UNITED HEALTHCARE ETHICS AND
COMPLIANCE VIEW AHEAD PAPER 2026
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ Aries is currently a member of a stand-alone PDP. Aries would like
to have additional medical coverage. A thorough needs analysis
indicates a Medicare Advantage Plan would be a good fit, there are
plans available in his area, and he is in a valid election period. Which
option is available to Aries? Answer: Aries can enroll into a Medicare
Advantage plan with prescription drug coverage, which will
disenroll him from his PDP.
◉ What is the purpose of a needs assessment? Answer: To gather as
much information about the consumer as possible to ensure I am
recommending the plan that is the best fit for the customer.
◉ Which of the following must you ensure a consumer who is
making a plan change understands? Answer: I must make sure the
consumer understands what they are giving up by enrolling in the
new plan I'm recommending.
I must make sure the consumer understands the benefits, costs, and
limitations of the new plan.
, ◉ Which of the following are examples of phrases that must not be
spoken by an agent when a consumer is contemplating a plan
change? Answer: "Everything will be the same"
"Nothing will change"
◉ Can consumer Gene, who enrolled in a Medicare Advantage(MA)
Plan with a January 1 effective date, complete an enrollment
application on February 15 for a different MA Plan? Answer: Yes, he
is still eligible to make a one-time change using the MA OEP election,
and his new will be effective March 1
◉ Annual Election Period(AEP) is a time when... Answer: Consumers
can enroll in , switch, or disenroll from a Medicare Advantage Plan or
Prescription Drug Plan, or switch to Original Medicare with new
coverage effective January 1.
◉ What should an agent tell a consumer who asks what a 2-star
rating means? Answer: That the plan has received a "Below Average"
rating
◉ Which of the following is not considered prohibited unsolicited
contact with a Medicare eligible consumer according to CMS
regulations and UnitedHealthcare's rules, policies, and procedures?
Answer: Mailing a marketing brochure to the consumer via postal
mail.
COMPLIANCE VIEW AHEAD PAPER 2026
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ Aries is currently a member of a stand-alone PDP. Aries would like
to have additional medical coverage. A thorough needs analysis
indicates a Medicare Advantage Plan would be a good fit, there are
plans available in his area, and he is in a valid election period. Which
option is available to Aries? Answer: Aries can enroll into a Medicare
Advantage plan with prescription drug coverage, which will
disenroll him from his PDP.
◉ What is the purpose of a needs assessment? Answer: To gather as
much information about the consumer as possible to ensure I am
recommending the plan that is the best fit for the customer.
◉ Which of the following must you ensure a consumer who is
making a plan change understands? Answer: I must make sure the
consumer understands what they are giving up by enrolling in the
new plan I'm recommending.
I must make sure the consumer understands the benefits, costs, and
limitations of the new plan.
, ◉ Which of the following are examples of phrases that must not be
spoken by an agent when a consumer is contemplating a plan
change? Answer: "Everything will be the same"
"Nothing will change"
◉ Can consumer Gene, who enrolled in a Medicare Advantage(MA)
Plan with a January 1 effective date, complete an enrollment
application on February 15 for a different MA Plan? Answer: Yes, he
is still eligible to make a one-time change using the MA OEP election,
and his new will be effective March 1
◉ Annual Election Period(AEP) is a time when... Answer: Consumers
can enroll in , switch, or disenroll from a Medicare Advantage Plan or
Prescription Drug Plan, or switch to Original Medicare with new
coverage effective January 1.
◉ What should an agent tell a consumer who asks what a 2-star
rating means? Answer: That the plan has received a "Below Average"
rating
◉ Which of the following is not considered prohibited unsolicited
contact with a Medicare eligible consumer according to CMS
regulations and UnitedHealthcare's rules, policies, and procedures?
Answer: Mailing a marketing brochure to the consumer via postal
mail.
