UHC Ethic and Compliance 2022/ Questions
with Certified Solutions.
What is the definition of Abuse? - Answer: Abuse includes any practice that
results in the provision of services that are not medically necessary
An agent should only enroll a consumer in a product: - Answer: That is suitable for
the consumer's needs, goals and financial resources.
When marketing UnitedHealthcare Medicare Advantage plans to consumers,
which of the following must an agent do? - Answer: Provide current marketing
materials that have been approved by CMS and UnitedHealthcare.
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
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, explain that Emily will sign the Enrollment Application and must be able to provide
documentation upon request by the Plan that indicates her legal authority to
enroll her father.
When can telephonic contact with a Medicare eligible consumer be made? -
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.
An individual with Power of Attorney is an example of what authority? - Answer:
Legal authority under state law to act on behalf of another individual.
Janine, currently enrolled in a 3-star plan, discovers there is 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: - Answer: Josh should tell Janine
that she can only change her current plan to a 5-star plan during the Annual
Election Period.
Educational events allow for which of the following to occur? - Answer: Provide
objective information about the Medicare program and/or health improvement
and wellness.
Dino, an agent, received a phone call on September 29 from a consumer
interested in Medicare Advantage plans for the new plan year. Dino proceeded to
verify the consumer's Medicare eligibility, describe the costs and benefit coverage
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with Certified Solutions.
What is the definition of Abuse? - Answer: Abuse includes any practice that
results in the provision of services that are not medically necessary
An agent should only enroll a consumer in a product: - Answer: That is suitable for
the consumer's needs, goals and financial resources.
When marketing UnitedHealthcare Medicare Advantage plans to consumers,
which of the following must an agent do? - Answer: Provide current marketing
materials that have been approved by CMS and UnitedHealthcare.
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
Page 1 of 6
, explain that Emily will sign the Enrollment Application and must be able to provide
documentation upon request by the Plan that indicates her legal authority to
enroll her father.
When can telephonic contact with a Medicare eligible consumer be made? -
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.
An individual with Power of Attorney is an example of what authority? - Answer:
Legal authority under state law to act on behalf of another individual.
Janine, currently enrolled in a 3-star plan, discovers there is 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: - Answer: Josh should tell Janine
that she can only change her current plan to a 5-star plan during the Annual
Election Period.
Educational events allow for which of the following to occur? - Answer: Provide
objective information about the Medicare program and/or health improvement
and wellness.
Dino, an agent, received a phone call on September 29 from a consumer
interested in Medicare Advantage plans for the new plan year. Dino proceeded to
verify the consumer's Medicare eligibility, describe the costs and benefit coverage
Page 2 of 6
