UHC ETHICS & COMPLIANCE ASSESSMENT QUESTIONS WITH 100% CORRECT
SOLUTIONS | GUARANTEED SUCCESS.
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.
Annual Election Period (AEP) is a time when. . . - (ANSWER)Consumers can only enroll in a Medicare
Advantage Plan or switch to a different Medicare Advantage plan. (Wrong)
What should an agent tell a consumer who asks what a 2-star rating means? - (ANSWER)That the plan
has received a "Below Average" rating.
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).
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.
What is Scope of Appointment? - (ANSWER)The agreement obtained from the consumer no less than 48
hours prior to the start of an in-person or telephonic personal/individual marketing appointment (unless
an exception applies) that identifies the scope of products that can be discussed
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 an Authorized Legal Representative, helps him
make health care or insurance-related decisions and should be present.
SOLUTIONS | GUARANTEED SUCCESS.
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.
Annual Election Period (AEP) is a time when. . . - (ANSWER)Consumers can only enroll in a Medicare
Advantage Plan or switch to a different Medicare Advantage plan. (Wrong)
What should an agent tell a consumer who asks what a 2-star rating means? - (ANSWER)That the plan
has received a "Below Average" rating.
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).
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.
What is Scope of Appointment? - (ANSWER)The agreement obtained from the consumer no less than 48
hours prior to the start of an in-person or telephonic personal/individual marketing appointment (unless
an exception applies) that identifies the scope of products that can be discussed
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 an Authorized Legal Representative, helps him
make health care or insurance-related decisions and should be present.
