2023United HealthCare

2023United HealthCare - Ethics and Compliance V2:(MBA 505) Q & A;Northern Illinois 1. In terms of events, which of the following is true? A) Agents must report formal marketing/sales events only to UHC B) Agents must report informal marketing/sales events only to UHC C) Agents must report all marketing/sales and educatinal eventsto UHC D) Agents must report formal and informal marketing/sales events only to UHC {{Ans- B 2. Whose email address may the agent enter into the LEAN enrollment application? A) The consumer's or another individual's provided by the consumer, such as a friend's or relative'so B) Only the consumer's (orleave it blank) C) Eitherthe consumer's or the agent's, but only if the consumer authorizes it {{Ans- B) Only the consumer's (orleave it blank) 3. Which election period runs from October 15 to December 7 and allows consumers to elect to join a Medicare Advantage Plan orswitch to a differentplan? A) Special Election Period (SEP) B) Initial Coverage Election Period (ICEP) C) Open Enrollment Period (OEP) D) Annual Election Period (AEP) {{Ans- D) Annual Election Period 4. Dino, an agent, received a phone call on Sept. 29 from a consumer interested in Medicare Advantage plans for the new 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 untilOct. 15. What didDino do that was NOT compliant? A) Dino did nothing that was non-compliant B) Dino refused to take the enrollment application until Oct. 15 C) Dino presented a plan priorto Oct. 1 {{Ans- C) Dino presented a plan priorto Oct. 1 5. You have scheduled an appointment and obtained a Scope of Appointment ( SOA) form to discuss Medicare Advantage Plans with a consumer. When you arrive at the appointment, a friend of the consumer who is Medicare-eligible is present to hear your presentation. What should you do? A) Before you can start the appointment with both consumers, ask the consumer'sfriend to complete an SOA B) Ask the consumer's friend to complete the SOA and schedule a separate appointment C) Tell the consumerthat you will come back on another day D) Ask the consumer's friend to leave since she had not scheduled the appointment. {{Ans- A) Before you can start the appointment with both consumers, ask the consumer's friend to complete an SOA 6. Providing objective information about the Medicare program and/or health improvement and wellness at public venuesisthe purpose of which of the following? A) Formal marketing/sales events. B) Educational events C) Personal/individual marketing appointments D) Informal marketing/sales events {{Ans- B) Educational events 7. Janine, currently enrolled in a 3-star plan, discovers there is a 5-star plan available where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can advise Janine of each of the following except: A) Josh should tell Janine that she can change her current plan to a 5-star plan since one is available in the areawhere she lives. B)Josh should tell Janine thatshe can only use the 5-star SEP once per calendar year C) Josh should tell Janine that the new coverage will start the first month after she enrolls in the 5 star plan D) Josh should tell Janine thatshe can only change her current plan to a 5 star plan during the Annual Election Period {{Ans- D) Josh should tell Janine that she can only change her current plan to a 5 star plan during the AEP 8. Agent Bryan wants to grow his book of business. Which of the following lead generating activitiesisNOTcompliant? A) At each appointment he asks the consumer for the name and phone number of at least one acquaintance who is 65 or older B) At each appointment he provides extra business cards to the consumer and asks that they passthemalong to acquaintances C) After enrolling a consumer, he mails a thank you card from the UHC Toolkit and encloses a few business cardsforthe new memberto pass along to acquaintances. {{Ans- A) At each appointment he asks the consumer for the name and phone number of at least one acquaintance who is 65 or older 9. Agent Ralph wants to market Advantage Plans in his neighborhood - an area that consists of single-family houses, an assisted living facility, a church, and public library. Which of the followingmethods of contactis permitted? A) Ralph sends a flyer inviting consumers to a marketing/sales event to each resident via postal mail B) Ralph puts a flyer inviting consumers to a marketing/sales event on the door of each house. C) Ralph stands in the lobby of the assisted living facility and hands out to the residents a flyerinviting themto a marketing/sales event. D) Ralph puts a flyer inviting consumers to a marketing/sales event on the windshield of each car in the church parking lot on Sunday morning. {{Ans- A 10. John has Power of Attorney to act on behalf of his mother. What does that mean when it comes to hismotherenrolling in aMedicare Advantage Plan? A) 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 B) John may sign the Enrollment Application, but does not need to provide documentation to support his claimof authority upon request by the plan C) John may sign the Enrollment Application and must submit documentation that indicates his authority understate law to enroll his mother with the application D) John may attend a idual marketing appointment with his mother, but has no authority to sign the Enrollment Application {{Ans- A) John may sign the Enrollment Application and must be able to provide documentation upon request by the plan that indicates his authority understate law to enroll hi mother 11. When can telephonic contact with a Medicare eligible consumer be made? A) When the consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet occurred, and the permission has not yet expired. B) When confirming receipt of mailed information