UHC Ethics and Compliance Assessment 2024
1. On October 20, Aries decides to switch his PDP to a Medicare Advantage
plan. Aries would like this change to be effective November 1. Which
statement is true for Aries?
-He can use the Annual Election Period that runs from October 15 to
December 7 and select November 1 as his plan effective date.
-There are no rules governing how often he can change plans during the
year.
-He may be able to use a Special Election Period to change plans if he
qualifies for one.
-He can use the Medicare Advantage Open Enrollment Period that runs from
October 15 to December 7 and select November 1 as his plan effective date.:
He may be able to use a Special Election Period to change plans if he qualifies for
one.
2. Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a
Medicare Advantage (MA) Plan.
-Annual Election Period can only be used by a consumer already enrolled in
an MA Plan.
-5-Star SEP can only be used by a consumer already enrolled in an MA
Plan.: MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
3. Which statement regarding Star Ratings is true?
-Medicare uses a 5-star rating system to illustrate the plan's relative
popularity in a market as measured by membership and retention rates.
-Star Ratings are based on a plan's performance from the prior year and,
therefore, may not accurately reflect a plan's current value.
1/5
, UHC Ethics and Compliance Assessment 2024
-Medicare uses a 5-star rating system to illustrate a plan's performance and
quality.
-The agent said that the Star Ratings are based on a plan's performance
from two years ago and, therefore, do not accurately reflect a plan's current
value.: Medicare uses a 5-star rating system to illustrate a plan's performance and
quality.
4. Which of the following describes Permission to Contact (PTC) guidelines?
-PTC expires the Dec. 31 of each year regardless of when it was obtained.
-Contact can only be made by the method(s) requested by the consumer and
the agent can only market the product(s) indicated by the consumer.
-The agent must obtain PTC no later than the start of a marketing
appointment and can only discuss the products agreed upon by the
consumer.: Contact can only be made by the method(s) requested by the
consumer and the agent can only market the product(s) indicated by the
consumer.
5. What information should be obtained from the consumer when
conducting a thorough needs assessment? (Select 2)
-Their favorite foods and hygiene products to determine if they are covered
by a grocery allowance.
-The providers they see and medications they take to determine network and
formulary status.
-Their current health care coverage, including what they like about it and
what they don't.: The providers they see and medications they take to determine
network and formulary status.
Their current health care coverage, including what they like about it and what they
don't.
6. 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 enrollment application may be denied.
2/5
1. On October 20, Aries decides to switch his PDP to a Medicare Advantage
plan. Aries would like this change to be effective November 1. Which
statement is true for Aries?
-He can use the Annual Election Period that runs from October 15 to
December 7 and select November 1 as his plan effective date.
-There are no rules governing how often he can change plans during the
year.
-He may be able to use a Special Election Period to change plans if he
qualifies for one.
-He can use the Medicare Advantage Open Enrollment Period that runs from
October 15 to December 7 and select November 1 as his plan effective date.:
He may be able to use a Special Election Period to change plans if he qualifies for
one.
2. Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a
Medicare Advantage (MA) Plan.
-Annual Election Period can only be used by a consumer already enrolled in
an MA Plan.
-5-Star SEP can only be used by a consumer already enrolled in an MA
Plan.: MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
3. Which statement regarding Star Ratings is true?
-Medicare uses a 5-star rating system to illustrate the plan's relative
popularity in a market as measured by membership and retention rates.
-Star Ratings are based on a plan's performance from the prior year and,
therefore, may not accurately reflect a plan's current value.
1/5
, UHC Ethics and Compliance Assessment 2024
-Medicare uses a 5-star rating system to illustrate a plan's performance and
quality.
-The agent said that the Star Ratings are based on a plan's performance
from two years ago and, therefore, do not accurately reflect a plan's current
value.: Medicare uses a 5-star rating system to illustrate a plan's performance and
quality.
4. Which of the following describes Permission to Contact (PTC) guidelines?
-PTC expires the Dec. 31 of each year regardless of when it was obtained.
-Contact can only be made by the method(s) requested by the consumer and
the agent can only market the product(s) indicated by the consumer.
-The agent must obtain PTC no later than the start of a marketing
appointment and can only discuss the products agreed upon by the
consumer.: Contact can only be made by the method(s) requested by the
consumer and the agent can only market the product(s) indicated by the
consumer.
5. What information should be obtained from the consumer when
conducting a thorough needs assessment? (Select 2)
-Their favorite foods and hygiene products to determine if they are covered
by a grocery allowance.
-The providers they see and medications they take to determine network and
formulary status.
-Their current health care coverage, including what they like about it and
what they don't.: The providers they see and medications they take to determine
network and formulary status.
Their current health care coverage, including what they like about it and what they
don't.
6. 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 enrollment application may be denied.
2/5
