UHC ETHICS AND COMPLIANCE EXAM 2026
WORKPLACE ETHICS AND REGULATORY
COMPLIANCE REVIEW PACKAGE
◉ When does Permission to Contact for Medicare Advantage and/or
Prescription Drug Plans expire?
Answer: Once contact is made or 9 months from the date the
consumer provided permission (e.g. consumer signature date on
BRC) or 90 days if on federal do not call list, whichever comes first.
◉ 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.
◉ John has Power of Attorney to act on behalf of his mother. What
does that mean when it comes to his mother enrolling in a Medicare
Advantage Plan?
, Answer: John may sign the Enrollment Application and must be able
to provide documentation upon request by the Plan that indicates
his authority under state law to enroll his mother.
◉ 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.
◉ To sign an enrollment application on behalf of a consumer, what
authority must the individual have?
Answer: The individual must be legally authorized in the state in
which the consumer resides to act on behalf of the consumer (e.g.
Power of Attorney).
◉ As an agent, you must not do which of the following when
marketing UnitedHealthcare Medicare Advantage plans to
consumers?
Answer: Use providers or provider groups to distribute printed
information comparing benefits of different health plans without
approval.
◉ As an agent, you have an obligation to only enroll a consumer in a
product:
WORKPLACE ETHICS AND REGULATORY
COMPLIANCE REVIEW PACKAGE
◉ When does Permission to Contact for Medicare Advantage and/or
Prescription Drug Plans expire?
Answer: Once contact is made or 9 months from the date the
consumer provided permission (e.g. consumer signature date on
BRC) or 90 days if on federal do not call list, whichever comes first.
◉ 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.
◉ John has Power of Attorney to act on behalf of his mother. What
does that mean when it comes to his mother enrolling in a Medicare
Advantage Plan?
, Answer: John may sign the Enrollment Application and must be able
to provide documentation upon request by the Plan that indicates
his authority under state law to enroll his mother.
◉ 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.
◉ To sign an enrollment application on behalf of a consumer, what
authority must the individual have?
Answer: The individual must be legally authorized in the state in
which the consumer resides to act on behalf of the consumer (e.g.
Power of Attorney).
◉ As an agent, you must not do which of the following when
marketing UnitedHealthcare Medicare Advantage plans to
consumers?
Answer: Use providers or provider groups to distribute printed
information comparing benefits of different health plans without
approval.
◉ As an agent, you have an obligation to only enroll a consumer in a
product:
