Exam (elaborations)
UHC 2022 Ethics and Compliance Test (solved)
- Course
- UHC Ethics & Compliance
- Institution
- Franklin University
UHC 2022 Ethics and Compliance Test (solved)
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UHC 2022 Ethics and Compliance Test1. *******: Agent John is planning to 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 Johnplans to conduct, which
need to be reported to UnitedHealthcare?
2. The consumer/member would not receive plan related correspondence intended
for him/her.: When completing an enrollment application in LEAN, why is an agent
prohibited from entering his or her own email address in a field availablefor the consumer's
email address?
3. Annual Election Period (AEP): 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?
4. Dino presented a plan prior to October 1.: 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 notaccept an enrollment
application until October 15. What did Dino do that was NOTcompliant?
5. Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson.: 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?
6. Educational events provide objective information about the Medicare pro- gram
and/or health improvement and wellness.: Which describes the purpose of educational
events?
7. Erin should tell Mrs. Rose that the plan has received a "Below Average" rating.:
How should agent Erin respond when consumer Mrs. Rose notices that thepresented MA
Plan has a Star Rating of 2 stars?
8. It is method specific (e.g., telephone, email), short term (i.e., expires whencontact is
made), and event specific (i.e., limited to the products identified).: -Which of the
following describes Permission to Contact guidelines?
9. No. Victor violated United Healthcare permission to contact guidelines by emailing
the cousin without the cousin's permission: Julie, a consumer, is having difficulty
understanding the information her agent, Victor, is presenting at herin-home appointment.
She provides Victor with her cousin's telephone number andemail address and asks him to
explain the plan to her cousin, who frequently assistswith her health care decisions. The next
day, Victor emails Julie's cousin. Has Victorbeen compliant?
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