AHIP 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 of products? Correct Ans - 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 Medicare Advantage plans that you represent, you are not
subject to the same requirements as the plans themselves. How should you
respond to such a statement? Correct Ans - c. Your coworker is not
correct. Marketing on behalf of a plan is considered marketing by the plan
and requires that all contracted and 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. You are 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 for marketing purposes? Correct Ans - 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? Correct Ans - d. Medicare health
plans must comply with requests for information from state insurance
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? Correct Ans - a.
You will not be able to represent any Medicare Advantage or Part D plan until
you complete the training and 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?
Correct Ans - 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 website marketing 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? Correct
Ans - 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? Correct Ans - 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 local senior 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? Correct Ans - 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? Correct Ans -
c. Prior to conducting the presentation, obtain, and document having
obtained her 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 Advantage plan. She agreed to sign a scope of appointment form
and meet with you October 15. During the appointment, what are you
permitted to do? Correct Ans - 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 Part D marketing
appointment? Correct Ans - c. You can present only health care related
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 of products? Correct Ans - 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 Medicare Advantage plans that you represent, you are not
subject to the same requirements as the plans themselves. How should you
respond to such a statement? Correct Ans - c. Your coworker is not
correct. Marketing on behalf of a plan is considered marketing by the plan
and requires that all contracted and 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. You are 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 for marketing purposes? Correct Ans - 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? Correct Ans - d. Medicare health
plans must comply with requests for information from state insurance
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? Correct Ans - a.
You will not be able to represent any Medicare Advantage or Part D plan until
you complete the training and 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?
Correct Ans - 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 website marketing 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? Correct
Ans - 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? Correct Ans - 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 local senior 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? Correct Ans - 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? Correct Ans -
c. Prior to conducting the presentation, obtain, and document having
obtained her 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 Advantage plan. She agreed to sign a scope of appointment form
and meet with you October 15. During the appointment, what are you
permitted to do? Correct Ans - 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 Part D marketing
appointment? Correct Ans - c. You can present only health care related
