Draft - United Healthcare Ethics & Compliance 2022
What type of events must an agent report to UnitedHealthcare? Correct Answer: Formal
marketing/sales events only
Marketing/sales events (formal and informal) and educational events
Formal and informal marketing/sales events
Informal marketing/sales events only
While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the
consumer does not have an email address. What should Jeff do? Correct Answer: Leave any
field requesting a consumer email address 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? 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.
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.
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.
Josh should tell Janine that the new coverage will start the first of the month after she enrolls in
the 5 star plan.
(wrong)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 use the 5-Star SEP once per calendar year.
Agent Bryan wants to grow his book of business. Which of the following lead generating
activities is NOT compliant? Correct Answer: 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.
What type of events must an agent report to UnitedHealthcare? Correct Answer: Formal
marketing/sales events only
Marketing/sales events (formal and informal) and educational events
Formal and informal marketing/sales events
Informal marketing/sales events only
While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the
consumer does not have an email address. What should Jeff do? Correct Answer: Leave any
field requesting a consumer email address 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? 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.
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.
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.
Josh should tell Janine that the new coverage will start the first of the month after she enrolls in
the 5 star plan.
(wrong)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 use the 5-Star SEP once per calendar year.
Agent Bryan wants to grow his book of business. Which of the following lead generating
activities is NOT compliant? Correct Answer: 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.
