UNITED HEALTHCARE (UHC)– ETHICS AND COMPLIANCE
LATEST EXAM 2023-2024 REAL EXAM QUESTIONS AND
100% CORRECT ANSWERS|AGRADE
Agent John is planning to
... [Show More] conduct a series of events. Some will be strictly educational,
others will be formal presentations of specific UnitedHealthcare plans, and others will be
informal marketing events where he can generate leads and schedule future in-home
marketing appointments. Of the three types of events John plans to conduct, which need
to be reported to UnitedHealthcare? Correct Ans - *******
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? Correct Ans - The consumer/member would not receive plan related
correspondence intended for him/her.
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? Correct Ans -
Annual Election Period (AEP)
Dino, an agent, received a phone call on September 29 from a consumer interested in
Medicare Advantage plans for the new plan year. Dino proceeded to verify the
consumer's Medicare eligibility, 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? Correct Ans - Dino presented a plan prior to
October 1.
Mr. and Mrs. Nelson, who are current members, unexpectedly walk into Jake's insurance
agency office and ask him to discuss Medicare Advantage Plans. Does Jake need to
obtain a Scope of Appointment (SOA) form? Correct Ans - Yes, he needs to obtain an
SOA from both Mr. and Mrs. Nelson.
Which describes the purpose of educational events? Correct Ans - Educational events
provide objective information about the Medicare program and/or health improvement
and wellness.
How should agent Erin respond when consumer Mrs. Rose notices that the presented
MA Plan has a Star Rating of 2 stars? Correct Ans - Erin should tell Mrs. Rose that the
plan has received a "Below Average" rating.
Which of the following describes Permission to Contact guidelines? Correct Ans - It is
method specific (e.g., telephone, email), short term (i.e., expires when contact is made),
and event specific (i.e., limited to the products identified).
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? Correct Ans - No. Victor violated United Healthcare
permission to contact guidelines by emailing the cousin without the cousin's permission
Which of the individuals below would not likely have the authority to enroll a consumer
in a Medicare Advantage Plan? Correct Ans - The consumer's spouse, who is neither a
Power of Attorney nor legal guardian.
In which of the following situations can telephonic contact be made with a Medicare
eligible consumer? Correct Ans - When the consumer consented to be contacted for
sales activities, subsequent telephonic contact has not yet occurred, and the permission
has not yet expired.
Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized
legal representative for her father. What must Jacob explain to Emily when completing
an Enrollment Application for her father? Correct Ans - Jacob must explain that Emily
will sign the Enrollment Application and must be able to provide documentation upon
request by the Plan that indicates her legal authority to enroll her father.
Which of the following must you not do when marketing UnitedHealthcare Medicare
Advantage or Prescription D [Show Less]