UHC ETHICS AND COMPLIANCE ASSESSMENT EXAM 2020,2021,2022,2024,2025 AND SECTION FOR
CERTIFICATION QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED
HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
2025 UHC Ethics and Compliance Assessment version 1&2
UHC 2024 Ethics & Compliance Assessment version 1&2
UHC Ethics & Compliance 2022 version 1&2
UHC 2021 Ethics and Compliance
UHC Ethics and Compliance Test 2020
UHC ethics and compliance section for certification
2025 Ethics and Compliance Assessment UHC version 1
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using
her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage
or Prescription Drug plan? - correct answer-April 1 through October 31
Which of the following statements is true about using a five star special enrollment period
(SEP)? - correct answer-It can be used once from December 8 through November 30 and
coverage will start the first of the month following recipient of the enrollment application
Which statement regarding star ratings is true - correct answer-Medicare uses a five star rating
system to illustrate the plans performance and quality
In which of the following situations can a telephonic contract be made with a Medicare eligible
consumer? - correct answer-When the consumer consented to be contracted for sales
activities, and the permission has not yet expired
What information should be obtained from the consumer when conducting a thorough needs
assessment? (Select 2) - correct answer-• their current health care coverage, including what
they like about it, and what they don't
• the providers they see in medication they take to determine network and formulary status
Will using LEAN to complete an enrollment application with the consumer agent Jeff learns the
consumer does not have an email address. What should Jeff do? - correct answer-The
consumer/member would not receive plan related, corresponds, intent for him/her
What is the purpose of the statement of understanding? - correct answer-It ensures that when
consumers complete the Medicare Advantage and/or Part D Enrollment Application, they are
acknowledging their understanding that they are actually enrolling, in which plan they are
enrolling, and standard disclosures.
,UHC ETHICS AND COMPLIANCE ASSESSMENT EXAM 2020,2021,2022,2024,2025 AND SECTION FOR
CERTIFICATION QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED
HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
What is scope of appointment? - correct answer-The agreement obtained from the consumer
to that identifies the scope of products that can be discussed at a personal/individual marketing
appointment
Which statement is accurate when a consumer has a power of authority (POA) - correct
answer-If the POA signed the enrollment application, they must be able to provide
documentation upon request for the plan that indicates authority under state law to enroll the
consumer
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 - correct answer-Automatic disenrollment from the standalone PDP
In which situation, MAY the Medicare advantage (MA) organization decide to disenroll a
member from an MA plan? - correct answer-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)? - correct answer-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? - correct answer-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. - correct answer-Dino presented a plan prior to October 1
Which of the following are examples of advertisements and consumer may see that may make
them call you into your call center? - correct answer-
When must you provide your name your role as a license, insurance agent, and the name of the
agency you represent? - correct answer-At the beginning of the call
What must you keep in mind when receiving a call from a consumer (Select 2) - correct
answer-• 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
,UHC ETHICS AND COMPLIANCE ASSESSMENT EXAM 2020,2021,2022,2024,2025 AND SECTION FOR
CERTIFICATION QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED
HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
Consumer asked to be enrolled in a medical advantage plan that allows them to see Specialist
without needing a referral. What do you do next? - correct answer-Conduct a thorough needs
assessment to make sure I gather information about the situation and preferences
What is the purpose of a needs assessment? - correct answer-To gather as much information
about the consumer as possible to ensure I am recommending the plan that is the best fit for
the consumer
Which of the following are components that at minimum should be included in a thorough
needs assessment - correct answer-• identifying their current providers, including primary
care, specialist hospitals in pharmacies and the medication they take
• identifying the last time the consumer visited a doctor or hospital
• Deterring consumer eligibility
Which of the following statements are true when selling Medicare plans over the phone?
(Select 2) - correct answer-I must rely on what I hear, which includes the tone of the
consumers voice, the questions they ask her even there pauses in the conversation
I don't have the benefit of seen the consumers facial expressions or body language in order to
assess their comprehension
Inez a consumer call the number on a piece of mail she received during the annual election
period when you answer you can hear a lot of background noise. What action should you take
to help ensure Inez will understand the information you share with her - correct answer-Speak
clearly in an appropriate volume in a modern piece
Ask if someone assist her with making enrollment decisions and make sure that person is
presented to participate in the call
Ask her to either move into another room, or turn off the TV to help her, hear me clearly in
without distraction
When should you assess consumer comprehension during a call? - correct answer-At all stages
of the call
Consumer Lily tells you she is enrolled in a Medicare vantage plan where she is required to see
in network providers to receive coverage except in emergencies. She is interested in a plan that
offers more net work flexibility provided she can see her current primary care provider. PCP
which of the following best describes steps you must take in your sales and enrollment process.
- correct answer-I must ensure the consumer understands what they are gaining and what
they may be given up by enrolling in the new plan
I must complete a thorough needs assessment
, UHC ETHICS AND COMPLIANCE ASSESSMENT EXAM 2020,2021,2022,2024,2025 AND SECTION FOR
CERTIFICATION QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) UNITED
HEALTHCARE ETHICS & COMPLIANCE TEST (NEWEST!!)
I must compare with the consumer any plan I recommend to their current MA plan, including
benefits, cost network and drug coverage
Which of the following are examples of phrases that must not be spoken by an agent when it
consumer is contemplating a plan change (Select 2) - correct answer-• everything will be the
same
• nothing will change
Simon is currently enrolled in a Medicare advantage. Plan he calls saying he saw an ad on TV
that says he can get a plan with dental coverage of 3500 per year what guidelines supposed to
follow before recommended a new plan to Simon? - correct answer-• conduct a thorough
needs assessment together, comprehensive information related to the consumer situation and
needs
•
Which of the following best describes why is important to compare plan options to the
consumers current coverage? - correct answer-I want to make sure the consumer understands
what they give up and what they gain by changing plans
What are examples of phrases you should avoid using with a consumer when comparing plans?
- correct answer-Nothing will change
Everything will be the same
I am recommending a plan that will add benefits to your current coverage
Prior to enrolling the consumer what must you make sure the consumer understands (select 3)
- correct answer-If the plan is network-based, that the providers they want to use are in the
new plants that work
That their current plan in the new plan that I am recommending, are not the same
If the plan has drug coverage, the medication they use are on the plans formulary what tier
they are in, and any utilization management limitations
The ___________ ensures that when consumers provide the verbal agreement during the
telephone enrollment the knowledge understand they are actually enrolling in which plan they
are in rolling, as well as standard disclosures. - correct answer-Statement of Understanding
Select the option that describes the coverage combinations a member can be enrolled in at the
same time - correct answer-
