United Health Care Event Planning Quiz

Questions and Answers

Which of the following types of events conducted by Agent John need to be reported to UnitedHealthcare?

Educational events

All events: educational and marketing/sales, formal and informal (correct)

Formal presentations of specific UnitedHealthcare plans

Informal marketing events

Whose email address may the agent enter into the LEAN enrollment application?

Only the consumer's (or leave it blank).

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?

Annual Election Period (AEP)

Which of the following materials is an agent NOT permitted to display and/or distribute at a marketing/sales event?

5 dollar gift cards to an in-network pharmacy Signup and view all the answers

What should Connor do when he sees both Rina and Shelley at the appointment?

Ask Shelley to complete an SOA before the start of the meeting. Signup and view all the answers

Educational events allow for which of the following to occur?

Providing objective information about the Medicare program and/or health improvement and wellness Signup and view all the answers

What should Josh tell Janine regarding changing her current plan to a 5-star plan?

Josh should tell Janine that she can only change her current plan to a 5-star plan during the Annual Election Period. Signup and view all the answers

Which of the following describes Permission to Contact guidelines?

It is method specific, (e.g., telephone, email), short term (i.e., expires when contact is made), and event specific (i.e., limited to the products identified). Signup and view all the answers

Which method of contact is permitted for Agent Ralph to market Medicare Advantage Plans in his neighborhood?

Sending a flyer inviting consumers to a marketing/sales event via postal mail Signup and view all the answers

An individual with Power of Attorney is an example of what type of authority?

Legal authority under state law to act on behalf of another individual. Signup and view all the answers

Which of the following is not considered unsolicited contact with a Medicare eligible consumer according to CMS regulations and UnitedHealthcare's rules?

Mailing a marketing brochure via postal mail Signup and view all the answers

Who has the authority to sign an Enrollment Application?

The consumer or the consumer's authorized legal representative (e.g., Power of Attorney). Signup and view all the answers

When marketing UnitedHealthcare Medicare Advantage plans to consumers, what must an agent do?

Provide current marketing materials that have been approved by CMS and UnitedHealthcare. Signup and view all the answers

As an agent, you have an obligation to only enroll a consumer in a product that is suitable for what?

That is suitable for the consumer's needs, goals and financial resources. Signup and view all the answers

What is the purpose of the Statement of Understanding?

It ensures that when consumers sign 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. Signup and view all the answers

What is the definition of Fraud?

Fraud is intentionally misrepresenting or concealing facts to obtain something of value. Signup and view all the answers

Which of the following are ways to report potential Fraud, Waste, and Abuse?

Fraud, Waste and/or Abuse hotline Signup and view all the answers

Study Notes

Event Reporting

All events conducted by agents, whether educational, formal, or informal, must be reported to UnitedHealthcare.

Consumer Email in LEAN Enrollment

Only the consumer's email address may be entered in the LEAN enrollment application or left blank.

Election Periods

Annual Election Period (AEP) occurs from October 15 to December 7, allowing consumers to join or switch Medicare Advantage Plans.

Marketing Materials Restrictions

Agents are prohibited from displaying or distributing $5 gift cards to an in-network pharmacy at marketing/sales events.

Scope of Appointment (SOA) Requirement

Agents must request that additional Medicare-eligible attendees, like friends, complete an SOA before attending the appointment.

Educational Events

These events should provide objective information related to Medicare and health improvements without steering consumers toward specific plans.

Changing Plans

Consumers can only change to a 5-star plan outside of the Annual Election Period if they qualify for a Special Enrollment Period (SEP) once per year.

Permission to Contact Guidelines

Guidelines for contacting consumers include being method-specific, event-specific, and short-term, expiring once contact is made.

Approved Marketing Methods

Agents can send flyers for marketing/sales events via postal mail but cannot hand them out directly in common areas or leave them unlawfully on cars.

Authority of Power of Attorney

An individual with Power of Attorney has legal authority under state law to act on someone else's behalf.

Unsolicited Contact Definition

Unsolicited contact does not include mailing marketing brochures via postal mail, but includes emailing brochures from purchased leads.

Enrollment Application Signatures

Enrollment Applications can be signed by the consumer or their authorized legal representative, such as someone with Power of Attorney.

Marketing Obligations

Agents must provide current marketing materials approved by CMS and UnitedHealthcare during consumer interactions.

Consumer-Suited Enrollment

Agents must only enroll consumers in plans that align with their needs, goals, and financial resources.

Statement of Understanding

This document ensures consumers acknowledge understanding their enrollment process and the plan in which they are enrolling.

Definition of Fraud

Fraud is defined as the intentional misrepresentation or concealment of facts to acquire something of value.

Reporting Potential Fraud, Waste, and Abuse (FWA)

Potential FWA can be reported through a hotline and the Producer Help Desk (PHD).

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Description

Test your knowledge about the types of events that Agent John is planning to conduct for UnitedHealthcare. This quiz covers whether educational, formal presentations, and informal marketing events need to be reported. Evaluate your understanding of reporting requirements in an insurance context.