AHIP 2022 MODULE 4 Questions And Answers
Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare
& Medicaid Services' Marketing Guidelines to ensure he is compliant for which type ofproducts? –
c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
Another agent working for your agency claims that because you are not employed by the MedicareAdvantage
plans that you represent, you are not subject to the same requirements as the plans themselves. How should
you respond to such a statement? - c. Your coworker is not correct.
Marketing on behalf of a plan is considered marketing by the plan and requires that all contractedand
employed agents comply with all Medicare marketing rules. Correct
You work for a company that has marketed Medigap products for many years. The company has added
Medicare Advantage and Part D plans and you will begin marketing those plans this fall. Youare planning
what materials to use to easily show the differences in benefits, premiums and cost sharing for each of the
products. What do you need to do with your materials before using them formarketing purposes? - b. You
must submit your materials to the plan you represent, so CMS can review and approve the materials to
ensure they are accurate. Correct
Which of the following is a correct statement about state laws as they pertain to marketing
representatives? - d. Medicare health plans must comply with requests for information from stateinsurance
departments investigating complaints about a marketing representative. Correct
You are seeking to represent an individual Medicare Advantage plan and an individual Part D plan in your
state. You have completed the required training for each plan, but you did not achieve a passing score on the
tests that came after the training. What can you do in this situation? - a. You will not be able to represent any
Medicare Advantage or Part D plan until you complete the trainingand achieve an adequate score, although
you will not have to take a test if you exclusively market employer/union group plans and the companies do
not require testing. Correct
Your colleague works at a third party marketing organization (TMO) and she said she did not need to take
the Medicare training for brokers and agents or pass a test to market Medicare plans since her contract is
with the TMO, not the plans that have the products she sells. What could you say to her? - d. You could tell
her she is wrong, and that only agents selling employer/union group plans are permitted an exemption from
testing, but some employer/union group plans may require testing to promote agent compliance with CMS
marketing requirements. Correct
, Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health Plan, a Medicare
Advantage (MA) plan that offers plans in multiple states. XYZ Agency maintains a websitemarketing the MA
plans with which it has contracts. Agent Armstrong follows up with individuals who request more
information about ABC MA plans via the website and tries to persuade them to enroll in ABC plans. What
statement best describes the marketing and compliance rules that apply to Agent Armstrong? - c. Agent
Armstrong needs to be licensed and appointed in every state in which beneficiaries to whom he markets ABC
MA plans are located. Correct
You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an idea of how
many people to expect, so you would like to request RSVPs. What should you keep in mind? -
d. You may request RSVPs, but you are not permitted to require contact information. Correct
Agent Antonio is preparing for a presentation on Medicare and Medicare Advantage before a localsenior
citizen civic group where he hopes to enroll some attendees. Which of the following steps should he take in
order to be in compliance with Medicare marketing rules? - a. Antonio should include on the invitation a
statement that a salesperson will be present with information and applications. Correct
You have set up an appointment for an in-home sales presentation with Mrs. Fernandez, who expressed
interest in the Medicare plans you represent. In preparation for the sales presentation, what must you do? -
c. Prior to conducting the presentation, obtain, and document having obtainedher permission to visit, along
with her interest in the specific products you will present. Correct
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a Medicare Advantageplan. She
agreed to sign a scope of appointment form and meet with you October 15. During the appointment, what are
you permitted to do? - c. You may provide her with the required enrollment materials and take her completed
enrollment application. Correct
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to purchase.
What additional types of insurance can you present during the MA and PartD marketing appointment? - c. You
can present only health care related lines of business, but must obtain the beneficiary's permission to do so
before the presentation occurs and document that you have obtained that permission. Correct
Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare
& Medicaid Services' Marketing Guidelines to ensure he is compliant for which type ofproducts? –
c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
Another agent working for your agency claims that because you are not employed by the MedicareAdvantage
plans that you represent, you are not subject to the same requirements as the plans themselves. How should
you respond to such a statement? - c. Your coworker is not correct.
Marketing on behalf of a plan is considered marketing by the plan and requires that all contractedand
employed agents comply with all Medicare marketing rules. Correct
You work for a company that has marketed Medigap products for many years. The company has added
Medicare Advantage and Part D plans and you will begin marketing those plans this fall. Youare planning
what materials to use to easily show the differences in benefits, premiums and cost sharing for each of the
products. What do you need to do with your materials before using them formarketing purposes? - b. You
must submit your materials to the plan you represent, so CMS can review and approve the materials to
ensure they are accurate. Correct
Which of the following is a correct statement about state laws as they pertain to marketing
representatives? - d. Medicare health plans must comply with requests for information from stateinsurance
departments investigating complaints about a marketing representative. Correct
You are seeking to represent an individual Medicare Advantage plan and an individual Part D plan in your
state. You have completed the required training for each plan, but you did not achieve a passing score on the
tests that came after the training. What can you do in this situation? - a. You will not be able to represent any
Medicare Advantage or Part D plan until you complete the trainingand achieve an adequate score, although
you will not have to take a test if you exclusively market employer/union group plans and the companies do
not require testing. Correct
Your colleague works at a third party marketing organization (TMO) and she said she did not need to take
the Medicare training for brokers and agents or pass a test to market Medicare plans since her contract is
with the TMO, not the plans that have the products she sells. What could you say to her? - d. You could tell
her she is wrong, and that only agents selling employer/union group plans are permitted an exemption from
testing, but some employer/union group plans may require testing to promote agent compliance with CMS
marketing requirements. Correct
, Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health Plan, a Medicare
Advantage (MA) plan that offers plans in multiple states. XYZ Agency maintains a websitemarketing the MA
plans with which it has contracts. Agent Armstrong follows up with individuals who request more
information about ABC MA plans via the website and tries to persuade them to enroll in ABC plans. What
statement best describes the marketing and compliance rules that apply to Agent Armstrong? - c. Agent
Armstrong needs to be licensed and appointed in every state in which beneficiaries to whom he markets ABC
MA plans are located. Correct
You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an idea of how
many people to expect, so you would like to request RSVPs. What should you keep in mind? -
d. You may request RSVPs, but you are not permitted to require contact information. Correct
Agent Antonio is preparing for a presentation on Medicare and Medicare Advantage before a localsenior
citizen civic group where he hopes to enroll some attendees. Which of the following steps should he take in
order to be in compliance with Medicare marketing rules? - a. Antonio should include on the invitation a
statement that a salesperson will be present with information and applications. Correct
You have set up an appointment for an in-home sales presentation with Mrs. Fernandez, who expressed
interest in the Medicare plans you represent. In preparation for the sales presentation, what must you do? -
c. Prior to conducting the presentation, obtain, and document having obtainedher permission to visit, along
with her interest in the specific products you will present. Correct
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a Medicare Advantageplan. She
agreed to sign a scope of appointment form and meet with you October 15. During the appointment, what are
you permitted to do? - c. You may provide her with the required enrollment materials and take her completed
enrollment application. Correct
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to purchase.
What additional types of insurance can you present during the MA and PartD marketing appointment? - c. You
can present only health care related lines of business, but must obtain the beneficiary's permission to do so
before the presentation occurs and document that you have obtained that permission. Correct
