(Answered) 2022 United HealthCare - Ethics and Compliance Exam

2022 United HealthCare - Ethics and Compliance 1. In terms of events, which of the following is true? 2. When completing an enrollment application in LEAN, why is an agent prohibited from entering their own email address in a field available for the consumer's email address? 3. Annual Election Period (AEP) is a time when 4. You have scheduled an appointment and obtained a Scope of Appointment (SOA) form to discuss Medicare Advantage Plans with a consumer. When you arrive at the appointment, a friend of the consumer who is Medicare-eligible is present to hear your presentation. What should you do? 5. Educational events allow for which of the following to occur? 6. 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? 7. When does Permission to Contact for Medicare Advantage and/or Prescription Drug Plans expire? 8. 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? 9. John has Power of Attorney to act on behalf of his mother. What does that mean when it comes to his mother enrolling in a Medicare Advantage Plan? 10. Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules, policies, and procedures? 11. To sign an enrollment application on behalf of a consumer, what authority must the individual have? 12. As an agent, you must not do which of the following when marketing UnitedHealthcare Medicare Advantage plans to consumers? 13. As an agent, you have an obligation to only enroll a consumer in a product: 14. What is the purpose of the Statement of Understanding? 15. What is the definition of Fraud? 16. Which of the items listed are examples of Fraud, Waste, and Abuse (FWA)? 17. Whose email address may the agent enter into the LEAN enrollment application? 18. Which election period occurs from October 15 to December 7? 19. Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing /sales event? 20. Providing objective information about the Medicare program and/or health improvement and wellness at public venues is the purpose of which of the following? 21. Agent Bryan wants to grow his book of business. Which of the following lead generating activities is NOT compliant? 22. Consumer Gary his friend's telephone number and email address to agent Bethany. What should Bethany do? 23. When can telephonic contact with a Medicare eligible consumer be made? 24. Who has the authority to sign an Enrollment Application? (ANS)- The consumer or the consumer's authorized legal representative (e.g. Power of Attorney). 25. What is the definition of Abuse? 26. Which of the following are the ways to report potential FWA? (Select 2) 27. Agent Kim is conducting an event that has been advertised as educational. Which activities are permitted at an educational event? ( 28. When using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? 29. Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing/sales event? 30. 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? 31. Providing objective information about the Medicare program and/or health improvement and wellness at public venues is the purpose of which of the following? 32. Agent Bryan wants to grow his book of business. Which of the following lead generating activities is NOT compliant? 33. 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? 34. An individual with Power of Attorney is an example of what authority? 35. When can telephonic contact with a Medicare eligible consumer be made? 36. To sign an enrollment application on behalf of a consumer, what authority must the individual have? 37. When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the following must an agent do? As an agent, you have an obligation to only 38. enroll a consumer in a product: 39. Which of the issues below are examples of Fraud, Waste and/or Abuse? (Select 3) 40. 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? 41. 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? 42. In what product should agents enroll consumers? 43. By signing the Statement of Understanding, the consumer: 44. What type of events must an agent report to UnitedHealthcare? 45. 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? 46. Which describes the purpose of educational events? 47. Which of the following describes Permission to Contact guidelines? 48. In which of the following situations can telephonic contact be made with a Medicare eligible consumer? 49. Which of the following must you not do when marketing UnitedHealthcare Medicare Advantage or Prescription Drug Plans to consumers?