2025 UHC ETHICS AND COMPLIANCE
ASSESSMENT QUESTIONS WITH
CORRECT ANSWERS
On ssOctober ss20, ssAries ssdecides sstalks sswith ssan ssagent ssto ssswitch sshis ssPDP
ssthat sshe sshas sshad sssince ssJanuary ss1 ssto ssa ssMedicare ssAdvantage ssplan. ssWhat
sselection ssperiod sswill ssAries ssneed ssto ssuse ss(if sseligible) ssto ssget ssa ssNovember ss1
sseffective ssdate? ss- ssAnswer ssHe sscan ssuse ssa ssSpecial ssElection ssPeriod ss(SEP) ssif
sshe ssqualifies ssfor ssone.
Annual ssElection ssPeriod ss(AEP) ssis ssa sstime sswhen. ss. ss. ss- ssAnswer ssConsumers
sscan ssonly ssenroll ssin ssa ssMedicare ssAdvantage ssPlan ssor ssswitch ssto ssa ssdifferent
ssMedicare ssAdvantage ssplan. ss(Wrong)
What ssshould ssan ssagent sstell ssa ssconsumer sswho ssasks sswhat ssa ss2-star ssrating
ssmeans? ss- ssAnswer ssThat ssthe ssplan sshas ssreceived ssa ss"Below ssAverage" ssrating.
Which ssof ssthe ssfollowing ssis ssnot ssconsidered ssprohibited ssunsolicited sscontact sswith
ssa ssMedicare sseligible ssconsumer ssaccording ssto ssCMS ssregulations ssand
ssUnitedHealthcare's ssrules, sspolicies, ssand ssprocedures? ss- ssAnswer ssMailing ssa
ssmarketing ssbrochure ssto ssthe ssconsumer ssvia sspostal ssmail.
Which ssstatement ssabout ssdiscussing ssbenefits sswith ssthe ssconsumer ssbefore ssan
ssenrollment ssis sstrue? ss- ssAnswer ssThe ssagent ssmust ssexplain ssany ssprovider
ssand/or sspharmacy ssnetwork sslimitations.
Whose ssemail ssaddress ssmay ssthe ssagent ssenter ssinto ssthe ssapplicant ssinformation
sssection ssof ssthe ssJarvisEnroll ssenrollment ssapplication? ss- ssAnswer ssOnly ssthe
ssconsumer's ssemail ss(or ssleave ssit ssblank).
What ssis ssthe sspurpose ssof ssthe ssStatement ssof ssUnderstanding? ss- ssAnswer ssIt
ssensures ssthat sswhen ssconsumers sscomplete ssthe ssMedicare ssAdvantage ssand/or
ssPart ssD ssEnrollment ssApplication, ssthey ssare ssacknowledging sstheir ssunderstanding
ssthat ssthey ssare ssactually ssenrolling, ssin sswhich ssplan ssthey ssare ssenrolling, ssand
ssstandard ssdisclosures.
ASSESSMENT QUESTIONS WITH
CORRECT ANSWERS
On ssOctober ss20, ssAries ssdecides sstalks sswith ssan ssagent ssto ssswitch sshis ssPDP
ssthat sshe sshas sshad sssince ssJanuary ss1 ssto ssa ssMedicare ssAdvantage ssplan. ssWhat
sselection ssperiod sswill ssAries ssneed ssto ssuse ss(if sseligible) ssto ssget ssa ssNovember ss1
sseffective ssdate? ss- ssAnswer ssHe sscan ssuse ssa ssSpecial ssElection ssPeriod ss(SEP) ssif
sshe ssqualifies ssfor ssone.
Annual ssElection ssPeriod ss(AEP) ssis ssa sstime sswhen. ss. ss. ss- ssAnswer ssConsumers
sscan ssonly ssenroll ssin ssa ssMedicare ssAdvantage ssPlan ssor ssswitch ssto ssa ssdifferent
ssMedicare ssAdvantage ssplan. ss(Wrong)
What ssshould ssan ssagent sstell ssa ssconsumer sswho ssasks sswhat ssa ss2-star ssrating
ssmeans? ss- ssAnswer ssThat ssthe ssplan sshas ssreceived ssa ss"Below ssAverage" ssrating.
Which ssof ssthe ssfollowing ssis ssnot ssconsidered ssprohibited ssunsolicited sscontact sswith
ssa ssMedicare sseligible ssconsumer ssaccording ssto ssCMS ssregulations ssand
ssUnitedHealthcare's ssrules, sspolicies, ssand ssprocedures? ss- ssAnswer ssMailing ssa
ssmarketing ssbrochure ssto ssthe ssconsumer ssvia sspostal ssmail.
Which ssstatement ssabout ssdiscussing ssbenefits sswith ssthe ssconsumer ssbefore ssan
ssenrollment ssis sstrue? ss- ssAnswer ssThe ssagent ssmust ssexplain ssany ssprovider
ssand/or sspharmacy ssnetwork sslimitations.
Whose ssemail ssaddress ssmay ssthe ssagent ssenter ssinto ssthe ssapplicant ssinformation
sssection ssof ssthe ssJarvisEnroll ssenrollment ssapplication? ss- ssAnswer ssOnly ssthe
ssconsumer's ssemail ss(or ssleave ssit ssblank).
What ssis ssthe sspurpose ssof ssthe ssStatement ssof ssUnderstanding? ss- ssAnswer ssIt
ssensures ssthat sswhen ssconsumers sscomplete ssthe ssMedicare ssAdvantage ssand/or
ssPart ssD ssEnrollment ssApplication, ssthey ssare ssacknowledging sstheir ssunderstanding
ssthat ssthey ssare ssactually ssenrolling, ssin sswhich ssplan ssthey ssare ssenrolling, ssand
ssstandard ssdisclosures.
