UHC Ethics and Compliance Test Guide.

UHC Ethics and Compliance Test Guide. 1. Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific United- Healthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appoint- ments. Of the three types of events John plans to conduct, which need to be reported to Unit- edHealthcare? 2. When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? 3. 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? ******* The consumer/member would not receive plan related correspon- dence intended for him/her. Annual Election Period (AEP) 4. Dino, an agent, received a phone call on Septem- Dino presented a plan prior to Oc- ber 29 from a consumer interested in Medicare Advantage plans for the new plan year. Dino pro- ceeded to verify the consumer's Medicare eligi- bility, 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? 5. Mr. and Mrs. Nelson, who are current members, unexpectedly walk into Jake's insurance agency office and ask him to discuss Medicare Advan- tober 1. Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson. tage Plans. Does Jake need to obtain a Scope of Appointment (SOA) form? 6. Which describes the purpose of educational events? Educational events provide ob- jective information about the Medicare program and/or health improvement and wellness. 7. How should agent Erin respond when consumer Erin should tell Mrs. Rose that the Mrs. Rose notices that the presented MA Plan has a Star Rating of 2 stars? 8. Which of the following describes Permission to Contact guidelines? plan has received a "Below Aver- age" rating. It is method specific (e.g., tele- phone, email), short term (i.e., ex- pires when contact is made), and event specific (i.e., limited to the products identified).