UHC Ethics and Compliance
Assessment Exam | Correctly Answered
and Graded A+ | 2024/2025
What happens on the plan effective date when a member enrolled
in a Medicare supplement insurance plan and standalone PDP
enroll in a Medicare vantage plan that includes drug coverage
Automatic disenrollment from the standalone PDP
In which situation, MAY the Medicare advantage (MA)
organization decide to disenroll a member from an MA plan?
Premiums are not paid on a timely basis
Dennis a consumer is currently enrolled in the original Medicare,
plus a Medicare supplement plan. His current plan is suitable for
his Medicare needs, but he would like to add prescription drug
coverage only since Dennis wants to keep his current coverage
which option is available to Dennis (assuming he is in a valid
election period)?
Dennis should stay enrolled in original Medicare and his Medicare
supplement plan and enroll in a standalone PDP
, In what product should agents and roll consumers?
A product that is suitable for the consumers needs, goals and
financial resources
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 consumers Medicare
eligibility, describe the cost and benefit coverage of the plan and
explain that he could not accept an enrollment application until
October 15. What did Daniel do? That was not compliant.
Dino presented a plan prior to October 1
When must you provide your name your role as a license,
insurance agent, and the name of the agency you represent?
At the beginning of the call
What must you keep in mind when receiving a call from a
consumer (Select 2)
• The consumer may have misunderstood, or been confused by
what they read or heard in a advertisement
• the consumer may be relying on a single benefit or description
provided in the advertisement
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