Page 1 of 32
UHC ETHIC AND COMPLIANCE TEST 2025 NEWEST
EXAM COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
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?
.....ANSWER.....*******
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?
,Page 2 of 32
.....ANSWER.....The 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? .....ANSWER.....Annual 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? .....ANSWER.....Dino 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
,Page 3 of 32
Medicare Advantage Plans. Does Jake need to obtain a Scope
of Appointment (SOA) form? .....ANSWER.....Yes, he needs to
obtain an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events?
.....ANSWER.....Educational 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?
.....ANSWER.....Erin should tell Mrs. Rose that the plan has
received a "Below Average" rating.
Which of the following describes Permission to Contact
guidelines? .....ANSWER.....It 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).
, Page 4 of 32
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
number and email address and asks him to explain the plan to
her cousin, who frequently assists with her health care decisions.
The next day, Victor emails Julie's cousin. Has Victor been
compliant? .....ANSWER.....No. Victor violated United Healthcare
permission to contact guidelines by emailing the cousin without
the cousin's permission
Which of the individuals below would not likely have the
authority to enroll a consumer in a Medicare Advantage Plan?
.....ANSWER.....The consumer's spouse, who is neither a Power of
Attorney nor legal guardian.
In which of the following situations can telephonic contact be
made with a Medicare eligible consumer? .....ANSWER.....When
the consumer consented to be contacted for sales activities,
UHC ETHIC AND COMPLIANCE TEST 2025 NEWEST
EXAM COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
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?
.....ANSWER.....*******
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?
,Page 2 of 32
.....ANSWER.....The 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? .....ANSWER.....Annual 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? .....ANSWER.....Dino 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
,Page 3 of 32
Medicare Advantage Plans. Does Jake need to obtain a Scope
of Appointment (SOA) form? .....ANSWER.....Yes, he needs to
obtain an SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events?
.....ANSWER.....Educational 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?
.....ANSWER.....Erin should tell Mrs. Rose that the plan has
received a "Below Average" rating.
Which of the following describes Permission to Contact
guidelines? .....ANSWER.....It 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).
, Page 4 of 32
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
number and email address and asks him to explain the plan to
her cousin, who frequently assists with her health care decisions.
The next day, Victor emails Julie's cousin. Has Victor been
compliant? .....ANSWER.....No. Victor violated United Healthcare
permission to contact guidelines by emailing the cousin without
the cousin's permission
Which of the individuals below would not likely have the
authority to enroll a consumer in a Medicare Advantage Plan?
.....ANSWER.....The consumer's spouse, who is neither a Power of
Attorney nor legal guardian.
In which of the following situations can telephonic contact be
made with a Medicare eligible consumer? .....ANSWER.....When
the consumer consented to be contacted for sales activities,
