AHIP FWA 2026 (FULLY SOLVED) NONDISCRIMINATION
UPDATED QUESTIONS AND ANSWERS LATEST GUARANTEED
PASS
Winthrop Brokerage wishes to place an advertisement in the
local newspaper that says: "We offer Medicare Advantage
plans offered by AB Health and Top Choice Health. Contact us
if you would like to learn more." Which of the following best
describes the obligation(s) of Winthrop Brokerage regarding
the advertisement?
Winthrop Brokerage does not need to submit the
advertisement to CMS for prior approval because it does not
include information about the plans' benefits structures, cost-
sharing, or information about measures or ranking standards.
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?
You may request rsvps, but you are not permitted to require
contact information.
Mr. Edwards, a marketing representative of the ACME
Insurance Company, scheduled a marketing event and expects
about 40 people to attend. He has hired a magician for $200 to
,entertain attendees. Can he do this in a way that complies with
guidance from the Medicare agency?
He can do this because the estimated number of attendees is
based on the venue size and response rate and the value of
the gift does not exceed $15.
By contacting plans available in your area, you have learned
that the plan you represent has a significantly lower monthly
premium than the others. Furthermore, you see that the plan
you represent has a unique benefits package. What should you
do to make sure your clients know about these pieces of
information?
You may make comparisons between plans if you can support
them by studies or statistical data and such comparisons are
factually based.
This year you have decided to focus your efforts on marketing
to employer group plans. One employer provides you with a
list of their retirees and asks you to contact them to explain
the characteristics of the plan they have selected. What should
you do?
You may go ahead and call them.
,You plan to participate in an educational event sponsored by a
large regional health care system. One of your colleagues
suggests that you do a presentation on one of the Medicare
Health plans you market and modify it to include information
about preventive screening tests showcased at the event. How
should you respond to your colleague's suggestion?
You should tell your colleague no, because participation in an
educational event may not include a sales presentation.
Mr. Lynn, an agent for Acme Insurance, Inc. Thinks that, since
state laws are preempted concerning the marketing of
Medicare health plans, he doesn't have much to worry about.
What might you, as his colleague, advise him concerning the
type of scrutiny he will be under?
Organizations sponsoring Medicare health plans are
responsible for the behavior of their contracted
representatives and will be conducting monitoring activities to
ensure compliance with all applicable federal law and
guidance and plan policies. Furthermore, state agent licensure
laws are not preempted and he must abide by their
requirements.
When you market Medicare Advantage and Part D plans, what
may you offer as a gift to induce enrollment in a plan?
You may provide gifts or prizes to all potential enrollees during
an event that does not exceed $15 in retail value.
, 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?
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.
If you are to comply with Medicare's guidance regarding
educational events, which of the following would be acceptable
activities?
You may distribute business cards to individuals who request
information on how to contact you for further details on the
plan(s) you represent.
Alice is a marketing representative employed by a health plan.
Betty is a captive agent of a health plan who markets to
multiple plans and sponsors. Carl is a captive agent who
markets to only one plan/sponsor. Denise is an independent
UPDATED QUESTIONS AND ANSWERS LATEST GUARANTEED
PASS
Winthrop Brokerage wishes to place an advertisement in the
local newspaper that says: "We offer Medicare Advantage
plans offered by AB Health and Top Choice Health. Contact us
if you would like to learn more." Which of the following best
describes the obligation(s) of Winthrop Brokerage regarding
the advertisement?
Winthrop Brokerage does not need to submit the
advertisement to CMS for prior approval because it does not
include information about the plans' benefits structures, cost-
sharing, or information about measures or ranking standards.
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?
You may request rsvps, but you are not permitted to require
contact information.
Mr. Edwards, a marketing representative of the ACME
Insurance Company, scheduled a marketing event and expects
about 40 people to attend. He has hired a magician for $200 to
,entertain attendees. Can he do this in a way that complies with
guidance from the Medicare agency?
He can do this because the estimated number of attendees is
based on the venue size and response rate and the value of
the gift does not exceed $15.
By contacting plans available in your area, you have learned
that the plan you represent has a significantly lower monthly
premium than the others. Furthermore, you see that the plan
you represent has a unique benefits package. What should you
do to make sure your clients know about these pieces of
information?
You may make comparisons between plans if you can support
them by studies or statistical data and such comparisons are
factually based.
This year you have decided to focus your efforts on marketing
to employer group plans. One employer provides you with a
list of their retirees and asks you to contact them to explain
the characteristics of the plan they have selected. What should
you do?
You may go ahead and call them.
,You plan to participate in an educational event sponsored by a
large regional health care system. One of your colleagues
suggests that you do a presentation on one of the Medicare
Health plans you market and modify it to include information
about preventive screening tests showcased at the event. How
should you respond to your colleague's suggestion?
You should tell your colleague no, because participation in an
educational event may not include a sales presentation.
Mr. Lynn, an agent for Acme Insurance, Inc. Thinks that, since
state laws are preempted concerning the marketing of
Medicare health plans, he doesn't have much to worry about.
What might you, as his colleague, advise him concerning the
type of scrutiny he will be under?
Organizations sponsoring Medicare health plans are
responsible for the behavior of their contracted
representatives and will be conducting monitoring activities to
ensure compliance with all applicable federal law and
guidance and plan policies. Furthermore, state agent licensure
laws are not preempted and he must abide by their
requirements.
When you market Medicare Advantage and Part D plans, what
may you offer as a gift to induce enrollment in a plan?
You may provide gifts or prizes to all potential enrollees during
an event that does not exceed $15 in retail value.
, 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?
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.
If you are to comply with Medicare's guidance regarding
educational events, which of the following would be acceptable
activities?
You may distribute business cards to individuals who request
information on how to contact you for further details on the
plan(s) you represent.
Alice is a marketing representative employed by a health plan.
Betty is a captive agent of a health plan who markets to
multiple plans and sponsors. Carl is a captive agent who
markets to only one plan/sponsor. Denise is an independent
