UHC Ethics & Compliance Exam
Questions and Answers 2026
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, 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)
Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems
confused and is struggling to understand the information Jane is explaining. Which
option should Jane consider? - ANSWER-Jane should ask Albert if someone, such as
an Authorized Legal Representative, helps him make health care or insurance-related
decisions and should be present.
In which situation MAY the Medicare Advantage (MA) organization disenroll a member
from an MA plan?
(if question says *must* it is not the same answer) - ANSWER-Premiums are not paid
on a timely basis.
Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare
Supplement Plan. His current plan is suitable for his medical needs, but he would like to
add prescription drug coverage only. Since Dennis wants to keep his current coverage,
which option is available to Dennis (assuming he is in a valid election period)? -
ANSWER-Dennis should stay enrolled in Original Medicare and his Medicare
Supplement Plan and enroll in a stand-alone PDP.
As an agent, you have an obligation to enroll a consumer in a product:
OR
An agent should only enroll a consumer in a product: - ANSWER-That is suitable for the
consumer's needs, goals and financial resources.
Questions and Answers 2026
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, 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)
Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems
confused and is struggling to understand the information Jane is explaining. Which
option should Jane consider? - ANSWER-Jane should ask Albert if someone, such as
an Authorized Legal Representative, helps him make health care or insurance-related
decisions and should be present.
In which situation MAY the Medicare Advantage (MA) organization disenroll a member
from an MA plan?
(if question says *must* it is not the same answer) - ANSWER-Premiums are not paid
on a timely basis.
Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare
Supplement Plan. His current plan is suitable for his medical needs, but he would like to
add prescription drug coverage only. Since Dennis wants to keep his current coverage,
which option is available to Dennis (assuming he is in a valid election period)? -
ANSWER-Dennis should stay enrolled in Original Medicare and his Medicare
Supplement Plan and enroll in a stand-alone PDP.
As an agent, you have an obligation to enroll a consumer in a product:
OR
An agent should only enroll a consumer in a product: - ANSWER-That is suitable for the
consumer's needs, goals and financial resources.
