UHC Ethics And Compliance Assessment
EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE
SOLUTIONS
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on
July 1. Using her Initial Election Period (IEP), when can she submit an application
for a Medicare Advantage or Prescription Drug plan? - (answers)April 1 through
October 31
Which of the following statements is true about using a five star special
enrollment period (SEP)? - (answers)It can be used once from December 8
through November 30 and coverage will start the first of the month following
recipient of the enrollment application
Which statement regarding star ratings is true - (answers)Medicare uses a five
star rating system to illustrate the plans performance and quality
In which of the following situations can a telephonic contract be made with a
Medicare eligible consumer? - (answers)When the consumer consented to be
contracted for sales activities, and the permission has not yet expired
What information should be obtained from the consumer when conducting a
thorough needs assessment? (Select 2) - (answers)• their current health care
coverage, including what they like about it, and what they don't
• the providers they see in medication they take to determine network and
formulary status
, Will using LEAN to complete an enrollment application with the consumer agent
Jeff learns the consumer does not have an email address. What should Jeff do? -
(answers)The consumer/member would not receive plan related, corresponds,
intent for him/her
What is the purpose of the statement of understanding? - (answers)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? - (answers)The agreement obtained from the
consumer to that identifies the scope of products that can be discussed at a
personal/individual marketing appointment
Which statement is accurate when a consumer has a power of authority (POA) -
(answers)If the POA signed the enrollment application, they must be able to
provide documentation upon request for the plan that indicates authority under
state law to enroll the consumer
What happens on the plan effective date when a member enrolled in a Medicare
supplement insurance plan and standalone PDP enroll in a Medicare vantage plan
that includes drug coverage - (answers)Automatic disenrollment from the
standalone PDP
EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE
SOLUTIONS
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on
July 1. Using her Initial Election Period (IEP), when can she submit an application
for a Medicare Advantage or Prescription Drug plan? - (answers)April 1 through
October 31
Which of the following statements is true about using a five star special
enrollment period (SEP)? - (answers)It can be used once from December 8
through November 30 and coverage will start the first of the month following
recipient of the enrollment application
Which statement regarding star ratings is true - (answers)Medicare uses a five
star rating system to illustrate the plans performance and quality
In which of the following situations can a telephonic contract be made with a
Medicare eligible consumer? - (answers)When the consumer consented to be
contracted for sales activities, and the permission has not yet expired
What information should be obtained from the consumer when conducting a
thorough needs assessment? (Select 2) - (answers)• their current health care
coverage, including what they like about it, and what they don't
• the providers they see in medication they take to determine network and
formulary status
, Will using LEAN to complete an enrollment application with the consumer agent
Jeff learns the consumer does not have an email address. What should Jeff do? -
(answers)The consumer/member would not receive plan related, corresponds,
intent for him/her
What is the purpose of the statement of understanding? - (answers)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? - (answers)The agreement obtained from the
consumer to that identifies the scope of products that can be discussed at a
personal/individual marketing appointment
Which statement is accurate when a consumer has a power of authority (POA) -
(answers)If the POA signed the enrollment application, they must be able to
provide documentation upon request for the plan that indicates authority under
state law to enroll the consumer
What happens on the plan effective date when a member enrolled in a Medicare
supplement insurance plan and standalone PDP enroll in a Medicare vantage plan
that includes drug coverage - (answers)Automatic disenrollment from the
standalone PDP
