UHC 2021 Ethics and Compliance Test
Agent Kim is conducting an event that has been advertised as educational. Which
activities are permitted at an educational event? - ANS-Displaying and distributing
business cards and lead cards, scheduling one-on-one marketing appointments, and
obtaining scope of appointment forms.
An individual with Power of Attorney is an example of what authority? - ANS-Legal
authority under state law to act on behalf of another individual.
Who has the authority to sign an Enrollment Application? - ANS-The consumer or the
consumer's authorized legal representative (e.g., Power of Attorney).
Which of the following statements is true about the Statement of Understanding? -
ANS-It ensures that when the consumer signs the Medicare Advantage and/or Part D
Enrollment Application, they are acknowledging their understanding that they are
actually enrolling, in which plan they are enrolling, and standard disclosures.
What is the definition of Waste? - ANS-Waste includes inaccurate payments for
services, such as unintentional duplicate payments, and can include inappropriate
utilization and/or inefficient use of resources.
Which of the items listed are examples of Fraud, Waste, and Abuse (FWA)? (Select 3) -
ANS-Billing for brand name drugs when generics were dispensed.
Submitting claims for services or supplies that were never provided.
Consulting with a number of doctors in order to obtain multiple prescriptions for the
same drug.
What type of events must an agent report to UnitedHealthcare? - ANS-Formal and
informal marketing/sales events
Whose email address may the agent enter into the LEAN enrollment application? -
ANS-Only the consumer's (or leave it blank).
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 a
SOA from both Mr. and Mrs. Nelson.
Agent Kim is conducting an event that has been advertised as educational. Which
activities are permitted at an educational event? - ANS-Displaying and distributing
business cards and lead cards, scheduling one-on-one marketing appointments, and
obtaining scope of appointment forms.
An individual with Power of Attorney is an example of what authority? - ANS-Legal
authority under state law to act on behalf of another individual.
Who has the authority to sign an Enrollment Application? - ANS-The consumer or the
consumer's authorized legal representative (e.g., Power of Attorney).
Which of the following statements is true about the Statement of Understanding? -
ANS-It ensures that when the consumer signs the Medicare Advantage and/or Part D
Enrollment Application, they are acknowledging their understanding that they are
actually enrolling, in which plan they are enrolling, and standard disclosures.
What is the definition of Waste? - ANS-Waste includes inaccurate payments for
services, such as unintentional duplicate payments, and can include inappropriate
utilization and/or inefficient use of resources.
Which of the items listed are examples of Fraud, Waste, and Abuse (FWA)? (Select 3) -
ANS-Billing for brand name drugs when generics were dispensed.
Submitting claims for services or supplies that were never provided.
Consulting with a number of doctors in order to obtain multiple prescriptions for the
same drug.
What type of events must an agent report to UnitedHealthcare? - ANS-Formal and
informal marketing/sales events
Whose email address may the agent enter into the LEAN enrollment application? -
ANS-Only the consumer's (or leave it blank).
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 a
SOA from both Mr. and Mrs. Nelson.
