UHC Ethics and Compliance Questions and Answers 100% Correct

UHC Ethics and Compliance Questions and Answers 100% Correct

In terms of events, which of the following is true?Agents must only report formal marketing/sales events UnitedHealthcare.Agents must only report informal marketing/sales events to UnitedHealthcare.Agents must only report formal and informal marketing/sales events to UnitedHealthcare. ✔✔...

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?The consumer/member would not receive plan related correspondence intended for him/her.The enrollment application may be denied.The agent may experience commission payment processing issues. ✔✔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?Open Enrollment Period (OEP) Special Election Period (SEP) Initial Coverage Election Period (ICEP) Annual Election Period (AEP) ✔✔Annual Election Period (AEP)

Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing/sales event?Medicare Made Clear brochures from the UnitedHealthcare Toolkit.Pens and notepads that contain the agent's contact information.5-dollar gift cards to an in-network pharmacy.Generic business reply cards for Medicare products. ✔✔5-dollar gift cards to an in-network pharmacy.

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?Yes, but just one because the Nelsons are husband and wife.Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson.No, because the Nelsons are current members.No, because the Nelsons walked into his office instead of scheduling an appointment in their home.✔✔Yes, he needs to obtain an SOA from both Mr. and Mrs. Nelson.

Educational events allow for which of the following to occur?Provide objective information about the Medicare program and/or health improvement and wellness.Provide an opportunity to review benefits, premiums, and product information with consumers.Provide an opportunity to steer a consumer toward a specific or limited number of plans.Provide an opportunity to give an introductory presentation followed by an informal marketing/sales event. ✔✔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?Erin should let Mrs. Rose know that the rating is for agent use only and has accidentally been printed in the Enrollment Guide.Erin should tell Mrs. Rose that the plan has received a "Below Average" rating.Erin should tell Mrs. Rose that each plan has the same Star Rating and it does not accurately reflect an individual plan's performance in certain categories. ✔✔...

Agent Bryan wants to grow his book of business. Which of the following lead generating activities is NOT compliant?After enrolling a consumer, he mails a thank you card from the UnitedHealthcare Toolkit and encloses a few business cards for the new member to pass along to acquaintances.

At each appointment he provides extra business cards to the consumer and asks that the consumer pass them along to acquaintances.At each appointment he asks the consumer for the name and phone number of at least one acquaintance who is 65 or older and calls the referred individual. ✔✔At each appointment he asks the consumer for the name and phone number of at least one acquaintance who is 65 or older and calls the referred individual.

Consumer Gary gives his friend's telephone number and email address to agent Bethany. What should Bethany do?Bethany may accept the contact information and telephone or email Gary's friend to schedule a face-to-face meeting.Bethany may accept the information but must observe permission to contact and unsolicited contact guidelines, which will limit her to using postal mail to contact Bethany's friend.Bethany should ask for Gary's friend's address so she can visit him while she is in the neighborhood. ✔✔Bethany may accept the information but must observe permission to contact and unsolicited contact guidelines, which will limit her to using postal mail to contact Bethany's friend.

John has Power of Attorney to act on behalf of his mother. What does that mean when it comes to his mother enrolling in a Medicare Advantage Plan?John may sign the Enrollment Application and must submit documentation that indicates his authority under state law to enroll his mother with the application.John may attend a personal/individual marketing appointment with his mother but has no authority to sign the Enrollment Application.John may sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates his authority under state law to enroll his mother.John may sign the Enrollment Application but does not need to provide documentation to support his claim of authority upon request by the Plan. ✔✔John may sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates his authority under state law to enroll his mother.

In which of the following situations can telephonic contact be made with a Medicare eligible consumer?When confirming receipt of mailed information.When the consumer consented to be contacted for sales activities, subsequent telephonic contact has not yet occurred, and the permission has not yet expired.When a member has voluntarily disenrolled from a plan. ✔✔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?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.Jacob must explain that Emily will sign the Enrollment Application and that no further action on her part is required.Jacob must explain that Emily will sign the Enrollment Application and must submit documentation with the application that indicates her legal authority to enroll her father.Jacob must explain that Emily is not authorized to complete the Enrollment Application on behalf of her father. ✔✔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 Drug Plans to consumers?Review the Summary of Benefits.Review and complete a SOA form with each Medicare-eligible consumer prior to the start of a personal/individual (e.g., in-home or telephonic) marketing appointment.Provide current materials approved by CMS and UnitedHealthcare.Provide only those items from the plan's Enrollment Guide that are most relevant to the consumer's situation.