UHC ETHIC AND COMPLIANCE TEST 2024 NEWEST
EXAM COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
In terms of events, which of the following is true? - ANSWER: Agents are required to
report all events (marketing/sales and education) to UnitedHealthcare according to
Company policy
You have a scheduled appointment with a Consumer to discuss DSNPs. The
consumer has completed the SOA form. Two days before the appointment, the
consumer calls and requests to discuss PDP plans, which you are also certified to sell.
What should you tell the consumer? - ANSWER: Tell the consumer to sign a new SOA
before the start of the meeting.
which election period occurs from October 15 to December 17? - ANSWER: Annual
Election Period (AEP)
You are invite to give a presentation on Medicare Advantage Plans during a
marketing/sales event. You display and distribute business cards, brochures, and
plan-approved business reply cards and lead cards. Is this permitted? - ANSWER: Yes,
agents may provide business cards, lead cards, marketing brochures, and
promotional materials during marketing events, but must not require consumers to
provide contact information.
You have rescheduled an appointment and obtained a Scope of Appointment (SOA)
form to discuss Medicare Advantage Plans with a consumer. When you arrive at the
appointment, a friend of the consumer is present to hear your presentation, What
should you do? - ANSWER: Before you can start the appointment with both
consumers, ask the consumer's friend to complete an SOA and mark on the SOA the
reason it was not obtained prior to the meeting.
Educational events allow for which of the following to occur? - ANSWER: Provide
objective information about the Medicare program and/or health improvement and
wellness.
Julie, a consumer, is having difficulty understanding the information her agent,
Victor, is presenting at her in-home appointment. She provides Victor with her
cousin's telephone number and email address and asks him to explain the plan to
her cousin, who frequently assists with her health care decisions. The next day,
Victor emails Julie's cousin Has Victor been complaint? - ANSWER: No. Victor
violated CMS permission to call guidelines by emailing the cousin without the
cousin's permission.
, Which of the consumers below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? - ANSWER: The Consumer's spouse, who is
neither a Power of Attorney or legal guardian.
When can telephonic contact with a Medicare eligible consumer be made? -
ANSWER: When the consumer consented to be contacted for sales activities and
subsequent telephonic contact has not yet occurred.
When marketing United Healthcare Medicare plans to consumers, which of the
following must an agent do? - ANSWER: provide current marketing materials that
have been approved by the CMS and United Healthcare.
In what product should agents enroll consumers? - ANSWER: A product that is
sutable for the consumer's needs, goals and financial resources.
Based on the CMS Fraud, Waste, and Abuse (FWA) training, any person who
knowingly submits false claims to the Government is liable for _____ times the
Government's damages caused by the violator plus a penalty - ANSWER: Three
Based on the CMS Fraud, Waste, and Abuse (FWA) training, which of the issues
below should be reported to a Compliance Department? (Select 3) - ANSWER: -
Unethical behavior/employee misconduct.
-Suspected Fraud, Waste, and Abuse (FWA).
-Potential health privacy violation.
Providing objective information about the Medicare program and/or health
improvement and wellness at public venues is the purpose of which of the
following? - ANSWER: Educational events.
How should agent Erin respond when consumer Mrs. Rose notices that the
presented MA Plan has a Star Rating of 2 Stars? - ANSWER: Erin should tell Mrs. Rose
that the plan has received a "Below Average" rating.
Consumer Gary gives his friend's telephone number and email address to Bethany.
What should Bethany do? - ANSWER: She should explain to Gary that regulations
require that his friend contact her directly and could offer sales agent Bethany's
business card for Gary to pass along.
John has Power of Attorney to act on behalf of his mother. What does that mean
when it comes to his mother enrolling in a Medicare Advantage Plan? - ANSWER:
John may sign the Enrollment Application and must be able to provide
documentation that indicates his authority under state law to enroll his mother.
Educational events allow for which of the following to occur? - ANSWER: Provide
objective information about the Medicare program and/or health improvement and
wellness.
EXAM COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
In terms of events, which of the following is true? - ANSWER: Agents are required to
report all events (marketing/sales and education) to UnitedHealthcare according to
Company policy
You have a scheduled appointment with a Consumer to discuss DSNPs. The
consumer has completed the SOA form. Two days before the appointment, the
consumer calls and requests to discuss PDP plans, which you are also certified to sell.
What should you tell the consumer? - ANSWER: Tell the consumer to sign a new SOA
before the start of the meeting.
which election period occurs from October 15 to December 17? - ANSWER: Annual
Election Period (AEP)
You are invite to give a presentation on Medicare Advantage Plans during a
marketing/sales event. You display and distribute business cards, brochures, and
plan-approved business reply cards and lead cards. Is this permitted? - ANSWER: Yes,
agents may provide business cards, lead cards, marketing brochures, and
promotional materials during marketing events, but must not require consumers to
provide contact information.
You have rescheduled an appointment and obtained a Scope of Appointment (SOA)
form to discuss Medicare Advantage Plans with a consumer. When you arrive at the
appointment, a friend of the consumer is present to hear your presentation, What
should you do? - ANSWER: Before you can start the appointment with both
consumers, ask the consumer's friend to complete an SOA and mark on the SOA the
reason it was not obtained prior to the meeting.
Educational events allow for which of the following to occur? - ANSWER: Provide
objective information about the Medicare program and/or health improvement and
wellness.
Julie, a consumer, is having difficulty understanding the information her agent,
Victor, is presenting at her in-home appointment. She provides Victor with her
cousin's telephone number and email address and asks him to explain the plan to
her cousin, who frequently assists with her health care decisions. The next day,
Victor emails Julie's cousin Has Victor been complaint? - ANSWER: No. Victor
violated CMS permission to call guidelines by emailing the cousin without the
cousin's permission.
, Which of the consumers below would not likely have the authority to enroll a
consumer in a Medicare Advantage Plan? - ANSWER: The Consumer's spouse, who is
neither a Power of Attorney or legal guardian.
When can telephonic contact with a Medicare eligible consumer be made? -
ANSWER: When the consumer consented to be contacted for sales activities and
subsequent telephonic contact has not yet occurred.
When marketing United Healthcare Medicare plans to consumers, which of the
following must an agent do? - ANSWER: provide current marketing materials that
have been approved by the CMS and United Healthcare.
In what product should agents enroll consumers? - ANSWER: A product that is
sutable for the consumer's needs, goals and financial resources.
Based on the CMS Fraud, Waste, and Abuse (FWA) training, any person who
knowingly submits false claims to the Government is liable for _____ times the
Government's damages caused by the violator plus a penalty - ANSWER: Three
Based on the CMS Fraud, Waste, and Abuse (FWA) training, which of the issues
below should be reported to a Compliance Department? (Select 3) - ANSWER: -
Unethical behavior/employee misconduct.
-Suspected Fraud, Waste, and Abuse (FWA).
-Potential health privacy violation.
Providing objective information about the Medicare program and/or health
improvement and wellness at public venues is the purpose of which of the
following? - ANSWER: Educational events.
How should agent Erin respond when consumer Mrs. Rose notices that the
presented MA Plan has a Star Rating of 2 Stars? - ANSWER: Erin should tell Mrs. Rose
that the plan has received a "Below Average" rating.
Consumer Gary gives his friend's telephone number and email address to Bethany.
What should Bethany do? - ANSWER: She should explain to Gary that regulations
require that his friend contact her directly and could offer sales agent Bethany's
business card for Gary to pass along.
John has Power of Attorney to act on behalf of his mother. What does that mean
when it comes to his mother enrolling in a Medicare Advantage Plan? - ANSWER:
John may sign the Enrollment Application and must be able to provide
documentation that indicates his authority under state law to enroll his mother.
Educational events allow for which of the following to occur? - ANSWER: Provide
objective information about the Medicare program and/or health improvement and
wellness.
