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UHC ETHICS AND COMPLIANCE EXAM 2024-2025 WITH 100
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ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
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(100%CORRECT VERIFIED ANSWERS) UNITED i i i i i
HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
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When completing an enrollment application in LEAN, why is
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an agent prohibited from entering his or her own email address
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ina field available for the consumer's email address?
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The consumer/member would not receive plan
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relatedcorrespondence intended for him/her.
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The enrollment application may be denied.
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The agent may experience commission payment processing
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issues. - CORRECT ANSWER >>>>The consumer/member
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wouldnot receive plan related correspondence intended for
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him/her.
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Which election period runs from October 15 to December 7i i i i i i i i i
andallows consumers to elect to join a Medicare Advantage Plan
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orswitch to a different plan?
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Open Enrollment Period i i
(OEP)Special Election Period
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(SEP)
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Initial Coverage Election Period (ICEP) i i i i
,2 |P a g e
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Annual Election Period (AEP) - CORRECT ANSWER
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>>>>AnnualElection Period (AEP)
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Which of the following materials is an agent NOT permitted
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todisplay and/or distribute at a marketing/sales event?
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Medicare Made Clear brochures from the i i i i i
UnitedHealthcareToolkit.
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Pens and notepads that contain the agent's
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contactinformation.
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5-dollar gift cards to an in-network pharmacy. i i i i i i
Generic business reply cards for Medicare products. -
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CORRECTANSWER >>>>5-dollar gift cards to an in-network
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pharmacy.
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Mr. and Mrs. Nelson, who are current members, unexpectedly
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walk into Jake's insurance agency office and ask him to discuss
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Medicare Advantage Plans. Does Jake need to obtain a Scope
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ofAppointment (SOA) form?
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Yes, but just one because the Nelsons are husband and wife. Yes,
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he needs to obtain an SOA from both Mr. and Mrs. Nelson.No,
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because the Nelsons are current members.
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No, because the Nelsons walked into his office instead of
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scheduling an appointment in their home. - CORRECT ANSWER
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>>>>Yes, he needs to obtain an SOA from both Mr. and Mrs.Nelson. i i i i i i i i i i i i
Educational events allow for which of the following to i i i i i i i i
occur?Provide objective information about the Medicare program
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and/or health improvement and wellness.
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, 3 |P a g e
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Provide an opportunity to review benefits, premiums, andproduct i i i i i i i i
information with consumers.
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Provide an opportunity to steer a consumer toward a specific i i i i i i i i i
orlimited number of plans.
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Provide an opportunity to give an introductory presentation i i i i i i i
followed by an informal marketing/sales event. - CORRECT
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ANSWER >>>>Provide objective information about the Medicare
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program and/or health improvement and wellness.
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How should agent Erin respond when consumer Mrs. Rose notices
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that the presented MA Plan has a Star Rating of 2 stars?Erin should
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let Mrs. Rose know that the rating is for agent use only and has
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accidentally been printed in the Enrollment Guide.Erin should tell
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Mrs. Rose that the plan has received a "Below Average" rating.
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Erin should tell Mrs. Rose that each plan has the same Star Rating
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and it does not accurately reflect an individual plan's performance
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in certain categories. - CORRECT ANSWER >>>>...
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Agent Bryan wants to grow his book of business. Which of i i i i i i i i i i
thefollowing lead generating activities is NOT compliant?
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After enrolling a consumer, he mails a thank you card from
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the UnitedHealthcare Toolkit and encloses a few business cards
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forthe new member to pass along to acquaintances.
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At each appointment he provides extra business cards to
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theconsumer and asks that the consumer pass them along to
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acquaintances.
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At each appointment he asks the consumer for the name and
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phone number of at least one acquaintance who is 65 or older
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