2022 Ethics and Compliance Test UHC
Test(Questions and Answers)
Agent John is planning to conduct a series of events. Some will be strictly educational, others
will be formal presentations of specific UnitedHealthcare plans, and others will be informal
marketing events where he can generate leads and schedule future in-home marketing
appointments. Of the three types of events John plans to conduct, which need to be reported to
UnitedHealthcare? - Answers:Only the marketing/sales events, both formal and informal.
Whose email address may the agent enter into the LEAN enrollment application? -
Answers:Only the consumer's email (or leave it blank).
Annual Election Period (AEP) is a time when: - Answers:Consumers can elect to join a Medicare
Advantage Plan or switch to a different plan.
Which of the following materials is an agent NOT permitted to display and/or distribute at a
marketing/sales event? - Answers:5-dollar gift cards to an in-network pharmacy.
Rina, a consumer, has requested an appointment with Connor, an agent, to discuss DSNPs. Prior
to the appointment Rina completed a Scope of Appointment (SOA) form. On the day of the
appointment, Rina brings her friend Shelley, who is Medicare-eligible, to the meeting. Shelley
also wants to talk about DSNPs. What should Connor do when he sees both Rina and Shelley at
the appointment? - Answers:Ask Shelley to complete an SOA before the start of the meeting.
Which describes the purpose of educational events? - Answers:Educational events provide
objective information about the Medicare program and/or health improvement and wellness.
Which of the following describes Permission to Contact guidelines? - Answers:It is method
specific (e.g., telephone, email), short term (i.e., expires when contact is made), and event
specific (i.e., limited to the products identified).
Agent Ralph wants to market Medicare 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 following methods of contact is permitted? - Answers:Ralph sends a flyer inviting
consumers to a marketing/sales event to each resident via postal mail.
An individual with Power of Attorney is an example of what authority? - Answers:Legal
authority under state law to act on behalf of another individual.
Which of the following is not considered unsolicited contact with a Medicare eligible consumer
according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? -
Answers:Mailing a marketing brochure to the consumer via postal mail.
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? - Answers:(WRONG)Jacob must 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.
Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage
or Prescription Drug Plans to consumers? - Answers:Provide only those items from the plan's
Enrollment Guide that are most relevant to the consumer's situation.
As an agent, you have an obligation to only enroll a consumer in a product: - Answers:That is
suitable for the consumer's needs, goals and financial resources
Which of the following statements is true about the Statement of Understanding? - Answers:It
ensures when the consumer signs the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding they are actually enrolling, in which
plan they are enrolling, and standard disclosures.
What is the definition of Waste? - Answers:(WRONG)Waste includes any practice that results in
the provision of services that are not medically necessary.
Which of the items listed are examples of Fraud, Waste, and Abuse (FWA)? (Select 3) -
Answers:Submitting claims for services or supplies that were never provided.
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Test(Questions and Answers)
Agent John is planning to conduct a series of events. Some will be strictly educational, others
will be formal presentations of specific UnitedHealthcare plans, and others will be informal
marketing events where he can generate leads and schedule future in-home marketing
appointments. Of the three types of events John plans to conduct, which need to be reported to
UnitedHealthcare? - Answers:Only the marketing/sales events, both formal and informal.
Whose email address may the agent enter into the LEAN enrollment application? -
Answers:Only the consumer's email (or leave it blank).
Annual Election Period (AEP) is a time when: - Answers:Consumers can elect to join a Medicare
Advantage Plan or switch to a different plan.
Which of the following materials is an agent NOT permitted to display and/or distribute at a
marketing/sales event? - Answers:5-dollar gift cards to an in-network pharmacy.
Rina, a consumer, has requested an appointment with Connor, an agent, to discuss DSNPs. Prior
to the appointment Rina completed a Scope of Appointment (SOA) form. On the day of the
appointment, Rina brings her friend Shelley, who is Medicare-eligible, to the meeting. Shelley
also wants to talk about DSNPs. What should Connor do when he sees both Rina and Shelley at
the appointment? - Answers:Ask Shelley to complete an SOA before the start of the meeting.
Which describes the purpose of educational events? - Answers:Educational events provide
objective information about the Medicare program and/or health improvement and wellness.
Which of the following describes Permission to Contact guidelines? - Answers:It is method
specific (e.g., telephone, email), short term (i.e., expires when contact is made), and event
specific (i.e., limited to the products identified).
Agent Ralph wants to market Medicare 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 following methods of contact is permitted? - Answers:Ralph sends a flyer inviting
consumers to a marketing/sales event to each resident via postal mail.
An individual with Power of Attorney is an example of what authority? - Answers:Legal
authority under state law to act on behalf of another individual.
Which of the following is not considered unsolicited contact with a Medicare eligible consumer
according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? -
Answers:Mailing a marketing brochure to the consumer via postal mail.
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? - Answers:(WRONG)Jacob must 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.
Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage
or Prescription Drug Plans to consumers? - Answers:Provide only those items from the plan's
Enrollment Guide that are most relevant to the consumer's situation.
As an agent, you have an obligation to only enroll a consumer in a product: - Answers:That is
suitable for the consumer's needs, goals and financial resources
Which of the following statements is true about the Statement of Understanding? - Answers:It
ensures when the consumer signs the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding they are actually enrolling, in which
plan they are enrolling, and standard disclosures.
What is the definition of Waste? - Answers:(WRONG)Waste includes any practice that results in
the provision of services that are not medically necessary.
Which of the items listed are examples of Fraud, Waste, and Abuse (FWA)? (Select 3) -
Answers:Submitting claims for services or supplies that were never provided.
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