2025 ETHICS AND COMPLIANCE
ASSESSMENT UHC EXAM
On October 20, Aries decides talks with an agent to switch his PDP that he has had
since January 1 to a Medicare Advantage plan. What election period will Aries
need to use (if eligible) to get a November 1 effective date? - answer-He can use a
Special Election Period (SEP) if he qualifies for one.
Which of the following statements is true about using a 5-Star Special Enrollment
Period (SEP)? - answer-It can be used once, from December 8 of the current year
through November 30 of the next year, to enroll in a 5-star rated plan; coverage
will start the first of the month following receipt of the enrollment application.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has
been presenting. Which statement is correct? - answer-The plan's Star Rating is
available on Medicare.gov, the Plan's website, or in plan specific material, such as
the Enrollment Guide.
Which statement about discussing benefits with the consumer before an enrollment
is true? - answer-The agent must explain any provider and/or pharmacy network
limitations.
Whose email address may the agent enter into the applicant information section of
the JarvisEnroll enrollment application? - answer-Only the consumer's email (or
leave it blank)
What is the purpose of the Statement of Understanding? - answer-It ensures that
when consumers complete 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.
When must the Scope of Appointment be obtained from the consumer for an in-
person or telephonic sales presentation (unless an exception applies)? - answer-No
less than 48 hours before the marketing appointment
Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems
confused and is struggling to understand the information Jane is explaining. Which
option should Jane consider? - answer-Jane should ask Albert if someone, such as
ASSESSMENT UHC EXAM
On October 20, Aries decides talks with an agent to switch his PDP that he has had
since January 1 to a Medicare Advantage plan. What election period will Aries
need to use (if eligible) to get a November 1 effective date? - answer-He can use a
Special Election Period (SEP) if he qualifies for one.
Which of the following statements is true about using a 5-Star Special Enrollment
Period (SEP)? - answer-It can be used once, from December 8 of the current year
through November 30 of the next year, to enroll in a 5-star rated plan; coverage
will start the first of the month following receipt of the enrollment application.
Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has
been presenting. Which statement is correct? - answer-The plan's Star Rating is
available on Medicare.gov, the Plan's website, or in plan specific material, such as
the Enrollment Guide.
Which statement about discussing benefits with the consumer before an enrollment
is true? - answer-The agent must explain any provider and/or pharmacy network
limitations.
Whose email address may the agent enter into the applicant information section of
the JarvisEnroll enrollment application? - answer-Only the consumer's email (or
leave it blank)
What is the purpose of the Statement of Understanding? - answer-It ensures that
when consumers complete 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.
When must the Scope of Appointment be obtained from the consumer for an in-
person or telephonic sales presentation (unless an exception applies)? - answer-No
less than 48 hours before the marketing appointment
Jane, an agent, is speaking to Albert about a Prescription Drug plan. Albert seems
confused and is struggling to understand the information Jane is explaining. Which
option should Jane consider? - answer-Jane should ask Albert if someone, such as
