UHC Ethic and Compliance 2022
What is the definition of Abuse? Correct Answer: Abuse includes any practice that
results in the provision of services that are not medically necesary
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 UnitedHealthcare 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 UnitedHealthcare.
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
What is the definition of Abuse? Correct Answer: Abuse includes any practice that
results in the provision of services that are not medically necesary
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 UnitedHealthcare 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 UnitedHealthcare.
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
