United HealthCare Insurance Questions
With Correct Review Solution A+
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?
The consumer/member would not receive plan related correspondence intended for
him/her
By agreeing to the Statement of Understanding, the consumer:
Acknowledges that they clearly understand they are enrolling in a plan, combined with
knowing the specific plan in which they are enrolling
John has Power of Attorney to act on behalf of his mother. What does that mean
when it comes to his mother enrolling in a Medicare Advantage Plan?
John may complete the Enrollment Application and must be able to provide
documentation upon request by the Plan that indicates his authority under state law to
enroll his mother
Aries is currently a member of a stand-alone PDP. Aries would like to have
additional medical coverage. A thorough needs analysis indicates a Medicare
Advantage Plan would be a good fit, there are plans available in his area, and he
is in a valid election period. Which option is available to Aries?
Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which
will disenroll him from his PDP
In what product should agents enroll consumers?
A product that is suitable for the consumer's needs, goals and financial resources
To avoid confusing or misleading a consumer, what type of information must the
agent provide when presenting a plan?
(Select 3)
Factual
Complete
Accurate
Annual Election Period (AEP) is a time when. . .
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan
How should agent Erin respond when consumer Mrs. Rose notices that the
presented MA Plan has a Star Rating of 2 stars?
Erin should tell Mrs. Rose that the plan has received a "Below Average" rating
Which of the following is not considered unsolicited contact with a Medicare
eligible consumer according to CMS regulations and UnitedHealthcare's rules,
policies, and procedures?
Mailing a marketing brochure to the consumer via postal mail
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?
, Leave the field requesting applicant
email address blank
The __________ ensures that when consumers provide their verbal agreement
during the telephonic enrollment, they acknowledge and understand they are
actually enrolling, in which plan they are enrolling, as well as the standard
disclosures
Statement of Understanding
A one-on-one marketing appointment, whether in-person or telephonic, is always
considered a marketing/sales event, but it is not reported to UnitedHealthcare or
CMS; instead the consumer must provide ___________________ agreement prior
to the start of the appointment
Scope of Appointment
Melanie is currently enrolled in a Medicare Supplement Insurance Plan and a
PDP. Assuming she has a valid election period, what would happen if she
enrolled in an HMO MAPD plan?
She would be automatically disenrolled from the PDP
In which situation may the Medicare Advantage (MA) organization decide to
disenroll a member from an MA plan?
Premiums are not paid on a timely basis
In which situation must the Medicare Advantage (MA) organization disenroll a
member from an MA plan?
The member loses entitlement to either
Medicare Part A or Part B
Rosanna is enrolled in a Medicare Advantage Only (MA-Only) Private Fee-for-
Service (PFFS) Plan. The plan is suitable for her needs and service area. She has
decided she wants to add prescription drug coverage. Which option is available
to Rosanna (assuming she is in a valid election period)?
Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a stand-alone PDP
Why must an agent present accurate, complete, and factual plan information to
consumers? (Select 3)
To help avoid misunderstandings
To help avoid confusing the consumer
To help the consumer focus on plan-specific information, such as benefits and costs
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 she can only change her current plan to a 5-star plan during
the Annual Election Period
Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage
plan. He calls in February the month before his 65th birthday and is unhappy with
his current plan. On the date of the call, what can Gene do about his coverage?
On the day he called, he can enroll in a different Medicare Advantage plan with an
effective date of March 1st
With Correct Review Solution A+
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?
The consumer/member would not receive plan related correspondence intended for
him/her
By agreeing to the Statement of Understanding, the consumer:
Acknowledges that they clearly understand they are enrolling in a plan, combined with
knowing the specific plan in which they are enrolling
John has Power of Attorney to act on behalf of his mother. What does that mean
when it comes to his mother enrolling in a Medicare Advantage Plan?
John may complete the Enrollment Application and must be able to provide
documentation upon request by the Plan that indicates his authority under state law to
enroll his mother
Aries is currently a member of a stand-alone PDP. Aries would like to have
additional medical coverage. A thorough needs analysis indicates a Medicare
Advantage Plan would be a good fit, there are plans available in his area, and he
is in a valid election period. Which option is available to Aries?
Aries can enroll into a Medicare Advantage plan with prescription drug coverage, which
will disenroll him from his PDP
In what product should agents enroll consumers?
A product that is suitable for the consumer's needs, goals and financial resources
To avoid confusing or misleading a consumer, what type of information must the
agent provide when presenting a plan?
(Select 3)
Factual
Complete
Accurate
Annual Election Period (AEP) is a time when. . .
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan
How should agent Erin respond when consumer Mrs. Rose notices that the
presented MA Plan has a Star Rating of 2 stars?
Erin should tell Mrs. Rose that the plan has received a "Below Average" rating
Which of the following is not considered unsolicited contact with a Medicare
eligible consumer according to CMS regulations and UnitedHealthcare's rules,
policies, and procedures?
Mailing a marketing brochure to the consumer via postal mail
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?
, Leave the field requesting applicant
email address blank
The __________ ensures that when consumers provide their verbal agreement
during the telephonic enrollment, they acknowledge and understand they are
actually enrolling, in which plan they are enrolling, as well as the standard
disclosures
Statement of Understanding
A one-on-one marketing appointment, whether in-person or telephonic, is always
considered a marketing/sales event, but it is not reported to UnitedHealthcare or
CMS; instead the consumer must provide ___________________ agreement prior
to the start of the appointment
Scope of Appointment
Melanie is currently enrolled in a Medicare Supplement Insurance Plan and a
PDP. Assuming she has a valid election period, what would happen if she
enrolled in an HMO MAPD plan?
She would be automatically disenrolled from the PDP
In which situation may the Medicare Advantage (MA) organization decide to
disenroll a member from an MA plan?
Premiums are not paid on a timely basis
In which situation must the Medicare Advantage (MA) organization disenroll a
member from an MA plan?
The member loses entitlement to either
Medicare Part A or Part B
Rosanna is enrolled in a Medicare Advantage Only (MA-Only) Private Fee-for-
Service (PFFS) Plan. The plan is suitable for her needs and service area. She has
decided she wants to add prescription drug coverage. Which option is available
to Rosanna (assuming she is in a valid election period)?
Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a stand-alone PDP
Why must an agent present accurate, complete, and factual plan information to
consumers? (Select 3)
To help avoid misunderstandings
To help avoid confusing the consumer
To help the consumer focus on plan-specific information, such as benefits and costs
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 she can only change her current plan to a 5-star plan during
the Annual Election Period
Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage
plan. He calls in February the month before his 65th birthday and is unhappy with
his current plan. On the date of the call, what can Gene do about his coverage?
On the day he called, he can enroll in a different Medicare Advantage plan with an
effective date of March 1st
