1|Page
UNITED HEALTHCARE (UHC)– ETHICS AND
COMPLIANCE LATEST EXAM REAL EXAM QUESTIONS
AND 100% CORRECT ANSWERS|AGRADE
In terms of events, which of the following is true? - (ANSWER)WRONG - Agents
must report formal marketing/sales events only to UnitedHealthcare
When completing an enrollment application in LEAN, why is an agent prohibited
from entering their own email address in a field available for the consumer's
email address? - (ANSWER)The consumer/member would not receive plan
related correspondence intended for him/her.
Annual Election Period (AEP) is a time when: - (ANSWER)Consumers can elect to
join a Medicare Advantage Plan or switch to a different plan.
You have scheduled 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 who is Medicare-eligible 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.
Educational events allow for which of the following to occur? - (ANSWER)Provide
objective information about the Medicare program and/or health improvement
and wellness.
Agent Brenda is presenting Medicare Advantage plan options to her consumer,
Melanie. During the presentation, Brenda tells Melanie that Medicare gives each
, 2|Page
plan a Star Rating. Which of the following is not an appropriate response when
Melanie asks what the Star Rating means? - (ANSWER)Brenda should tell Melanie
that the Star Rating is the same for every plan and it does not accurately reflect a
plan's performance in certain categories.
When does Permission to Contact for Medicare Advantage and/or Prescription
Drug Plans expire? - (ANSWER)Once contact is made or 9 months from the date
the consumer provided permission (e.g. consumer signature date on BRC) or 90
days if on federal do not call list, whichever comes first.
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 compliant? - (ANSWER)No. Victor
violated United Healthcare permission to contact guidelines by emailing the
cousin without the cousin's permission.
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 upon request by the Plan that indicates his authority under state
law to enroll his mother.
Which of the following is not considered unsolicited contact with a Medicare
eligible consumer according to CMS regulations and UnitedHealthcare's rules,
policies, and procedures? - (ANSWER)Mailing a marketing brochure to the
consumer via postal mail.
UNITED HEALTHCARE (UHC)– ETHICS AND
COMPLIANCE LATEST EXAM REAL EXAM QUESTIONS
AND 100% CORRECT ANSWERS|AGRADE
In terms of events, which of the following is true? - (ANSWER)WRONG - Agents
must report formal marketing/sales events only to UnitedHealthcare
When completing an enrollment application in LEAN, why is an agent prohibited
from entering their own email address in a field available for the consumer's
email address? - (ANSWER)The consumer/member would not receive plan
related correspondence intended for him/her.
Annual Election Period (AEP) is a time when: - (ANSWER)Consumers can elect to
join a Medicare Advantage Plan or switch to a different plan.
You have scheduled 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 who is Medicare-eligible 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.
Educational events allow for which of the following to occur? - (ANSWER)Provide
objective information about the Medicare program and/or health improvement
and wellness.
Agent Brenda is presenting Medicare Advantage plan options to her consumer,
Melanie. During the presentation, Brenda tells Melanie that Medicare gives each
, 2|Page
plan a Star Rating. Which of the following is not an appropriate response when
Melanie asks what the Star Rating means? - (ANSWER)Brenda should tell Melanie
that the Star Rating is the same for every plan and it does not accurately reflect a
plan's performance in certain categories.
When does Permission to Contact for Medicare Advantage and/or Prescription
Drug Plans expire? - (ANSWER)Once contact is made or 9 months from the date
the consumer provided permission (e.g. consumer signature date on BRC) or 90
days if on federal do not call list, whichever comes first.
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 compliant? - (ANSWER)No. Victor
violated United Healthcare permission to contact guidelines by emailing the
cousin without the cousin's permission.
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 upon request by the Plan that indicates his authority under state
law to enroll his mother.
Which of the following is not considered unsolicited contact with a Medicare
eligible consumer according to CMS regulations and UnitedHealthcare's rules,
policies, and procedures? - (ANSWER)Mailing a marketing brochure to the
consumer via postal mail.
