2024 ETHICS AND COMPLIANCE ASSESSMENT
UHC QUESTIONS AND ANSWERS WELL
GRADED (NEW 2025/2026 UPDATE
)QUESTIONS WITH VERIFIED ANSWERS 100%
CORRECT / A+ GRADE
What information should be obtained from the consumer when
conducting a thorough needs assessment? (Select 2) - CORRECT
ANSWER-• their current health care coverage, including what they
like about it, and what they don't
• the providers they see in medication they take to determine
network and formulary status
Will using LEAN to complete an enrollment application with
the consumer agent Jeff learns the consumer does not have an
email address. What should Jeff do? - CORRECT ANSWER-The
consumer/member would not receive plan related,
corresponds, intent for him/her
What is the purpose of the statement of understanding? -
CORRECT 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.
What is scope of appointment? - CORRECT ANSWER-The agreement
obtained from the consumer to that identifies the scope of
, products that can be discussed at a personal/individual
marketing appointment
Which statement is accurate when a consumer has a power of
authority (POA) - CORRECT ANSWER-If the POA signed the
enrollment application, they must be able to provide
documentation upon request for the plan that indicates
authority under state law to enroll the consumer
What happens on the plan effective date when a member
enrolled in a Medicare supplement insurance plan and
standalone PDP enroll in a Medicare vantage plan that includes
drug coverage - CORRECT ANSWER-Automatic disenrollment from
the standalone PDP
In which situation, MAY the Medicare advantage (MA)
organization decide to disenroll a member from an MA plan? -
CORRECT ANSWER-Premiums are not paid on a timely basis
Dennis a consumer is currently enrolled in the original
Medicare, plus a Medicare supplement plan. His current plan is
suitable for his Medicare 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)? - CORRECT ANSWER-Dennis should
stay enrolled in original Medicare and his Medicare supplement
plan and enroll in a standalone PDP
In what product should agents and roll consumers? - CORRECT
ANSWER-A product that is suitable for the consumers needs, goals
and financial resources
UHC QUESTIONS AND ANSWERS WELL
GRADED (NEW 2025/2026 UPDATE
)QUESTIONS WITH VERIFIED ANSWERS 100%
CORRECT / A+ GRADE
What information should be obtained from the consumer when
conducting a thorough needs assessment? (Select 2) - CORRECT
ANSWER-• their current health care coverage, including what they
like about it, and what they don't
• the providers they see in medication they take to determine
network and formulary status
Will using LEAN to complete an enrollment application with
the consumer agent Jeff learns the consumer does not have an
email address. What should Jeff do? - CORRECT ANSWER-The
consumer/member would not receive plan related,
corresponds, intent for him/her
What is the purpose of the statement of understanding? -
CORRECT 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.
What is scope of appointment? - CORRECT ANSWER-The agreement
obtained from the consumer to that identifies the scope of
, products that can be discussed at a personal/individual
marketing appointment
Which statement is accurate when a consumer has a power of
authority (POA) - CORRECT ANSWER-If the POA signed the
enrollment application, they must be able to provide
documentation upon request for the plan that indicates
authority under state law to enroll the consumer
What happens on the plan effective date when a member
enrolled in a Medicare supplement insurance plan and
standalone PDP enroll in a Medicare vantage plan that includes
drug coverage - CORRECT ANSWER-Automatic disenrollment from
the standalone PDP
In which situation, MAY the Medicare advantage (MA)
organization decide to disenroll a member from an MA plan? -
CORRECT ANSWER-Premiums are not paid on a timely basis
Dennis a consumer is currently enrolled in the original
Medicare, plus a Medicare supplement plan. His current plan is
suitable for his Medicare 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)? - CORRECT ANSWER-Dennis should
stay enrolled in original Medicare and his Medicare supplement
plan and enroll in a standalone PDP
In what product should agents and roll consumers? - CORRECT
ANSWER-A product that is suitable for the consumers needs, goals
and financial resources
