2026-2027 QUESTIONS AND ANSWERS
GRADED A+
Which statement about discussing benefits with the consumer before an enrollment
is true?
The agent does not need to cover any benefits, provided the Summary of Benefits
is emailed to the consumer.
The agent does not need to disclose the monthly premium.
The agent only needs to review benefits in which the consumer is interested.
The agent must explain any provider and/or pharmacy network limitations.
The agent only needs to review benefits in which the consumer is interested. -
WRONG
Whose email address may the agent enter into the applicant information section of
the LEAN enrollment application?
Only the Consumer's email
When must the Scope of Appointment be obtained from the consumer for an in-
person or telephonic sales presentation (unless an exception applies)?
No less than 48 hours before the marketing appointment
Anytime during the marketing appointment
When the marketing appointment has concluded
,Before the start of a marketing appointment
No less than 48 hours before the marketing appointment
What happens on the plan effective date when a member enrolled in a Medicare
Supplement Insurance Plan and stand-alone PDP enrolls in a Medicare Advantage
plan that includes drug coverage?
Automatic disenrollment from the Medicare Supplement Insurance Plan and the
stand-alone PDP.
Automatic disenrollment from the stand-alone PDP.
Automatic disenrollment from the Medicare Supplement Insurance Plan.
Automatic disenrollment from the Medicare Supplement Insurance Plan and the
stand-alone PDP.
In which situation MAY the Medicare Advantage (MA) organization decide to
disenroll a member from an MA plan?
The member expresses dissatisfaction with the plan
Premiums are not paid on a timely basis
Premiums are not paid on a timely basis
Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare
Supplement Plan. His current plan is suitable for his medical needs, but he would
like to add prescription drug coverage only. Since Dennis wants to keep his current
coverage, which option is available to Dennis (assuming he is in a valid election
period)?
,Dennis should stay enrolled in his Medicare Supplement Plan and enroll in a
Medicare Advantage Plan with prescription drug coverage included.
Dennis should disenroll from his Medicare Supplement Plan, return to Original
Medicare and enroll in a stand-alone PDP.
Dennis should disenroll from his Medicare Supplement Plan and enroll in any of
the Medicare Advantage Plans that have prescription drug coverage included.
Dennis should stay enrolled in Original Medicare and his Medicare Supplement
Plan and enroll in a stand-alone PDP.
Dennis should stay enrolled in Original Medicare and his Medicare Supplement
Plan and enroll in a stand-alone PDP.
Dino, an agent, received a phone call on September 29 from a consumer interested
in Medicare Advantage plans for the new plan year. Dino proceeded to verify the
consumer's Medicare eligibility, describe the costs and benefit coverage of the
plan, and explained that he could not accept an enrollment application until
October 15. What did Dino do that was NOT compliant?
Dino refused to take the enrollment application until October 15.
Dino presented a plan prior to October 1.
Dino did nothing that was non-compliant.
Dino presented a plan prior to October 1.
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan.
Aries would like this change to be effective November 1. Which statement is true
for Aries?
He may be able to use a Special Election Period to change plans if he qualifies for
one.
He can use the Annual Election Period that runs from October 15 to December 7
and select November 1 as his plan effective date.
, He can use the Medicare Advantage Open Enrollment Period that runs from
October 15 to December 7 and select November 1 as his plan effective date.
There are no rules governing how often he can change plans during the year.
He may be able to use a Special Election Period to change plans if he qualifies for
one.
Which of the following statements is true about election periods?
Annual Election Period can only be used by a consumer already enrolled in an MA
Plan.
MA Open Enrollment Period can only be used by a consumer already enrolled in
an MA Plan
5-Star SEP can only be used by a consumer already enrolled in an MA Plan.
Initial Election Period can only be used by a consumer already enrolled in a
Medicare Advantage (MA) Plan.
5-Star SEP can only be used by a consumer already enrolled in an MA Plan.
WRONG
While using LEAN to complete an enrollment application with a consumer, Agent
Jeff learns the consumer does not have an email address. What should Jeff do?
Leave the field requesting a consumer email address blank.
Enter his own email address and then print out and mail to the consumer any
correspondence received.
Ask the consumer for the email address of a friend or relative, so that person can
print out any correspondence received for the consumer.
Leave the field requesting a consumer email address blank.