UHC ETHICS COMPLIANCE CORE REVIEWS ANSWERS
AND QUESTIONS SET A+
✔✔What are marketing materials used for? - ✔✔1) draw attention to a plan sponsor or
their plan(s) and
2) influence a consumer's decision when selecting a plan in which to enroll or a
member's decision to remain enrolled in their current plan
✔✔Marketing materials contain information about the plan or plans: - ✔✔1) benefits or
benefit structure
2) cost sharing ( including premiums, copayments, and deductibles)
3) Measurements or ranking standards ( such as star ratings. comparisons to other
plans, or statistical studies or surveys)
✔✔Approval is required for? - ✔✔1) ALL medicare marketing materials or
2) ANY material that mentions a plan sponsor ( such as " united health care") one of its
affliated plans or displays any logos
✔✔What does generic mean with marketing materials? - ✔✔materials that do not meet
the marketing materials criteria and do not carry any plan sponsor information or logos
✔✔does generic materials require prior approval? - ✔✔no
✔✔What methods are considered marketing material? - ✔✔newspaper, tv, internet,
radio advertisements, direct mail, postcards, flyers, brochures, magnets, pre-enrollment
materials, websites and social media platforms
✔✔what are some examples of generic marketing materials? - ✔✔social media sites
and websites
✔✔sites used to market UHC plans must be _____ by UHC and CMS prior to use -
✔✔approved
, ✔✔when talking about marketing materials what should the agent NOT do? - ✔✔add,
enhance, delete, modify, edit or create any content in the marketing materials provided
by the health plan
modify approved materials in any way, no matter how minor
ask health related or health screening questions on generic, agent created materials
✔✔What must an agent do when talking about marketing materials? - ✔✔use marketing
materials only for products they are certified to market/sell
✔✔What does PTC stand for? - ✔✔permission to contract
✔✔What does SOA stand for? - ✔✔Scope of appointment
✔✔What does permission to contact mean? - ✔✔is permission given by the consumer
to be called or otherwise contacted by an agent for the purpse of marketng any UHC
medicare solutions product includeing MA, Prescription drug or med sup plans.
✔✔PTC must be______? - ✔✔documented, retained and available upon request for 10
years
✔✔PTC must also be? - ✔✔Method specific, short term and event specific
✔✔What does method specific mean? - ✔✔contact can only be made by the method
permitted by the consumer. Permission to telephone only enables the agent to dial the
number provided.
AN AGENT MUST RECEIVE EXPLICIT PERMISSION TO TEXT OR EMAIL THE
CONSUMER
having access to a phone number or email address does not imply permission from the
consumer
✔✔What is short term? - ✔✔PTC expires once the agent has made contact with the
consumer or 9 months after the date the PTC was received.
PTC expires 90 days after the receipt for consumers requesting info on med sup's or
who are on the federal DNC list.
✔✔What does event specific mean? - ✔✔the agent can only contact the consumer to
discuss the products indicated in he PTC mechanism
✔✔what does BRC mean? - ✔✔business reply cards
AND QUESTIONS SET A+
✔✔What are marketing materials used for? - ✔✔1) draw attention to a plan sponsor or
their plan(s) and
2) influence a consumer's decision when selecting a plan in which to enroll or a
member's decision to remain enrolled in their current plan
✔✔Marketing materials contain information about the plan or plans: - ✔✔1) benefits or
benefit structure
2) cost sharing ( including premiums, copayments, and deductibles)
3) Measurements or ranking standards ( such as star ratings. comparisons to other
plans, or statistical studies or surveys)
✔✔Approval is required for? - ✔✔1) ALL medicare marketing materials or
2) ANY material that mentions a plan sponsor ( such as " united health care") one of its
affliated plans or displays any logos
✔✔What does generic mean with marketing materials? - ✔✔materials that do not meet
the marketing materials criteria and do not carry any plan sponsor information or logos
✔✔does generic materials require prior approval? - ✔✔no
✔✔What methods are considered marketing material? - ✔✔newspaper, tv, internet,
radio advertisements, direct mail, postcards, flyers, brochures, magnets, pre-enrollment
materials, websites and social media platforms
✔✔what are some examples of generic marketing materials? - ✔✔social media sites
and websites
✔✔sites used to market UHC plans must be _____ by UHC and CMS prior to use -
✔✔approved
, ✔✔when talking about marketing materials what should the agent NOT do? - ✔✔add,
enhance, delete, modify, edit or create any content in the marketing materials provided
by the health plan
modify approved materials in any way, no matter how minor
ask health related or health screening questions on generic, agent created materials
✔✔What must an agent do when talking about marketing materials? - ✔✔use marketing
materials only for products they are certified to market/sell
✔✔What does PTC stand for? - ✔✔permission to contract
✔✔What does SOA stand for? - ✔✔Scope of appointment
✔✔What does permission to contact mean? - ✔✔is permission given by the consumer
to be called or otherwise contacted by an agent for the purpse of marketng any UHC
medicare solutions product includeing MA, Prescription drug or med sup plans.
✔✔PTC must be______? - ✔✔documented, retained and available upon request for 10
years
✔✔PTC must also be? - ✔✔Method specific, short term and event specific
✔✔What does method specific mean? - ✔✔contact can only be made by the method
permitted by the consumer. Permission to telephone only enables the agent to dial the
number provided.
AN AGENT MUST RECEIVE EXPLICIT PERMISSION TO TEXT OR EMAIL THE
CONSUMER
having access to a phone number or email address does not imply permission from the
consumer
✔✔What is short term? - ✔✔PTC expires once the agent has made contact with the
consumer or 9 months after the date the PTC was received.
PTC expires 90 days after the receipt for consumers requesting info on med sup's or
who are on the federal DNC list.
✔✔What does event specific mean? - ✔✔the agent can only contact the consumer to
discuss the products indicated in he PTC mechanism
✔✔what does BRC mean? - ✔✔business reply cards
