2025 Ethics and Compliance Assessment UHC Exam

• / 2

2025 Ethics and Compliance Assessment UHC Exam with Verified Answers

• Can consumer Gene, who enrolled in a Medicare Advantage (MA) Plan with

a January 1 effective date, complete an enrollment application on February 15 for a different MA Plan?: Yes, he is still eligible to make a one-time change using the MA OEP election, and his new plan will be effective March 1.

• Which of the following statements is true about using a 5-Star Special

Enrollment Period (SEP)?: It can be used once, from December 8 of the current

year through November 30 of the next year, to enroll in a 5-star rated plan; coverage will start the first of the month following receipt of the enrollment application.

• Mrs. Violet asks agent Bob where she can find the Star Rating for the plan

he has been presenting. Which statement is correct?: The plan's Star Rating is

available on Medicare.gov, the Plan's website, or in plan specific material, such as the Enrollment Guide.Next question

• Which of the following is not considered prohibited unsolicited contact

with a Medicare eligible consumer according to CMS regulations and United-

Healthcare's rules, policies, and procedures?: Mailing a marketing brochure to

the consumer via postal mail.

• Which of the following are examples of what an agent must review with a

consumer prior to completing an enrollment application?: The plan's network

characteristics and how using out-of-network providers may impact coverage and costs, covered benefits and limitations, and plan related costs such as monthly premium and copayments/coinsurance for services received.

• When completing an enrollment application in JarvisEnroll, why is an agent

prohibited from entering their own email address in a field available for the

consumer's email address?: The consumer/member would not receive plan relat-

ed correspondence intended for them.

7. What is the purpose of the Statement of Understanding?: 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.

• Which of the following must an agent obtain from the consumer no less

than 48 hours (unless an exception applies) before an in-person, online, or

telephonic marketing appointment?: Scope of Appointment

• To complete an Enrollment Application on behalf of a consumer, what

authority must the individual have?: The individual must be legally authorized

under applicable law in the state in which the consumer resides to act on behalf of the consumer (e.g., Power of Attorney).

• Select the option that describes the coverage combinations a member can

use at the same time.: MA-Only PFFS plan and a stand-alone PDP

• / 1