UHC Ethics and Compliance 2022
What type of events must an agent report to UnitedHealthcare?
-Informal marketing,/sales events only
-Formal and informal marketing/sales events
-Formal marketing/sa[es events only
-Marketing/sales events (formal and informal) and educational events - Formal and
informal marketing/sales events
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?
-The consumer/member would not receive plan related correspondence intended for
him/her.
-The agent may experience commission payment processing issues.
-The enrollment application may be denied. - The consumer/member would not receive
plan related correspondence intended for him/her.
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?
-Annual Election Period (AEP)
-Special Election Period (SEP)
-Open Enrollment Period (OEP)
-Initial Coverage Election Period (ICEP) - AEP
Which of the following materials is an agent NOT permitted to display and/or distribute at
a marketing/sales event?
-Generic business reply cards for Medicare products.
-Medicare Made Clear brochures from the UnitedHealthcare Toolkit.
-5-dollar gift cards to an in-network pharmacy.
-Pens and notepads that contain the agent's contact information. - 5-dollar gift cards to an
in-network pharmacy.
Kira has scheduled an appointment and obtained a Scope of
Appointment (SOA) form to discuss Medicare Advantage Plans with a
consumer. When she arrives at the appointment, a friend of the
consumer who is Medicare-eligible is present to hear your
presentation. What should Kira do?
-Ask the consumer's friend to leave since the friend had not scheduled the appointment.
-Before Kira can start the appointment with both consumers, she must ask the consumer'S
friend to complete an SOA.
-Ask the consumer's friend to complete the SOA and schedule a separate appointment.
, -Tell the consumer that you will come back another day, - Before Kira can start the
appointment with both consumers, she must ask the consumer'S friend to complete an
SOA.
Educational events allow for which of the following to occur?
-Provide objective information about the Medicare program and/or health improvement
and wellness.
-Provide an opportunity to give an introductory presentation followed by an informal
marketing/sales event.
-Provide an opportunity to steer a consumer toward a specific or limited number of plans.
-Provide an opportunity to review benefits, premiums, and product information with
consumers. - Provide objective information about the Medicare program and/or health
improvement and wellness.
Agent Brenda is presenting Medicare Advantage plan options to her
consumer, Melanie. During the presentation, Brenda tells Melanie
that Medicare gives each plan a Star Rating. Which of the following is
not an appropriate response when Melanie asks what the Star Rating
means?
-Brenda should tell Melanie that the Star Rating is the same for every plan and it does not
accurately reflect a plan's performance in certain categories.
Brenda should tell Melanie that the Star Ratings helps consumers and members compare
plans based on quality and performance.
-Brenda should tell Melanie that Medicare indicates a plan's overall performance and
quality with 1 to 5 stars; 1
star denotes poor quality and 5 stars represent excellent quality.
-Brenda should tell Melanie that Medicare uses several measures to determine how well
plan sponsors perform. Detecting and preventing illness is one example of the measures
Medicare uses. - Brenda should tell Melanie that the Star Rating is the same for every plan
and it does not accurately reflect a plan's performance in certain categories.
Which of the following describes Permission to Contact guidelines?
-It allows the agent to discuss the products identified during the marketing appointment.
-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),
-It does not have to be provided by the consumer but can be provided by the consumer's
spouse or adult child. - 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)
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?
What type of events must an agent report to UnitedHealthcare?
-Informal marketing,/sales events only
-Formal and informal marketing/sales events
-Formal marketing/sa[es events only
-Marketing/sales events (formal and informal) and educational events - Formal and
informal marketing/sales events
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?
-The consumer/member would not receive plan related correspondence intended for
him/her.
-The agent may experience commission payment processing issues.
-The enrollment application may be denied. - The consumer/member would not receive
plan related correspondence intended for him/her.
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?
-Annual Election Period (AEP)
-Special Election Period (SEP)
-Open Enrollment Period (OEP)
-Initial Coverage Election Period (ICEP) - AEP
Which of the following materials is an agent NOT permitted to display and/or distribute at
a marketing/sales event?
-Generic business reply cards for Medicare products.
-Medicare Made Clear brochures from the UnitedHealthcare Toolkit.
-5-dollar gift cards to an in-network pharmacy.
-Pens and notepads that contain the agent's contact information. - 5-dollar gift cards to an
in-network pharmacy.
Kira has scheduled an appointment and obtained a Scope of
Appointment (SOA) form to discuss Medicare Advantage Plans with a
consumer. When she arrives at the appointment, a friend of the
consumer who is Medicare-eligible is present to hear your
presentation. What should Kira do?
-Ask the consumer's friend to leave since the friend had not scheduled the appointment.
-Before Kira can start the appointment with both consumers, she must ask the consumer'S
friend to complete an SOA.
-Ask the consumer's friend to complete the SOA and schedule a separate appointment.
, -Tell the consumer that you will come back another day, - Before Kira can start the
appointment with both consumers, she must ask the consumer'S friend to complete an
SOA.
Educational events allow for which of the following to occur?
-Provide objective information about the Medicare program and/or health improvement
and wellness.
-Provide an opportunity to give an introductory presentation followed by an informal
marketing/sales event.
-Provide an opportunity to steer a consumer toward a specific or limited number of plans.
-Provide an opportunity to review benefits, premiums, and product information with
consumers. - Provide objective information about the Medicare program and/or health
improvement and wellness.
Agent Brenda is presenting Medicare Advantage plan options to her
consumer, Melanie. During the presentation, Brenda tells Melanie
that Medicare gives each plan a Star Rating. Which of the following is
not an appropriate response when Melanie asks what the Star Rating
means?
-Brenda should tell Melanie that the Star Rating is the same for every plan and it does not
accurately reflect a plan's performance in certain categories.
Brenda should tell Melanie that the Star Ratings helps consumers and members compare
plans based on quality and performance.
-Brenda should tell Melanie that Medicare indicates a plan's overall performance and
quality with 1 to 5 stars; 1
star denotes poor quality and 5 stars represent excellent quality.
-Brenda should tell Melanie that Medicare uses several measures to determine how well
plan sponsors perform. Detecting and preventing illness is one example of the measures
Medicare uses. - Brenda should tell Melanie that the Star Rating is the same for every plan
and it does not accurately reflect a plan's performance in certain categories.
Which of the following describes Permission to Contact guidelines?
-It allows the agent to discuss the products identified during the marketing appointment.
-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),
-It does not have to be provided by the consumer but can be provided by the consumer's
spouse or adult child. - 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)
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?
