AHIP FINAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS STUDY GUIDE FOR GUARANTEED
SUCCESS 2026/2027 LATEST UPDATE
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 statementbest describes the marketing and compliance
rules that apply to Agent Armstrong? CORRECT ANSWER Agent Armstrong
needs to be licensed and appointed in every state in which beneficiaries to
whom he markets ABC MA plans are located.
You have been providing a pre-Thanksgiving meal during sales presentations
in November for many years and your clients look forward to attending
this annual event. When marketing Medicare Advantage and Part D plans
what are you permitted to do with respect to meals? CORRECT ANSWER
You
may provide light snacks but a Thanksgivingstyle meal would be prohibited
regardless of who provides or pays for the meal.
Next week you will be participating in your first "educational event" for
prospective enrollees. To be sure that you do not violate any of the
applicable guidelines in what activities should you plan to engage?correct
Page 1 of 40
,answersYou should plan to ensure that theeducational event is an
informative event and must not conduct a sales presentation or distribute or
accept enrollment forms at the event.
You are working several plans and community organizations to sponsor an
educational event. When putting together advertisements for this event what
should you do?correctanswersYou must ensure that the advertisements indicate
it is an educational event otherwise it will be considered a marketing event.
Another agent you know has engaged in misconduct that has been verified
by the plan she represented. What sort of penalty might the plan impose
on this individual? CORRECT ANSWER The plan may withhold commission
require retraining report the misconduct toa state department of insurance or
terminate the contract.
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 canyou do in this situation? CORRECT
ANSWER You will not be able to represent any Medicare Advantage or Part D
plan until you complete the training and achieve an adequate score.
However you will not have to take a test if you exclusively market
employer/union group plans and the companies do not require testing.
Plan sponsors may undertake the following marketing activities with current
Medicare Advantage plan members? CORRECT ANSWER Market non-
health related
Page 2 of 40
,items or servicessuch as life insurance or annuities policies to current members
as permitted following HIPAA Privacy Rules.
Mr. Rockwell age 67 is enrolled in Medicare Part A but because he
continues to work and is covered by an employer health plan he has not
enrolled in Part B or Part D. He receives a notice on June 1 that his
employer is cutting back on prescription drug benefits and that as of July
1 his coverage will no longer be creditable. He has come to you for
advice. What advice would you give Mr. Rockwell about special election
periods
(SEPs)? CORRECT ANSWER Mr. Rockwell is eligible for a SEP due to his
involuntary loss ofcreditable drug coverage; the SEP begins in June and ends
on September 1- two months after the loss of creditable coverage.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B) but
she has been working with Agent Neil Adams in the selection of a Medicare
Advantage (MA) plan. It ismid-September and Mrs. Young is
going on vacation. Agent Adams is considering suggesting that he and
Mrs.
Young complete the application together before she leaves.He will
then
submit the paper application before the start of the annual enrollment
period (AEP). What would you say If you were advising Agent
Adams?correct answersThis is a bad idea. Agents are generally prohibited
from soliciting or accepting an enrollment form before the start of the AEP.
Page 3 of 40
, Mr. Moy’s wife has a Medicare Advantage plan but he wants to
understand what coverage Medicare Supplemental Insurance provides since
his health care needs aredifferent from his wife's needs. What could you
tell Mr. Moy? CORRECT ANSWER MedicareSupplemental Insurance would
help
cover his Part A and Part B deductibles or coinsurance in Original Fee-for-
Service (FFS) Medicare as well as possibly some services that Medicare does
not cover.
Mrs. Peňa is 66 years old has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gapin coverage. What can you tell her?correct
answersShe may enroll at any time while she is covered under her
employer plan but she will have a special eight-month enrollment period
after the last month on her employer plan that differs from the standard
general enrollment period during which she may enroll in Medicare Part
B.
Mrs. Chen will be 65 soon has been a citizen for twelve years has been
employed full time and paid taxes during that entire period. She is
concerned that she will not qualifyfor coverage under part A because she
1
Page 4 of 40
QUESTIONS AND CORRECT VERIFIED
ANSWERS STUDY GUIDE FOR GUARANTEED
SUCCESS 2026/2027 LATEST UPDATE
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 statementbest describes the marketing and compliance
rules that apply to Agent Armstrong? CORRECT ANSWER Agent Armstrong
needs to be licensed and appointed in every state in which beneficiaries to
whom he markets ABC MA plans are located.
You have been providing a pre-Thanksgiving meal during sales presentations
in November for many years and your clients look forward to attending
this annual event. When marketing Medicare Advantage and Part D plans
what are you permitted to do with respect to meals? CORRECT ANSWER
You
may provide light snacks but a Thanksgivingstyle meal would be prohibited
regardless of who provides or pays for the meal.
Next week you will be participating in your first "educational event" for
prospective enrollees. To be sure that you do not violate any of the
applicable guidelines in what activities should you plan to engage?correct
Page 1 of 40
,answersYou should plan to ensure that theeducational event is an
informative event and must not conduct a sales presentation or distribute or
accept enrollment forms at the event.
You are working several plans and community organizations to sponsor an
educational event. When putting together advertisements for this event what
should you do?correctanswersYou must ensure that the advertisements indicate
it is an educational event otherwise it will be considered a marketing event.
Another agent you know has engaged in misconduct that has been verified
by the plan she represented. What sort of penalty might the plan impose
on this individual? CORRECT ANSWER The plan may withhold commission
require retraining report the misconduct toa state department of insurance or
terminate the contract.
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 canyou do in this situation? CORRECT
ANSWER You will not be able to represent any Medicare Advantage or Part D
plan until you complete the training and achieve an adequate score.
However you will not have to take a test if you exclusively market
employer/union group plans and the companies do not require testing.
Plan sponsors may undertake the following marketing activities with current
Medicare Advantage plan members? CORRECT ANSWER Market non-
health related
Page 2 of 40
,items or servicessuch as life insurance or annuities policies to current members
as permitted following HIPAA Privacy Rules.
Mr. Rockwell age 67 is enrolled in Medicare Part A but because he
continues to work and is covered by an employer health plan he has not
enrolled in Part B or Part D. He receives a notice on June 1 that his
employer is cutting back on prescription drug benefits and that as of July
1 his coverage will no longer be creditable. He has come to you for
advice. What advice would you give Mr. Rockwell about special election
periods
(SEPs)? CORRECT ANSWER Mr. Rockwell is eligible for a SEP due to his
involuntary loss ofcreditable drug coverage; the SEP begins in June and ends
on September 1- two months after the loss of creditable coverage.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B) but
she has been working with Agent Neil Adams in the selection of a Medicare
Advantage (MA) plan. It ismid-September and Mrs. Young is
going on vacation. Agent Adams is considering suggesting that he and
Mrs.
Young complete the application together before she leaves.He will
then
submit the paper application before the start of the annual enrollment
period (AEP). What would you say If you were advising Agent
Adams?correct answersThis is a bad idea. Agents are generally prohibited
from soliciting or accepting an enrollment form before the start of the AEP.
Page 3 of 40
, Mr. Moy’s wife has a Medicare Advantage plan but he wants to
understand what coverage Medicare Supplemental Insurance provides since
his health care needs aredifferent from his wife's needs. What could you
tell Mr. Moy? CORRECT ANSWER MedicareSupplemental Insurance would
help
cover his Part A and Part B deductibles or coinsurance in Original Fee-for-
Service (FFS) Medicare as well as possibly some services that Medicare does
not cover.
Mrs. Peňa is 66 years old has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gapin coverage. What can you tell her?correct
answersShe may enroll at any time while she is covered under her
employer plan but she will have a special eight-month enrollment period
after the last month on her employer plan that differs from the standard
general enrollment period during which she may enroll in Medicare Part
B.
Mrs. Chen will be 65 soon has been a citizen for twelve years has been
employed full time and paid taxes during that entire period. She is
concerned that she will not qualifyfor coverage under part A because she
1
Page 4 of 40
