UHC ETHICS AND COMPLIANCE EXAM WITH
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION 2026
When must the enrollment guide be presented to the consumer? - ANSWER-at
the time of enrollment
What does the enrollment guide include? - ANSWER-summary of benefits,
language interpreter disclaimer, plan ratings information, and enrollment
application
What is a servicing agent? - ANSWER-an inactive, nonemployee who has
signed a servicing agreement in order to receive renewal commisions on
medicare advantage and prescription drug plan enrollments on or after 1-1-
2014. the agent must maintain an active resident license and appointment and
pass medicare basics and ethics compliance assessments on an annual basis
Whats included with a summary of benefits - ANSWER-detailed info on plan
benefits, explanations of cost sharing, and lists special features
What included with a language interpreter disclaimer? - ANSWER-includes
info on how to request an interpreter
,whats another name for plan ratings information - ANSWER-star ratings
What included with plan ratings information - ANSWER-req document that
shows the stars rating for specific plan being sold, ranging from 1 to 5 stars
How does the medicare program rate plans? - ANSWER-they’re based on
quality an performance
What does LPI stand for? - ANSWER-low performance icon
How does a plan receive a LPI? - ANSWER-if a plan receives a starrating of 2.5
or below for 3 consecutive years in any combination of its part C or D rating wll
receive a LPI status
What time of the year does the CMS issue star ratings? - ANSWER-october for
the following year
the plan publishes star rating information in materials such as the enrollment
guide within how many calendar days as required by CMS? - ANSWER-21
calendar days
Agents must clearly state the overall star rating, inc LPI for ___plan they
present to the consumer and indicate that additional information on the star
ratings can be found in the enrollment guide/ medicare.gov - ANSWER-each
plan
Where can you find the penalties for late enrollment? - ANSWER-the
"medicare and you" handbook
What does SOU stand for? - ANSWER-statement of understanding
, What is the SOU? - ANSWER-is a REQ element for enrollment and the agent
must review it with the consumer at the point of sale
During contact with a consumer, agents must update the lead status or
permission to call within the company tracking system with____ - ANSWER-
the customers preference
if an agent does not have access to bconnected, they must havr a system that
enables themto document and retain PTC for a minimum of - ANSWER-10
years and provide documentation upon request.
if you are soliciting a call for medicare supplement with a client and the
customer requests more information on a MA or PDP product, can a discussion
be held at that time for those products, or must it be done at a later time? -
ANSWER-it can be done at that time on the MA or PDP product
May an agent contact a referred customer, or must that referred customer be the
first one to contact the agent - ANSWER-the referred customer must contact the
agent, not the other way around
_____ are permitted to return phone calls or emails received from a referred
individual - ANSWER-agents
failure to report an insurance of suspected misconduct could result in -
ANSWER-disciplinary action.
What is the MA enrollment period( MA-OEP)? - ANSWER-jan 1st- march 31st
MA plan members enrolled effective jan 1st can make a one time election
annually from jan 1st through march 31st to switch - ANSWER-MA plans( with
or without drug coverage), or to disenroll from a MA planand obtain coverage
through original medicare (with or without a stand alone PDP)
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION 2026
When must the enrollment guide be presented to the consumer? - ANSWER-at
the time of enrollment
What does the enrollment guide include? - ANSWER-summary of benefits,
language interpreter disclaimer, plan ratings information, and enrollment
application
What is a servicing agent? - ANSWER-an inactive, nonemployee who has
signed a servicing agreement in order to receive renewal commisions on
medicare advantage and prescription drug plan enrollments on or after 1-1-
2014. the agent must maintain an active resident license and appointment and
pass medicare basics and ethics compliance assessments on an annual basis
Whats included with a summary of benefits - ANSWER-detailed info on plan
benefits, explanations of cost sharing, and lists special features
What included with a language interpreter disclaimer? - ANSWER-includes
info on how to request an interpreter
,whats another name for plan ratings information - ANSWER-star ratings
What included with plan ratings information - ANSWER-req document that
shows the stars rating for specific plan being sold, ranging from 1 to 5 stars
How does the medicare program rate plans? - ANSWER-they’re based on
quality an performance
What does LPI stand for? - ANSWER-low performance icon
How does a plan receive a LPI? - ANSWER-if a plan receives a starrating of 2.5
or below for 3 consecutive years in any combination of its part C or D rating wll
receive a LPI status
What time of the year does the CMS issue star ratings? - ANSWER-october for
the following year
the plan publishes star rating information in materials such as the enrollment
guide within how many calendar days as required by CMS? - ANSWER-21
calendar days
Agents must clearly state the overall star rating, inc LPI for ___plan they
present to the consumer and indicate that additional information on the star
ratings can be found in the enrollment guide/ medicare.gov - ANSWER-each
plan
Where can you find the penalties for late enrollment? - ANSWER-the
"medicare and you" handbook
What does SOU stand for? - ANSWER-statement of understanding
, What is the SOU? - ANSWER-is a REQ element for enrollment and the agent
must review it with the consumer at the point of sale
During contact with a consumer, agents must update the lead status or
permission to call within the company tracking system with____ - ANSWER-
the customers preference
if an agent does not have access to bconnected, they must havr a system that
enables themto document and retain PTC for a minimum of - ANSWER-10
years and provide documentation upon request.
if you are soliciting a call for medicare supplement with a client and the
customer requests more information on a MA or PDP product, can a discussion
be held at that time for those products, or must it be done at a later time? -
ANSWER-it can be done at that time on the MA or PDP product
May an agent contact a referred customer, or must that referred customer be the
first one to contact the agent - ANSWER-the referred customer must contact the
agent, not the other way around
_____ are permitted to return phone calls or emails received from a referred
individual - ANSWER-agents
failure to report an insurance of suspected misconduct could result in -
ANSWER-disciplinary action.
What is the MA enrollment period( MA-OEP)? - ANSWER-jan 1st- march 31st
MA plan members enrolled effective jan 1st can make a one time election
annually from jan 1st through march 31st to switch - ANSWER-MA plans( with
or without drug coverage), or to disenroll from a MA planand obtain coverage
through original medicare (with or without a stand alone PDP)
