UHC Ethics and Compliance Assessment Test
Questions With 100% Verified Solutions
In what product should agents enroll consumers?
-A product that meets the sales goal of the Centers for Medicare and Medicaid
Services, UnitedHealthcare and the Social Security Administration.
-A product that meets the interest the agent has in the transaction, for example
commissions received for the sale.
-A product that is suitable for the consumer's needs, goals and financial resources.
-A product that provides a financial advantage to a network of providers. -
ANSWER -A product that is suitable for the consumer's needs, goals and financial
resources.
To avoid confusing or misleading a consumer, what type of information must the
agent provide when presenting a plan? (Select 3)
-Unsubstantiated
-Complete
-Factual
-Accurate - ANSWER -Complete
Factual
Accurate
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan.
Aries would like this change to be effective November 1. Which statement is true
for Aries?
-He can use the Annual Election Period that runs from October 15 to December 7
and select November 1 as his plan effective date.
, -There are no rules governing how often he can change plans during the year.
-He may be able to use a Special Election Period to change plans if he qualifies for
one.
-He can use the Medicare Advantage Open Enrollment Period that runs from
October 15 to December 7 and select November 1 as his plan effective date. -
ANSWER -He may be able to use a Special Election Period to change plans if he
qualifies for one.
Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already enrolled in
an MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a
Medicare Advantage (MA) Plan.
-Annual Election Period can only be used by a consumer already enrolled in an
MA Plan.
-5-Star SEP can only be used by a consumer already enrolled in an MA Plan. -
ANSWER -MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
Which statement regarding Star Ratings is true?
-Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a
market as measured by membership and retention rates.
-Star Ratings are based on a plan's performance from the prior year and, therefore,
may not accurately reflect a plan's current value.
-Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
-The agent said that the Star Ratings are based on a plan's performance from two
years ago and, therefore, do not accurately reflect a plan's current value. -
ANSWER -Medicare uses a 5-star rating system to illustrate a plan's performance
and quality.
Questions With 100% Verified Solutions
In what product should agents enroll consumers?
-A product that meets the sales goal of the Centers for Medicare and Medicaid
Services, UnitedHealthcare and the Social Security Administration.
-A product that meets the interest the agent has in the transaction, for example
commissions received for the sale.
-A product that is suitable for the consumer's needs, goals and financial resources.
-A product that provides a financial advantage to a network of providers. -
ANSWER -A product that is suitable for the consumer's needs, goals and financial
resources.
To avoid confusing or misleading a consumer, what type of information must the
agent provide when presenting a plan? (Select 3)
-Unsubstantiated
-Complete
-Factual
-Accurate - ANSWER -Complete
Factual
Accurate
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan.
Aries would like this change to be effective November 1. Which statement is true
for Aries?
-He can use the Annual Election Period that runs from October 15 to December 7
and select November 1 as his plan effective date.
, -There are no rules governing how often he can change plans during the year.
-He may be able to use a Special Election Period to change plans if he qualifies for
one.
-He can use the Medicare Advantage Open Enrollment Period that runs from
October 15 to December 7 and select November 1 as his plan effective date. -
ANSWER -He may be able to use a Special Election Period to change plans if he
qualifies for one.
Which of the following statements is true about election periods?
-MA Open Enrollment Period can only be used by a consumer already enrolled in
an MA Plan
-Initial Election Period can only be used by a consumer already enrolled in a
Medicare Advantage (MA) Plan.
-Annual Election Period can only be used by a consumer already enrolled in an
MA Plan.
-5-Star SEP can only be used by a consumer already enrolled in an MA Plan. -
ANSWER -MA Open Enrollment Period can only be used by a consumer already
enrolled in an MA Plan
Which statement regarding Star Ratings is true?
-Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a
market as measured by membership and retention rates.
-Star Ratings are based on a plan's performance from the prior year and, therefore,
may not accurately reflect a plan's current value.
-Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
-The agent said that the Star Ratings are based on a plan's performance from two
years ago and, therefore, do not accurately reflect a plan's current value. -
ANSWER -Medicare uses a 5-star rating system to illustrate a plan's performance
and quality.
