2023 ETHICS AND COMPLIANCE ASSESSMENT
QUESTIONS AND ANSWERS GRADED A+
Annual lElection lPeriod l(AEP) lis la ltime lwhen. l. l. l- lConsumers lcan lelect lto lswitch lto la ldifferent lplan lor
ljoin la lMedicare lAdvantage lplan lor lPrescription lDrug lPlan.
How lshould lagent lErin lrespond lwhen lconsumer lMrs. lRose lnotices lthat lthe lpresented lMA lPlan lhas la
lStar lRating lof l2 lstars? l- lErin lshould ltell lMrs. lRose lthat lthe lplan lhas lreceived la l"Below lAverage"
lrating.
Which lof lthe lfollowing lis lnot lconsidered lunsolicited lcontact lwith la lMedicare leligible lconsumer
laccording lto lCMS lregulations land lUnitedHealthcare's lrules, lpolicies, land lprocedures? l- lMailing la
lmarketing lbrochure lto lthe lconsumer lvia lpostal lmail.
Which lstatement lis ltrue labout ldiscussing lbenefits lwith lthe lconsumer lbefore lan lenrollment? l- lThe
lagent lmust laccurately land lcompletely ldisclose lany lbenefits ldiscussed.
When lcompleting lan lenrollment lapplication lin lLEAN, lwhy lis lan lagent lprohibited lfrom lentering lhis lor
lher lown lemail laddress lin la lfield lavailable lfor lthe lconsumer's lemail laddress l- lThe lconsumer/member
lwould lnot lreceive lplan lrelated lcorrespondence lintended lfor lhim/her.
The l__________ lensures lthat lwhen lconsumers lprovide ltheir lverbal lagreement lduring lthe ltelephonic
lenrollment, lthey lacknowledge land lunderstand lthey lare lactually lenrolling, lin lwhich lplan lthey lare
lenrolling, las lwell las lthe lstandard ldisclosures. l- lStatement lof lUnderstanding
A lone-on-one lmarketing lappointment, lwhether lin-person lor ltelephonic, lis lalways lconsidered la
lmarketing/sales levent, lbut lit lis lnot lreported lto lUnitedHealthcare lor lCMS; linstead lthe lconsumer lmust
lprovide l___________________ lagreement lprior lto lthe lstart lof lthe lappointment. l- lScope lof
lAppointment
John lhas lPower lof lAttorney lto lact lon lbehalf lof lhis lmother. lWhat ldoes lthat lmean lwhen lit lcomes lto
lhis lmother lenrolling lin la l Medicare lAdvantage lPlan? l- l(NOT lSURE l)John lmay lsign lthe lEnrollment
lApplication land lmust lbe lable lto lprovide ldocumentation lupon lrequest lby lthe lPlan lthat lindicates lhis
lauthority lunder lstate llaw lto lenroll lhis lmother.
Melanie lis lcurrently lenrolled lin la lMAPD, land lshe lis linterested lin lenrolling lin la lPDP. lWhich lstatement
lis ltrue? l- lAn lelection lperiod lis lrequired lto lenroll lin la lnew lplan.
Medicare lAdvantage l(MA) lorganization lmust ldisenroll la lmember lfrom lan lMA lplan lin lwhich lsituation?
l- lThe lmember lloses lentitlement lto leither lMedicare lPart lA lor lPart lB.
QUESTIONS AND ANSWERS GRADED A+
Annual lElection lPeriod l(AEP) lis la ltime lwhen. l. l. l- lConsumers lcan lelect lto lswitch lto la ldifferent lplan lor
ljoin la lMedicare lAdvantage lplan lor lPrescription lDrug lPlan.
How lshould lagent lErin lrespond lwhen lconsumer lMrs. lRose lnotices lthat lthe lpresented lMA lPlan lhas la
lStar lRating lof l2 lstars? l- lErin lshould ltell lMrs. lRose lthat lthe lplan lhas lreceived la l"Below lAverage"
lrating.
Which lof lthe lfollowing lis lnot lconsidered lunsolicited lcontact lwith la lMedicare leligible lconsumer
laccording lto lCMS lregulations land lUnitedHealthcare's lrules, lpolicies, land lprocedures? l- lMailing la
lmarketing lbrochure lto lthe lconsumer lvia lpostal lmail.
Which lstatement lis ltrue labout ldiscussing lbenefits lwith lthe lconsumer lbefore lan lenrollment? l- lThe
lagent lmust laccurately land lcompletely ldisclose lany lbenefits ldiscussed.
When lcompleting lan lenrollment lapplication lin lLEAN, lwhy lis lan lagent lprohibited lfrom lentering lhis lor
lher lown lemail laddress lin la lfield lavailable lfor lthe lconsumer's lemail laddress l- lThe lconsumer/member
lwould lnot lreceive lplan lrelated lcorrespondence lintended lfor lhim/her.
The l__________ lensures lthat lwhen lconsumers lprovide ltheir lverbal lagreement lduring lthe ltelephonic
lenrollment, lthey lacknowledge land lunderstand lthey lare lactually lenrolling, lin lwhich lplan lthey lare
lenrolling, las lwell las lthe lstandard ldisclosures. l- lStatement lof lUnderstanding
A lone-on-one lmarketing lappointment, lwhether lin-person lor ltelephonic, lis lalways lconsidered la
lmarketing/sales levent, lbut lit lis lnot lreported lto lUnitedHealthcare lor lCMS; linstead lthe lconsumer lmust
lprovide l___________________ lagreement lprior lto lthe lstart lof lthe lappointment. l- lScope lof
lAppointment
John lhas lPower lof lAttorney lto lact lon lbehalf lof lhis lmother. lWhat ldoes lthat lmean lwhen lit lcomes lto
lhis lmother lenrolling lin la l Medicare lAdvantage lPlan? l- l(NOT lSURE l)John lmay lsign lthe lEnrollment
lApplication land lmust lbe lable lto lprovide ldocumentation lupon lrequest lby lthe lPlan lthat lindicates lhis
lauthority lunder lstate llaw lto lenroll lhis lmother.
Melanie lis lcurrently lenrolled lin la lMAPD, land lshe lis linterested lin lenrolling lin la lPDP. lWhich lstatement
lis ltrue? l- lAn lelection lperiod lis lrequired lto lenroll lin la lnew lplan.
Medicare lAdvantage l(MA) lorganization lmust ldisenroll la lmember lfrom lan lMA lplan lin lwhich lsituation?
l- lThe lmember lloses lentitlement lto leither lMedicare lPart lA lor lPart lB.
