UNITED HEALTHCARE (UHC)– ETHICS AND COMPLIANCE EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS
BRAND NEW 2025
Can consumer Gene, who enrolled in a Medicare Advantage
(MA) Plan with a January 1 effective date, complete an
enrollment application on February 15 for a different MA Plan?
- ANSWER - >-Yes, he is still eligible to make a one-time change
using the MA OEP election, and his new plan will be effective
March 1.
Which of the following statements is true about election
periods? - ANSWER - >-MA Open Enrollment Period can only be
used by a consumer already enrolled in an MA Plan
Which statement regarding Star Ratings is true? - ANSWER - >-
Medicare uses a 5-star rating system to illustrate a plan's
performance and quality.
Which of the following is not considered prohibited unsolicited
contact with a Medicare eligible consumer according to CMS
regulations and UnitedHealthcare's rules, policies, and
procedures? - ANSWER - >-Mailing a marketing brochure to the
consumer via postal mail.
,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).
When completing an enrollment application in JarvisEnroll, why
is an agent prohibited from entering their own email address in
a field available for the consumer's email address? - ANSWER -
>-The consumer/member would not receive plan related
correspondence intended for them.
The __________ ensures that when consumers provide their
verbal agreement during the telephonic enrollment, they
acknowledge and understand they are actually enrolling, in
which plan they are enrolling, as well as the standard
disclosures. - ANSWER - >-Statement of Understanding
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
Which statement is accurate when a consumer has a Power of
Attorney (POA)? - ANSWER - >-If the POA signs the Enrollment
Application, they must be able to provide documentation upon
, request by the Plan that indicates authority under applicable
state law to enroll the consumer.
Select the option that describes the coverage combinations a
member can use at the same time. - ANSWER - >-MA-Only PFFS
plan and a stand-alone PDP
What might happen if you rely on a benefit or plan feature a
consumer mentions they saw or heard in an ad? - ANSWER - >-I
might be tempted to skip doing a thorough needs assessment
and/or be biased only toward plans with that benefit.
Dennis, a consumer, is currently enrolled in Original Medicare
plus a Medicare Supplement Plan. His current plan is suitable
for his medical needs, but he would like to add prescription
drug coverage only. Since Dennis wants to keep his current
coverage, which option is available to Dennis (assuming he is in
a valid election period)? - ANSWER - >-Dennis should stay
enrolled in Original Medicare and his Medicare Supplement
Plan and enroll in a stand-alone PDP.
A consumer asks to be enrolled in a Medicare Advantage plan
that allows them to see specialists without needing a referral.
What do you do next? - ANSWER - >-Conduct a thorough needs
assessment to make sure I gather information about their
situation and preferences.
Which of the following statements are true when selling
Medicare plans over the telephone? (Select 2) - ANSWER - >-I
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS
BRAND NEW 2025
Can consumer Gene, who enrolled in a Medicare Advantage
(MA) Plan with a January 1 effective date, complete an
enrollment application on February 15 for a different MA Plan?
- ANSWER - >-Yes, he is still eligible to make a one-time change
using the MA OEP election, and his new plan will be effective
March 1.
Which of the following statements is true about election
periods? - ANSWER - >-MA Open Enrollment Period can only be
used by a consumer already enrolled in an MA Plan
Which statement regarding Star Ratings is true? - ANSWER - >-
Medicare uses a 5-star rating system to illustrate a plan's
performance and quality.
Which of the following is not considered prohibited unsolicited
contact with a Medicare eligible consumer according to CMS
regulations and UnitedHealthcare's rules, policies, and
procedures? - ANSWER - >-Mailing a marketing brochure to the
consumer via postal mail.
,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).
When completing an enrollment application in JarvisEnroll, why
is an agent prohibited from entering their own email address in
a field available for the consumer's email address? - ANSWER -
>-The consumer/member would not receive plan related
correspondence intended for them.
The __________ ensures that when consumers provide their
verbal agreement during the telephonic enrollment, they
acknowledge and understand they are actually enrolling, in
which plan they are enrolling, as well as the standard
disclosures. - ANSWER - >-Statement of Understanding
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
Which statement is accurate when a consumer has a Power of
Attorney (POA)? - ANSWER - >-If the POA signs the Enrollment
Application, they must be able to provide documentation upon
, request by the Plan that indicates authority under applicable
state law to enroll the consumer.
Select the option that describes the coverage combinations a
member can use at the same time. - ANSWER - >-MA-Only PFFS
plan and a stand-alone PDP
What might happen if you rely on a benefit or plan feature a
consumer mentions they saw or heard in an ad? - ANSWER - >-I
might be tempted to skip doing a thorough needs assessment
and/or be biased only toward plans with that benefit.
Dennis, a consumer, is currently enrolled in Original Medicare
plus a Medicare Supplement Plan. His current plan is suitable
for his medical needs, but he would like to add prescription
drug coverage only. Since Dennis wants to keep his current
coverage, which option is available to Dennis (assuming he is in
a valid election period)? - ANSWER - >-Dennis should stay
enrolled in Original Medicare and his Medicare Supplement
Plan and enroll in a stand-alone PDP.
A consumer asks to be enrolled in a Medicare Advantage plan
that allows them to see specialists without needing a referral.
What do you do next? - ANSWER - >-Conduct a thorough needs
assessment to make sure I gather information about their
situation and preferences.
Which of the following statements are true when selling
Medicare plans over the telephone? (Select 2) - ANSWER - >-I
