UHC Ethics Compliance 2022
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? - answersOn the
day he called, he can enroll in a different Medicare Advantage plan with an effective
date of March 1.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been
presenting. Which statement is correct? - answersMrs. Violet can access the Star
Rating for a plan on Medicare.gov or in the Enrollment Guide.
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? - answersMailing a marketing brochure to the consumer via postal mail.
Which statement is true about discussing benefits with the consumer before an
enrollment? - answersThe agent must accurately and completely disclose any benefits
discussed.
Which statement about discussing benefits with the consumer before an enrollment is
true? - answersThe agent must explain any provider and/or pharmacy network
limitations.
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? -
answersLeave the field requesting applicant email address 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.
What is Scope of Appointment? - answersThe agreement obtained from the consumer
that identifies the scope of products that can be discussed at a personal/individual
marketing appointment (in-person or telephonic)
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
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? - answersOn the
day he called, he can enroll in a different Medicare Advantage plan with an effective
date of March 1.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been
presenting. Which statement is correct? - answersMrs. Violet can access the Star
Rating for a plan on Medicare.gov or in the Enrollment Guide.
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? - answersMailing a marketing brochure to the consumer via postal mail.
Which statement is true about discussing benefits with the consumer before an
enrollment? - answersThe agent must accurately and completely disclose any benefits
discussed.
Which statement about discussing benefits with the consumer before an enrollment is
true? - answersThe agent must explain any provider and/or pharmacy network
limitations.
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? -
answersLeave the field requesting applicant email address 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.
What is Scope of Appointment? - answersThe agreement obtained from the consumer
that identifies the scope of products that can be discussed at a personal/individual
marketing appointment (in-person or telephonic)
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
