UHC Ethic and Compliance 2022/ Questions
with Certified Solutions.
An individual with Power of Attorney is an example of what authority? - Answer:
Legal authority under state law to act on behalf of another individual.
Janine, currently enrolled in a 3-star plan, discovers there is 5-star plan available
where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can
advise Janine of each of the following except: - Answer: Josh should tell Janine
that she can only change her current plan to a 5-star plan during the Annual
Election Period.
Educational events allow for which of the following to occur? - Answer: Provide
objective information about the Medicare program and/or health improvement
and wellness.
Page 1 of 6
, 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? - Answer: Dino presented
a plan prior to October 1.
Annual Election Period (AEP) is a time when: - Answer: Consumers can elect to
join a Medicare Advantage Plan or switch to a different plan.
What type of events must an agent report to UnitedHealthcare? - Answer: Formal
and informal marketing/sales events
Which of the following are the ways to report potential FWA? - Answer: Producer
Help Desk (DHP)
Fraud, Waste and/or Abuse hotline
What is the definition of Fraud? - Answer: Fraud is intentionally misrepresenting
or concealing facts to obtain something of value.
What is the purpose of the Statement of Understanding? - Answer: It ensures that
when consumers sign the Medicare Advantage and/or Part D Enrollment
Application they are acknowledging their understanding that they are actually
enrolling, in which plan they are enrolling and standard disclosures.
Page 2 of 6
with Certified Solutions.
An individual with Power of Attorney is an example of what authority? - Answer:
Legal authority under state law to act on behalf of another individual.
Janine, currently enrolled in a 3-star plan, discovers there is 5-star plan available
where she lives. She asks her agent, Josh, to enroll her in the 5-star plan. Josh can
advise Janine of each of the following except: - Answer: Josh should tell Janine
that she can only change her current plan to a 5-star plan during the Annual
Election Period.
Educational events allow for which of the following to occur? - Answer: Provide
objective information about the Medicare program and/or health improvement
and wellness.
Page 1 of 6
, 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? - Answer: Dino presented
a plan prior to October 1.
Annual Election Period (AEP) is a time when: - Answer: Consumers can elect to
join a Medicare Advantage Plan or switch to a different plan.
What type of events must an agent report to UnitedHealthcare? - Answer: Formal
and informal marketing/sales events
Which of the following are the ways to report potential FWA? - Answer: Producer
Help Desk (DHP)
Fraud, Waste and/or Abuse hotline
What is the definition of Fraud? - Answer: Fraud is intentionally misrepresenting
or concealing facts to obtain something of value.
What is the purpose of the Statement of Understanding? - Answer: It ensures that
when consumers sign the Medicare Advantage and/or Part D Enrollment
Application they are acknowledging their understanding that they are actually
enrolling, in which plan they are enrolling and standard disclosures.
Page 2 of 6
