2025 Ethics and Compliance
Assessment UHC
On October 20, Aries decides talks with an agent to switch his PDP that he has had
since January 1 to a Medicare Advantage plan. What election period will Aries need to
use (if eligible) to get a November 1 effective date? - answersHe can use a Special
Election Period (SEP) if he qualifies for one.
Which of the following statements is true about using a 5-Star Special Enrollment Period
(SEP)? - answersIt can be used once, from December 8 of the current year through
November 30 of the next year, to enroll in a 5-star rated plan; coverage will start the first
of the month following receipt of the enrollment application.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been
presenting. Which statement is correct? - answersThe plan's Star Rating is available on
Medicare.gov, the Plan's website, or in plan specific material, such as the Enrollment
Guide.
Which statement about discussing benefits with the consumer before an enrollment is
true? - answersThe agent must explain any provider and/or pharmacy network
limitations.
Whose email address may the agent enter into the applicant information section of the
JarvisEnroll enrollment application? - answersOnly the consumer's email (or leave it
blank)
What is the purpose of the Statement of Understanding? - answersIt ensures that when
consumers complete 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.
When must the Scope of Appointment be obtained from the consumer for an in-person
or telephonic sales presentation (unless an exception applies)? - answersNo less than
48 hours before the marketing appointment
Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems
confused and is struggling to understand the information Jane is explaining. Which
option should Jane consider? - answersJane should ask Albert if someone, such as an
Authorized Legal Representative, helps him make health care or insurance-related
decisions and should be present.
Assessment UHC
On October 20, Aries decides talks with an agent to switch his PDP that he has had
since January 1 to a Medicare Advantage plan. What election period will Aries need to
use (if eligible) to get a November 1 effective date? - answersHe can use a Special
Election Period (SEP) if he qualifies for one.
Which of the following statements is true about using a 5-Star Special Enrollment Period
(SEP)? - answersIt can be used once, from December 8 of the current year through
November 30 of the next year, to enroll in a 5-star rated plan; coverage will start the first
of the month following receipt of the enrollment application.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been
presenting. Which statement is correct? - answersThe plan's Star Rating is available on
Medicare.gov, the Plan's website, or in plan specific material, such as the Enrollment
Guide.
Which statement about discussing benefits with the consumer before an enrollment is
true? - answersThe agent must explain any provider and/or pharmacy network
limitations.
Whose email address may the agent enter into the applicant information section of the
JarvisEnroll enrollment application? - answersOnly the consumer's email (or leave it
blank)
What is the purpose of the Statement of Understanding? - answersIt ensures that when
consumers complete 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.
When must the Scope of Appointment be obtained from the consumer for an in-person
or telephonic sales presentation (unless an exception applies)? - answersNo less than
48 hours before the marketing appointment
Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems
confused and is struggling to understand the information Jane is explaining. Which
option should Jane consider? - answersJane should ask Albert if someone, such as an
Authorized Legal Representative, helps him make health care or insurance-related
decisions and should be present.
