UHC Ethics & Compliance 2022 Review/
Questions with Definitive Solutions/
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? -
Answer: On 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? - Answer: Mrs. 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,
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, policies, and procedures? - Answer: Mailing a marketing brochure to the
consumer via postal mail.
Which statement is true about discussing benefits with the consumer before an
enrollment? - Answer: The agent must accurately and completely disclose any
benefits discussed.
Which statement about discussing benefits with the consumer before an
enrollment is true? - Answer: The 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? -
Answer: Leave the field requesting applicant email address blank.
What is the purpose of the Statement of Understanding? - Answer: It 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? - Answer: The 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)
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Questions with Definitive Solutions/
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? -
Answer: On 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? - Answer: Mrs. 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,
Page 1 of 7
, policies, and procedures? - Answer: Mailing a marketing brochure to the
consumer via postal mail.
Which statement is true about discussing benefits with the consumer before an
enrollment? - Answer: The agent must accurately and completely disclose any
benefits discussed.
Which statement about discussing benefits with the consumer before an
enrollment is true? - Answer: The 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? -
Answer: Leave the field requesting applicant email address blank.
What is the purpose of the Statement of Understanding? - Answer: It 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? - Answer: The 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)
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