UHC 2022 Ethics and Compliance Test
Agent John is planning to conduct a series of events. Some will be strictly educational,
others will be formal presentations of specific UnitedHealthcare plans, and others will be
informal marketing events where he can generate leads and schedule future in-home
marketing appointments. Of the three types of events John plans to conduct, which
need to be reported to UnitedHealthcare? - answers*******
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? - answersThe 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? - answersAnnual
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? - answersDino 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? - answersYes, he needs to obtain
an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events? - answersEducational 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? - answersErin should tell Mrs. Rose that the plan
has received a "Below Average" rating.
Which of the following describes Permission to Contact guidelines? - answersIt 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
Agent John is planning to conduct a series of events. Some will be strictly educational,
others will be formal presentations of specific UnitedHealthcare plans, and others will be
informal marketing events where he can generate leads and schedule future in-home
marketing appointments. Of the three types of events John plans to conduct, which
need to be reported to UnitedHealthcare? - answers*******
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? - answersThe 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? - answersAnnual
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? - answersDino 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? - answersYes, he needs to obtain
an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events? - answersEducational 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? - answersErin should tell Mrs. Rose that the plan
has received a "Below Average" rating.
Which of the following describes Permission to Contact guidelines? - answersIt 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
