2022 AHIP UNIT 4 MEDICARE ADVANTAGE AND
PART D PLANS QUESTION 1
Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings
distributes materials that are solely educational. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been advertised as educational?
a.No. This action is permissible. Handing out enrollment forms, on the other hand, would not be
permissible.
Incorrect: Discussion of plan-specific information is prohibited at educational events.
b.No. Attendees expect some “puffery” at any event on a product in which they may be potentially
interested.
c.yes. When an event has been advertised as “educational,” discussing plan-specific premiums is
impermissible.
d.Yes. Whether or not an event has been advertised as “educational” or a “sales presentation,”
discussing plan-specific information is impermissible.
Source: Module 4, Slide - Educational Events, Impermissible Activities.
Question 2
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?
a.Agent Armstrong needs to be licensed and appointed in every state in which beneficiaries to whom
he markets ABC MA plans are located.
b.Agent Armstrong needs to be licensed and appointed only in his state of residence.
c.Agent Armstrong needs to be licensed and appointed only in the state where ABC Health Plan is
headquartered.
d.Agent Armstrong needs to be licensed and appointed only in the state where XYZ Agency is
headquartered.
Source: Module 4, Slide - Requirement to act as Plan Marketing Representative and Slide - Marketing
Representatives - State Licensure Case Study
Question 3
You will be holding a sales event soon, at which you would like to offer door prizes to attendees. Under
guidelines from the Medicare agency, what types of gifts or prizes would not be allowed in this situation?
a.Two or more gifts whose combined value does not exceed $15.
Incorrect: This statement is incorrect because marketing representatives may offer more than one gift to
sales event attendees provided the combined value of all items does not exceed $15.
b. Gifts worth more than $15 but based on anticipated attendance will not exceed $15 per attendee.
c. Gift cards or gift certificates of $15 or less that can be readily converted to cash.
d. Gifts of nominal retail value ($15 or less)
Source: Module 4, Slide - Gifts and Promotional Items.
Question 4
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?
a. Plans must immediately terminate their contracts with such individuals.
b.Plans do not impose penalties. Instead, the Medicare agency has specific authority to fine such
individuals for each violation.
c. Her name will be reported to a publicly accessible database and could be advertised in local
newspapers.
d.The plan may withhold commission, require retraining, report the misconduct to a state department
of insurance or terminate the contract.
Source: Module 4, Slide - Plan Oversight and Enforcement.
Question 5
PART D PLANS QUESTION 1
Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings
distributes materials that are solely educational. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been advertised as educational?
a.No. This action is permissible. Handing out enrollment forms, on the other hand, would not be
permissible.
Incorrect: Discussion of plan-specific information is prohibited at educational events.
b.No. Attendees expect some “puffery” at any event on a product in which they may be potentially
interested.
c.yes. When an event has been advertised as “educational,” discussing plan-specific premiums is
impermissible.
d.Yes. Whether or not an event has been advertised as “educational” or a “sales presentation,”
discussing plan-specific information is impermissible.
Source: Module 4, Slide - Educational Events, Impermissible Activities.
Question 2
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?
a.Agent Armstrong needs to be licensed and appointed in every state in which beneficiaries to whom
he markets ABC MA plans are located.
b.Agent Armstrong needs to be licensed and appointed only in his state of residence.
c.Agent Armstrong needs to be licensed and appointed only in the state where ABC Health Plan is
headquartered.
d.Agent Armstrong needs to be licensed and appointed only in the state where XYZ Agency is
headquartered.
Source: Module 4, Slide - Requirement to act as Plan Marketing Representative and Slide - Marketing
Representatives - State Licensure Case Study
Question 3
You will be holding a sales event soon, at which you would like to offer door prizes to attendees. Under
guidelines from the Medicare agency, what types of gifts or prizes would not be allowed in this situation?
a.Two or more gifts whose combined value does not exceed $15.
Incorrect: This statement is incorrect because marketing representatives may offer more than one gift to
sales event attendees provided the combined value of all items does not exceed $15.
b. Gifts worth more than $15 but based on anticipated attendance will not exceed $15 per attendee.
c. Gift cards or gift certificates of $15 or less that can be readily converted to cash.
d. Gifts of nominal retail value ($15 or less)
Source: Module 4, Slide - Gifts and Promotional Items.
Question 4
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?
a. Plans must immediately terminate their contracts with such individuals.
b.Plans do not impose penalties. Instead, the Medicare agency has specific authority to fine such
individuals for each violation.
c. Her name will be reported to a publicly accessible database and could be advertised in local
newspapers.
d.The plan may withhold commission, require retraining, report the misconduct to a state department
of insurance or terminate the contract.
Source: Module 4, Slide - Plan Oversight and Enforcement.
Question 5
