UHC ETHICS AND COMPLIANCE TEST
QUESTIONS AND 100% CORRECT ANSWERS
2023-2024/VERIFIED SOLUTIONS
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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events?
-Ans✔ 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?
-Ans✔ Erin should tell Mrs. Rose that the plan has received a "Below Average" rating.
Which of the following describes Permission to Contact guidelines?
, UHC ETHICS AND COMPLIANCE TEST
QUESTIONS AND 100% CORRECT ANSWERS
2023-2024/VERIFIED SOLUTIONS
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ Provide only those items from the plan's Enrollment Guide that are most relevant to the
consumer's situation.
QUESTIONS AND 100% CORRECT ANSWERS
2023-2024/VERIFIED SOLUTIONS
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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events?
-Ans✔ 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?
-Ans✔ Erin should tell Mrs. Rose that the plan has received a "Below Average" rating.
Which of the following describes Permission to Contact guidelines?
, UHC ETHICS AND COMPLIANCE TEST
QUESTIONS AND 100% CORRECT ANSWERS
2023-2024/VERIFIED SOLUTIONS
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ 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?
-Ans✔ Provide only those items from the plan's Enrollment Guide that are most relevant to the
consumer's situation.
