100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.2 TrustPilot
logo-home
Exam (elaborations)

UHC Ethics and Compliance Exam Study Guide (NEW Updated Version 2025/2026) Comprehensive Practice Questions with Correct Answers and Detailed Explanations for Healthcare Professionals

Rating
-
Sold
-
Pages
6
Grade
A+
Uploaded on
16-12-2025
Written in
2025/2026

This UHC Ethics and Compliance Exam Study Guide is designed to help healthcare professionals understand key compliance and ethical standards required in managed care settings. It includes updated, exam-style practice questions with correct answers and clear explanations to reinforce compliance knowledge. Topics covered include fraud, waste, and abuse (FWA), HIPAA, conflicts of interest, ethical decision-making, and reporting obligations. Each question is structured to reflect common compliance assessment formats used in healthcare organizations. This study guide is ideal for annual compliance training, onboarding review, and exam preparation. Updated for the 2025/2026 training year, it provides a reliable resource for ethics and compliance success.

Show more Read less
Institution
UHC Ethics And Compliance
Course
UHC ethics and compliance









Whoops! We can’t load your doc right now. Try again or contact support.

Written for

Institution
UHC ethics and compliance
Course
UHC ethics and compliance

Document information

Uploaded on
December 16, 2025
Number of pages
6
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

1|Page




UHC Ethics and Compliance Test (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR




QUESTION :When completing an enrollment application in LEAN, why is an agent prohibited
from entering his or her own email address in a field available for the consumer's email address? -
CORRECT ANSWER The consumer/member would not receive plan related correspondence
intended for him/her.



QUESTION :Which election period runs from October 15 to December 7 and allows consumers to
elect to join a Medicare Advantage Plan or switch to a different plan? - CORRECT ANSWER
Annual Election Period (AEP)



QUESTION :Dino, an agent, received a phone call on September 29 from a consumer interested in
Medicare Advantage plans for the new plan year. Dino proceeded to verify the consumer's
Medicare eligibility, describe the costs and benefit coverage of the plan, and explained that he could
not accept an enrollment application until October 15. What did Dino do that was NOT compliant?
- CORRECT ANSWER Dino presented a plan prior to October 1.



QUESTION :Mr. and Mrs. Nelson, who are current members, unexpectedly walk into Jake's
insurance agency office and ask him to discuss Medicare Advantage Plans. Does Jake need to
obtain a Scope of Appointment (SOA) form? - CORRECT ANSWER Yes, he needs to obtain
an SOA from both Mr. and Mrs. Nelson.



QUESTION :Which describes the purpose of educational events? - CORRECT ANSWER
Educational events provide objective information about the Medicare program and/or health
improvement and wellness.




2026 2027 GRADED A+

, 2|Page


QUESTION :How should agent Erin respond when consumer Mrs. Rose notices that the presented
MA Plan has a Star Rating of 2 stars? - CORRECT ANSWER Erin should tell Mrs. Rose that
the plan has received a "Below Average" rating.



QUESTION :Which of the following describes Permission to Contact guidelines? - CORRECT
ANSWER 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).



QUESTION :Julie, a consumer, is having difficulty understanding the information her agent,
Victor, is presenting at her in-home appointment. She provides Victor with her cousin's telephone
number and email address and asks him to explain the plan to her cousin, who frequently assists
with her health care decisions. The next day, Victor emails Julie's cousin. Has Victor been
compliant? - CORRECT ANSWER No. Victor violated United Healthcare permission to
contact guidelines by emailing the cousin without the cousin's permission



QUESTION :Which of the individuals below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? - CORRECT ANSWER The consumer's spouse,
who is neither a Power of Attorney nor legal guardian.



QUESTION :In which of the following situations can telephonic contact be made with a Medicare
eligible consumer? - CORRECT ANSWER When the consumer consented to be contacted for
sales activities, subsequent telephonic contact has not yet occurred, and the permission has not yet
expired.



QUESTION :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? - CORRECT ANSWER 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.



QUESTION :Which of the following must you not do when marketing UnitedHealthcare Medicare
Advantage or Prescription Drug Plans to consumers? - CORRECT ANSWER Provide only
those items from the plan's Enrollment Guide that are most relevant to the consumer's situation.




2026 2027 GRADED A+

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
GEO808 nursing
View profile
Follow You need to be logged in order to follow users or courses
Sold
1374
Member since
4 year
Number of followers
1123
Documents
9376
Last sold
11 hours ago
Top Nursing Exam Resources

Hi! I’m a nursing student who creates clear, accurate, and exam-ready study materials for ATI, NCLEX, and core nursing courses. My uploads include complete summaries, verified exam answers, and organized notes designed to save you time and boost your scores. Everything in my store is updated, easy to follow, and built to help you study smarter, not harder.

3.8

221 reviews

5
107
4
35
3
36
2
11
1
32

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions