? Correct
Answer: 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).
Julie, a consumer, is having difficulty understanding the information her agent,
Victor, is presenting at her in-home appointment. She provides Victor with her
cousin's telephone number and email address and asks him to explain the plan to
her cousin, who frequently assists with her health care decisions. The next day,
Victor emails Julie's cousin. Has Victor been compliant? Correct Answer: No.
Victor violated United Healthcare permission to contact guidelines by emailing the
cousin without the cousin's permission
Which of the individuals below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? Correct Answer: The consumer's
spouse, who is neither a Power of Attorney nor legal guardian.
In which of the following situations can telephonic contact be made with a
Medicare eligible consumer? 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.
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.
Which of the following must you not do when marketing UnitedHealthcare
Medicare Advantage or Prescription Drug Plans to consumers? Correct Answer:
Provide only those items from the plan's Enrollment Guide that are most relevant
to the consumer's situation.
An agent should only enroll a consumer in a product: Correct Answer: That is
suitable for the consumer's needs, goals and financial resources.
What is the purpose of the Statement of Understanding? Correct Answer: It
ensures that when consumers sign the Medicare Advantage and/or Part D
