UHC 2022 ETHICS AND COMPLIANCE TEST
QUESTIONS WITH COMPLETE SOLUTION
Agent dJohn dis dplanning dto dconduct da dseries dof devents. dSome dwill dbe dstrictly deducational, dothers
dwill dbe dformal dpresentations dof dspecific dUnitedHealthcare dplans, dand dothers dwill dbe dinformal
dmarketing devents dwhere dhe dcan dgenerate dleads dand dschedule dfuture din-home dmarketing
dappointments. dOf dthe dthree dtypes dof devents dJohn dplans dto dconduct, dwhich dneed dto dbe dreported
dto dUnitedHealthcare? d- d*******
When dcompleting dan denrollment dapplication din dLEAN, dwhy dis dan dagent dprohibited dfrom dentering
dhis dor dher down demail daddress din da dfield davailable dfor dthe dconsumer's demail daddress? d- dThe
dconsumer/member dwould dnot dreceive dplan drelated dcorrespondence dintended dfor dhim/her.
Which delection dperiod druns dfrom dOctober d15 dto dDecember d7 dand dallows dconsumers dto delect dto
djoin da dMedicare dAdvantage dPlan dor dswitch dto da ddifferent dplan? d- dAnnual dElection dPeriod d(AEP)
Dino, dan dagent, dreceived da dphone dcall don dSeptember d29 dfrom da dconsumer dinterested din dMedicare
dAdvantage dplans dfor dthe dnew dplan dyear. dDino dproceeded dto dverify dthe dconsumer's dMedicare
deligibility, ddescribe dthe dcosts dand dbenefit dcoverage dof dthe dplan, dand dexplained dthat dhe dcould dnot
daccept dan denrollment dapplication duntil dOctober d15. dWhat ddid dDino ddo dthat dwas dNOT dcompliant? d-
dDino dpresented da dplan dprior dto dOctober d1.
Mr. dand dMrs. dNelson, dwho dare dcurrent dmembers, dunexpectedly dwalk dinto dJake's dinsurance dagency
doffice dand dask dhim dto ddiscuss dMedicare dAdvantage dPlans. dDoes dJake dneed dto dobtain da dScope dof
dAppointment d(SOA) dform? d- dYes, dhe dneeds dto dobtain dan dSOA dfrom dboth dMr. dand dMrs. dNelson.
Which ddescribes dthe dpurpose dof deducational devents? d- dEducational devents dprovide dobjective
dinformation dabout dthe dMedicare dprogram dand/or dhealth dimprovement dand dwellness.
How dshould dagent dErin drespond dwhen dconsumer dMrs. dRose dnotices dthat dthe dpresented dMA dPlan
dhas da dStar dRating dof d2 dstars? d- dErin dshould dtell dMrs. dRose dthat dthe dplan dhas dreceived da d"Below
dAverage" drating.
Which dof dthe dfollowing ddescribes dPermission dto dContact dguidelines? d- dIt dis dmethod dspecific d(e.g.,
dtelephone, demail), dshort dterm d(i.e., dexpires dwhen dcontact dis dmade), dand devent dspecific d(i.e.,
dlimited dto dthe dproducts didentified).
Julie, da dconsumer, dis dhaving ddifficulty dunderstanding dthe dinformation dher dagent, dVictor, dis
dpresenting dat dher din-home dappointment. dShe dprovides dVictor dwith dher dcousin's dtelephone dnumber
dand demail daddress dand dasks dhim dto dexplain dthe dplan dto dher dcousin, dwho dfrequently dassists dwith
dher dhealth dcare ddecisions. dThe dnext dday, dVictor demails dJulie's dcousin. dHas dVictor dbeen dcompliant?
d- dNo. dVictor dviolated dUnited dHealthcare dpermission dto dcontact dguidelines dby demailing dthe dcousin
dwithout dthe dcousin's dpermission
QUESTIONS WITH COMPLETE SOLUTION
Agent dJohn dis dplanning dto dconduct da dseries dof devents. dSome dwill dbe dstrictly deducational, dothers
dwill dbe dformal dpresentations dof dspecific dUnitedHealthcare dplans, dand dothers dwill dbe dinformal
dmarketing devents dwhere dhe dcan dgenerate dleads dand dschedule dfuture din-home dmarketing
dappointments. dOf dthe dthree dtypes dof devents dJohn dplans dto dconduct, dwhich dneed dto dbe dreported
dto dUnitedHealthcare? d- d*******
When dcompleting dan denrollment dapplication din dLEAN, dwhy dis dan dagent dprohibited dfrom dentering
dhis dor dher down demail daddress din da dfield davailable dfor dthe dconsumer's demail daddress? d- dThe
dconsumer/member dwould dnot dreceive dplan drelated dcorrespondence dintended dfor dhim/her.
Which delection dperiod druns dfrom dOctober d15 dto dDecember d7 dand dallows dconsumers dto delect dto
djoin da dMedicare dAdvantage dPlan dor dswitch dto da ddifferent dplan? d- dAnnual dElection dPeriod d(AEP)
Dino, dan dagent, dreceived da dphone dcall don dSeptember d29 dfrom da dconsumer dinterested din dMedicare
dAdvantage dplans dfor dthe dnew dplan dyear. dDino dproceeded dto dverify dthe dconsumer's dMedicare
deligibility, ddescribe dthe dcosts dand dbenefit dcoverage dof dthe dplan, dand dexplained dthat dhe dcould dnot
daccept dan denrollment dapplication duntil dOctober d15. dWhat ddid dDino ddo dthat dwas dNOT dcompliant? d-
dDino dpresented da dplan dprior dto dOctober d1.
Mr. dand dMrs. dNelson, dwho dare dcurrent dmembers, dunexpectedly dwalk dinto dJake's dinsurance dagency
doffice dand dask dhim dto ddiscuss dMedicare dAdvantage dPlans. dDoes dJake dneed dto dobtain da dScope dof
dAppointment d(SOA) dform? d- dYes, dhe dneeds dto dobtain dan dSOA dfrom dboth dMr. dand dMrs. dNelson.
Which ddescribes dthe dpurpose dof deducational devents? d- dEducational devents dprovide dobjective
dinformation dabout dthe dMedicare dprogram dand/or dhealth dimprovement dand dwellness.
How dshould dagent dErin drespond dwhen dconsumer dMrs. dRose dnotices dthat dthe dpresented dMA dPlan
dhas da dStar dRating dof d2 dstars? d- dErin dshould dtell dMrs. dRose dthat dthe dplan dhas dreceived da d"Below
dAverage" drating.
Which dof dthe dfollowing ddescribes dPermission dto dContact dguidelines? d- dIt dis dmethod dspecific d(e.g.,
dtelephone, demail), dshort dterm d(i.e., dexpires dwhen dcontact dis dmade), dand devent dspecific d(i.e.,
dlimited dto dthe dproducts didentified).
Julie, da dconsumer, dis dhaving ddifficulty dunderstanding dthe dinformation dher dagent, dVictor, dis
dpresenting dat dher din-home dappointment. dShe dprovides dVictor dwith dher dcousin's dtelephone dnumber
dand demail daddress dand dasks dhim dto dexplain dthe dplan dto dher dcousin, dwho dfrequently dassists dwith
dher dhealth dcare ddecisions. dThe dnext dday, dVictor demails dJulie's dcousin. dHas dVictor dbeen dcompliant?
d- dNo. dVictor dviolated dUnited dHealthcare dpermission dto dcontact dguidelines dby demailing dthe dcousin
dwithout dthe dcousin's dpermission
