AHIP CERTIFICATION EXAM MODULE 4
2022/2023(COMPLETE 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 answers)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 answers)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.
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 answers)You must submit your materials to the plan you represent, so CMS can
review and approve the materials to ensure they are accurate.
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 answers)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.
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 answers)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.
Which of the following is a correct statement about state laws as they pertain to marketing
representatives? (correct answers)Medicare health plans must comply with requests for information
from state insurance departments investigating complaints about a marketing representative.
Next week you will be participating in your First educational event. In order to be sure that you do not
violate any of the applicable guidelines, in what activities should you plan to engage? (correct
answers)You should plan to ensure that the educational event is a social event, and must NOT conduct a
sales presentation or distribute or accept enrollment forms at the event.
, 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 answers)Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located.
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 answers)You may request RSVPs, but you are not permitted to require contact information.
If you are to be in compliance with Medicare's guidelines regarding educational events, which of the
following would be acceptable activities? (correct answers)You may distribute business cards to
individuals who request information on how to contact you for further details on the plan(s) you
represent.
You are working with a number of plans and community organizations to sponsor an educational event.
When putting together advertisements for this event, what should you do? (correct answers)You must
ensure that the advertisements indicate it is an educational event, otherwise it will be considered a
marketing event.
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? (correct answers)You should tell your colleague no
because participation in an educational event may not include a sales presentation.
Agent Mary Jennings makes a presentation on Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely educational in nature. 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? (correct answers)Yes. When an event has been advertised as
"educational," discussing plan-specific premiums is impermissible.
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 answers)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.
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 answers)You may provide her with the required
enrollment materials and take her completed enrollment application.
2022/2023(COMPLETE 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 answers)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 answers)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.
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 answers)You must submit your materials to the plan you represent, so CMS can
review and approve the materials to ensure they are accurate.
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 answers)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.
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 answers)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.
Which of the following is a correct statement about state laws as they pertain to marketing
representatives? (correct answers)Medicare health plans must comply with requests for information
from state insurance departments investigating complaints about a marketing representative.
Next week you will be participating in your First educational event. In order to be sure that you do not
violate any of the applicable guidelines, in what activities should you plan to engage? (correct
answers)You should plan to ensure that the educational event is a social event, and must NOT conduct a
sales presentation or distribute or accept enrollment forms at the event.
, 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 answers)Agent Armstrong needs to be licensed and appointed in every state in which
beneficiaries to whom he markets ABC MA plans are located.
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 answers)You may request RSVPs, but you are not permitted to require contact information.
If you are to be in compliance with Medicare's guidelines regarding educational events, which of the
following would be acceptable activities? (correct answers)You may distribute business cards to
individuals who request information on how to contact you for further details on the plan(s) you
represent.
You are working with a number of plans and community organizations to sponsor an educational event.
When putting together advertisements for this event, what should you do? (correct answers)You must
ensure that the advertisements indicate it is an educational event, otherwise it will be considered a
marketing event.
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? (correct answers)You should tell your colleague no
because participation in an educational event may not include a sales presentation.
Agent Mary Jennings makes a presentation on Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely educational in nature. 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? (correct answers)Yes. When an event has been advertised as
"educational," discussing plan-specific premiums is impermissible.
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 answers)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.
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 answers)You may provide her with the required
enrollment materials and take her completed enrollment application.
