UHC 2022 Ethics and Compliance Test/
Questions & Correct Answers.
Which of the individuals below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? - Answer: The consumer's spouse, who
is neither a Power of Attorney nor legal guardian.
In which of the following situations can telephonic contact be made with a
Medicare eligible consumer? - Answer: When the consumer consented to be
contacted for sales activities, subsequent telephonic contact has not yet occurred,
and the permission has not yet expired.
Agent Jacob learns that Emily, the consumer with whom he is meeting, is the
authorized legal representative for her father. What must Jacob explain to Emily
when completing an Enrollment Application for her father? - Answer: Jacob must
explain that Emily will sign the Enrollment Application and must be able to provide
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, documentation upon request by the Plan that indicates her legal authority to
enroll her father.
Which of the following must you not do when marketing UnitedHealthcare
Medicare Advantage or Prescription Drug Plans to consumers? - Answer: Provide
only those items from the plan's Enrollment Guide that are most relevant to the
consumer's situation.
An agent should only enroll a consumer in a product: - Answer: That is suitable for
the consumer's needs, goals and financial resources.
What is the purpose of the Statement of Understanding? - Answer: It ensures that
when consumers sign 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 the definition of Abuse? - Answer: Abuse includes any practice that
results in the provision of services that are not medically necessary.
Which of the following are the ways to report potential FWA? (Select 2) - Answer:
-Fraud, Waste and/or Abuse hotline
-Producer Help Desk (PHD)
In terms of events, which of the following is true? - Answer: Agents must only
report formal and informal marketing/sales events to UnitedHealthcare.
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Questions & Correct Answers.
Which of the individuals below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? - Answer: The consumer's spouse, who
is neither a Power of Attorney nor legal guardian.
In which of the following situations can telephonic contact be made with a
Medicare eligible consumer? - Answer: When the consumer consented to be
contacted for sales activities, subsequent telephonic contact has not yet occurred,
and the permission has not yet expired.
Agent Jacob learns that Emily, the consumer with whom he is meeting, is the
authorized legal representative for her father. What must Jacob explain to Emily
when completing an Enrollment Application for her father? - Answer: Jacob must
explain that Emily will sign the Enrollment Application and must be able to provide
Page 1 of 8
, documentation upon request by the Plan that indicates her legal authority to
enroll her father.
Which of the following must you not do when marketing UnitedHealthcare
Medicare Advantage or Prescription Drug Plans to consumers? - Answer: Provide
only those items from the plan's Enrollment Guide that are most relevant to the
consumer's situation.
An agent should only enroll a consumer in a product: - Answer: That is suitable for
the consumer's needs, goals and financial resources.
What is the purpose of the Statement of Understanding? - Answer: It ensures that
when consumers sign 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 the definition of Abuse? - Answer: Abuse includes any practice that
results in the provision of services that are not medically necessary.
Which of the following are the ways to report potential FWA? (Select 2) - Answer:
-Fraud, Waste and/or Abuse hotline
-Producer Help Desk (PHD)
In terms of events, which of the following is true? - Answer: Agents must only
report formal and informal marketing/sales events to UnitedHealthcare.
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