UHC ETHICS AND COMPLIANCE QUESTIONS WITH
COMPLETE SOLUTION
In hterms hof hevents, hwhich hof hthe hfollowing his htrue?
Agents hmust honly hreport hformal hmarketing/sales hevents hUnitedHealthcare.
Agents hmust honly hreport hinformal hmarketing/sales hevents hto hUnitedHealthcare.
Agents hmust honly hreport hformal hand hinformal hmarketing/sales hevents hto hUnitedHealthcare. h- h...
When hcompleting han henrollment happlication hin hLEAN, hwhy his han hagent hprohibited hfrom hentering
hhis hor hher hown hemail haddress hin ha hfield havailable hfor hthe hconsumer's hemail haddress?
The hconsumer/member hwould hnot hreceive hplan hrelated hcorrespondence hintended hfor hhim/her.
The henrollment happlication hmay hbe hdenied.
The hagent hmay hexperience hcommission hpayment hprocessing hissues. h- hThe hconsumer/member hwould
hnot hreceive hplan hrelated hcorrespondence hintended hfor hhim/her.
Which helection hperiod hruns hfrom hOctober h15 hto hDecember h7 hand hallows hconsumers hto helect hto
hjoin ha hMedicare hAdvantage hPlan hor hswitch hto ha hdifferent hplan?
Open hEnrollment hPeriod h(OEP)
Special hElection hPeriod h(SEP)
Initial hCoverage hElection hPeriod h(ICEP)
Annual hElection hPeriod h(AEP) h- hAnnual hElection hPeriod h(AEP)
Which hof hthe hfollowing hmaterials his han hagent hNOT hpermitted hto hdisplay hand/or hdistribute hat ha
hmarketing/sales hevent?
Medicare hMade hClear hbrochures hfrom hthe hUnitedHealthcare hToolkit.
Pens hand hnotepads hthat hcontain hthe hagent's hcontact hinformation.
5-dollar hgift hcards hto han hin-network hpharmacy.
Generic hbusiness hreply hcards hfor hMedicare hproducts. h- h5-dollar hgift hcards hto han hin-network
hpharmacy.
Mr. hand hMrs. hNelson, hwho hare hcurrent hmembers, hunexpectedly hwalk hinto hJake's hinsurance hagency
hoffice hand hask hhim hto hdiscuss hMedicare hAdvantage hPlans. hDoes hJake hneed hto hobtain ha hScope hof
hAppointment h(SOA) hform?
Yes, hbut hjust hone hbecause hthe hNelsons hare hhusband hand hwife.
, Yes, hhe hneeds hto hobtain han hSOA hfrom hboth hMr. hand hMrs. hNelson.
No, hbecause hthe hNelsons hare hcurrent hmembers.
No, hbecause hthe hNelsons hwalked hinto hhis hoffice hinstead hof hscheduling han happointment hin htheir
hhome. h- hYes, hhe hneeds hto hobtain han hSOA hfrom hboth hMr. hand hMrs. hNelson.
Educational hevents hallow hfor hwhich hof hthe hfollowing hto hoccur?
Provide hobjective hinformation habout hthe hMedicare hprogram hand/or hhealth himprovement hand
hwellness.
Provide han hopportunity hto hreview hbenefits, hpremiums, hand hproduct hinformation hwith hconsumers.
Provide han hopportunity hto hsteer ha hconsumer htoward ha hspecific hor hlimited hnumber hof hplans.
Provide han hopportunity hto hgive han hintroductory hpresentation hfollowed hby han hinformal
hmarketing/sales hevent. h- hProvide hobjective hinformation habout hthe hMedicare hprogram hand/or hhealth
himprovement hand hwellness.
How hshould hagent hErin hrespond hwhen hconsumer hMrs. hRose hnotices hthat hthe hpresented hMA hPlan
hhas ha hStar hRating hof h2 hstars?
Erin hshould hlet hMrs. hRose hknow hthat hthe hrating his hfor hagent huse honly hand hhas haccidentally hbeen
hprinted hin hthe hEnrollment hGuide.
Erin hshould htell hMrs. hRose hthat hthe hplan hhas hreceived ha h"Below hAverage" hrating.
Erin hshould htell hMrs. hRose hthat heach hplan hhas hthe hsame hStar hRating hand hit hdoes hnot haccurately
hreflect han hindividual hplan's hperformance hin hcertain hcategories. h- h...
Agent hBryan hwants hto hgrow hhis hbook hof hbusiness. hWhich hof hthe hfollowing hlead hgenerating
hactivities his hNOT hcompliant?
After henrolling ha hconsumer, hhe hmails ha hthank hyou hcard hfrom hthe hUnitedHealthcare hToolkit hand
hencloses ha hfew hbusiness hcards hfor hthe hnew hmember hto hpass halong hto hacquaintances.
At heach happointment hhe hprovides hextra hbusiness hcards hto hthe hconsumer hand hasks hthat hthe
hconsumer hpass hthem halong hto hacquaintances.
At heach happointment hhe hasks hthe hconsumer hfor hthe hname hand hphone hnumber hof hat hleast hone
hacquaintance hwho his h65 hor holder hand hcalls hthe hreferred hindividual. h- hAt heach happointment hhe hasks
hthe hconsumer hfor hthe hname hand hphone hnumber hof hat hleast hone hacquaintance hwho his h65 hor holder
hand hcalls hthe hreferred hindividual.
Consumer hGary hgives hhis hfriend's htelephone hnumber hand hemail haddress hto hagent hBethany. hWhat
hshould hBethany hdo?
Bethany hmay haccept hthe hcontact hinformation hand htelephone hor hemail hGary's hfriend hto hschedule ha
hface-to-face hmeeting.
COMPLETE SOLUTION
In hterms hof hevents, hwhich hof hthe hfollowing his htrue?
Agents hmust honly hreport hformal hmarketing/sales hevents hUnitedHealthcare.
Agents hmust honly hreport hinformal hmarketing/sales hevents hto hUnitedHealthcare.
Agents hmust honly hreport hformal hand hinformal hmarketing/sales hevents hto hUnitedHealthcare. h- h...
When hcompleting han henrollment happlication hin hLEAN, hwhy his han hagent hprohibited hfrom hentering
hhis hor hher hown hemail haddress hin ha hfield havailable hfor hthe hconsumer's hemail haddress?
The hconsumer/member hwould hnot hreceive hplan hrelated hcorrespondence hintended hfor hhim/her.
The henrollment happlication hmay hbe hdenied.
The hagent hmay hexperience hcommission hpayment hprocessing hissues. h- hThe hconsumer/member hwould
hnot hreceive hplan hrelated hcorrespondence hintended hfor hhim/her.
Which helection hperiod hruns hfrom hOctober h15 hto hDecember h7 hand hallows hconsumers hto helect hto
hjoin ha hMedicare hAdvantage hPlan hor hswitch hto ha hdifferent hplan?
Open hEnrollment hPeriod h(OEP)
Special hElection hPeriod h(SEP)
Initial hCoverage hElection hPeriod h(ICEP)
Annual hElection hPeriod h(AEP) h- hAnnual hElection hPeriod h(AEP)
Which hof hthe hfollowing hmaterials his han hagent hNOT hpermitted hto hdisplay hand/or hdistribute hat ha
hmarketing/sales hevent?
Medicare hMade hClear hbrochures hfrom hthe hUnitedHealthcare hToolkit.
Pens hand hnotepads hthat hcontain hthe hagent's hcontact hinformation.
5-dollar hgift hcards hto han hin-network hpharmacy.
Generic hbusiness hreply hcards hfor hMedicare hproducts. h- h5-dollar hgift hcards hto han hin-network
hpharmacy.
Mr. hand hMrs. hNelson, hwho hare hcurrent hmembers, hunexpectedly hwalk hinto hJake's hinsurance hagency
hoffice hand hask hhim hto hdiscuss hMedicare hAdvantage hPlans. hDoes hJake hneed hto hobtain ha hScope hof
hAppointment h(SOA) hform?
Yes, hbut hjust hone hbecause hthe hNelsons hare hhusband hand hwife.
, Yes, hhe hneeds hto hobtain han hSOA hfrom hboth hMr. hand hMrs. hNelson.
No, hbecause hthe hNelsons hare hcurrent hmembers.
No, hbecause hthe hNelsons hwalked hinto hhis hoffice hinstead hof hscheduling han happointment hin htheir
hhome. h- hYes, hhe hneeds hto hobtain han hSOA hfrom hboth hMr. hand hMrs. hNelson.
Educational hevents hallow hfor hwhich hof hthe hfollowing hto hoccur?
Provide hobjective hinformation habout hthe hMedicare hprogram hand/or hhealth himprovement hand
hwellness.
Provide han hopportunity hto hreview hbenefits, hpremiums, hand hproduct hinformation hwith hconsumers.
Provide han hopportunity hto hsteer ha hconsumer htoward ha hspecific hor hlimited hnumber hof hplans.
Provide han hopportunity hto hgive han hintroductory hpresentation hfollowed hby han hinformal
hmarketing/sales hevent. h- hProvide hobjective hinformation habout hthe hMedicare hprogram hand/or hhealth
himprovement hand hwellness.
How hshould hagent hErin hrespond hwhen hconsumer hMrs. hRose hnotices hthat hthe hpresented hMA hPlan
hhas ha hStar hRating hof h2 hstars?
Erin hshould hlet hMrs. hRose hknow hthat hthe hrating his hfor hagent huse honly hand hhas haccidentally hbeen
hprinted hin hthe hEnrollment hGuide.
Erin hshould htell hMrs. hRose hthat hthe hplan hhas hreceived ha h"Below hAverage" hrating.
Erin hshould htell hMrs. hRose hthat heach hplan hhas hthe hsame hStar hRating hand hit hdoes hnot haccurately
hreflect han hindividual hplan's hperformance hin hcertain hcategories. h- h...
Agent hBryan hwants hto hgrow hhis hbook hof hbusiness. hWhich hof hthe hfollowing hlead hgenerating
hactivities his hNOT hcompliant?
After henrolling ha hconsumer, hhe hmails ha hthank hyou hcard hfrom hthe hUnitedHealthcare hToolkit hand
hencloses ha hfew hbusiness hcards hfor hthe hnew hmember hto hpass halong hto hacquaintances.
At heach happointment hhe hprovides hextra hbusiness hcards hto hthe hconsumer hand hasks hthat hthe
hconsumer hpass hthem halong hto hacquaintances.
At heach happointment hhe hasks hthe hconsumer hfor hthe hname hand hphone hnumber hof hat hleast hone
hacquaintance hwho his h65 hor holder hand hcalls hthe hreferred hindividual. h- hAt heach happointment hhe hasks
hthe hconsumer hfor hthe hname hand hphone hnumber hof hat hleast hone hacquaintance hwho his h65 hor holder
hand hcalls hthe hreferred hindividual.
Consumer hGary hgives hhis hfriend's htelephone hnumber hand hemail haddress hto hagent hBethany. hWhat
hshould hBethany hdo?
Bethany hmay haccept hthe hcontact hinformation hand htelephone hor hemail hGary's hfriend hto hschedule ha
hface-to-face hmeeting.
