AHIP Module 4 Answers
Mr. Prentice has many clients who are
Medicare beneficiaries. He should review the c. Medicare Advantage (MA) and
Centers for Medicare & Medicaid Services’ Prescription Drug (PDP) plans
Marketing Guidelines to ensure he is Correct
compliant for which type of products?
Another agent working for your agency claims
that because you are not employed by the c. Your coworker is not correct.
Medicare Advantage plans that you represent, Marketing on behalf of a plan is
you are not subject to the same requirements considered marketing by the plan and
as the plans themselves. How should you requires that all contracted and
respond to such a statement? employed agents comply with all
Medicare marketing rules. Correct
Wendy Park becomes eligible for Medicare for
the first time in July. With the help of Agent FeelBetter will pay Agent Chan initial
James Chan, she enrolls in FeelBetter year compensation for the months
Medicare Advantage plan with an effective July through December. Renewal
date of July 1st. Which statement best amounts will be paid starting in
describes how Agent Chan may be January if Ms. Park remains enrolled
compensated under CMS rules? the following year.
You work for a company that has marketed
Medigap products for many years. The b. You must submit your materials to
company has added Medicare Advantage and the plan you represent, so CMS can
Part D plans and you will begin marketing review and approve the materials to
those plans this fall. You are planning what ensure they are accurate. Correct
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?
Which of the following is a correct statement
about state laws as they pertain to marketing d. Medicare health plans must comply
representatives? with requests for information from
state insurance departments
investigating complaints about a
marketing representative. Correct
You are seeking to represent an individual
Medicare Advantage plan and an individual a. You will not be able to represent
Part D plan in your state. You have completed any Medicare Advantage or Part D
the required training for each plan, but you did plan until you complete the training
not achieve a passing score on the tests that and achieve an adequate score,
, came after the training. What can you do in although you will not have to take a
this situation? test if you exclusively market
employer/union group plans and the
companies do not require testing.
Correct
Your colleague works at a third party
marketing organization (TMO) and she said d. You could tell her she is wrong,
she did not need to take the Medicare training and that only agents selling
for brokers and agents or pass a test to employer/union group plans are
market Medicare plans since her contract is permitted an exemption from testing,
with the TMO, not the plans that have the but some employer/union group plans
products she sells. What could you say to may require testing to promote agent
her? compliance with CMS marketing
requirements. Correct
Agent Armstrong is employed by XYZ Agency,
which is under contract with ABC Health Plan, c. Agent Armstrong needs to be
a Medicare Advantage (MA) plan that offers licensed and appointed in every state
plans in multiple states. XYZ Agency in which beneficiaries to whom he
maintains a website marketing the MA plans markets ABC MA plans are located.
with which it has contracts. Agent Armstrong Correct
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?
You are mailing invitations to new Medicare
beneficiaries for a marketing event. You want d. You may request RSVPs, but you
an idea of how many people to expect, so you are not permitted to require contact
would like to request RSVPs. What should information. Correct
you keep in mind?
Agent Antonio is preparing for a presentation
on Medicare and Medicare Advantage before a. Antonio should include on the
a local senior citizen civic group where he invitation a statement that a
hopes to enroll some attendees. Which of the salesperson will be present with
following steps should he take in order to be in information and applications. Correct
compliance with Medicare marketing rules?
You have set up an appointment for an in-
home sales presentation with Mrs. Fernandez, c. Prior to conducting the
who expressed interest in the Medicare plans presentation, obtain, and document
you represent. In preparation for the sales having obtained her permission to
presentation, what must you do? visit, along with her interest in the
specific products you will present.
Correct
Mr. Prentice has many clients who are
Medicare beneficiaries. He should review the c. Medicare Advantage (MA) and
Centers for Medicare & Medicaid Services’ Prescription Drug (PDP) plans
Marketing Guidelines to ensure he is Correct
compliant for which type of products?
Another agent working for your agency claims
that because you are not employed by the c. Your coworker is not correct.
Medicare Advantage plans that you represent, Marketing on behalf of a plan is
you are not subject to the same requirements considered marketing by the plan and
as the plans themselves. How should you requires that all contracted and
respond to such a statement? employed agents comply with all
Medicare marketing rules. Correct
Wendy Park becomes eligible for Medicare for
the first time in July. With the help of Agent FeelBetter will pay Agent Chan initial
James Chan, she enrolls in FeelBetter year compensation for the months
Medicare Advantage plan with an effective July through December. Renewal
date of July 1st. Which statement best amounts will be paid starting in
describes how Agent Chan may be January if Ms. Park remains enrolled
compensated under CMS rules? the following year.
You work for a company that has marketed
Medigap products for many years. The b. You must submit your materials to
company has added Medicare Advantage and the plan you represent, so CMS can
Part D plans and you will begin marketing review and approve the materials to
those plans this fall. You are planning what ensure they are accurate. Correct
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?
Which of the following is a correct statement
about state laws as they pertain to marketing d. Medicare health plans must comply
representatives? with requests for information from
state insurance departments
investigating complaints about a
marketing representative. Correct
You are seeking to represent an individual
Medicare Advantage plan and an individual a. You will not be able to represent
Part D plan in your state. You have completed any Medicare Advantage or Part D
the required training for each plan, but you did plan until you complete the training
not achieve a passing score on the tests that and achieve an adequate score,
, came after the training. What can you do in although you will not have to take a
this situation? test if you exclusively market
employer/union group plans and the
companies do not require testing.
Correct
Your colleague works at a third party
marketing organization (TMO) and she said d. You could tell her she is wrong,
she did not need to take the Medicare training and that only agents selling
for brokers and agents or pass a test to employer/union group plans are
market Medicare plans since her contract is permitted an exemption from testing,
with the TMO, not the plans that have the but some employer/union group plans
products she sells. What could you say to may require testing to promote agent
her? compliance with CMS marketing
requirements. Correct
Agent Armstrong is employed by XYZ Agency,
which is under contract with ABC Health Plan, c. Agent Armstrong needs to be
a Medicare Advantage (MA) plan that offers licensed and appointed in every state
plans in multiple states. XYZ Agency in which beneficiaries to whom he
maintains a website marketing the MA plans markets ABC MA plans are located.
with which it has contracts. Agent Armstrong Correct
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?
You are mailing invitations to new Medicare
beneficiaries for a marketing event. You want d. You may request RSVPs, but you
an idea of how many people to expect, so you are not permitted to require contact
would like to request RSVPs. What should information. Correct
you keep in mind?
Agent Antonio is preparing for a presentation
on Medicare and Medicare Advantage before a. Antonio should include on the
a local senior citizen civic group where he invitation a statement that a
hopes to enroll some attendees. Which of the salesperson will be present with
following steps should he take in order to be in information and applications. Correct
compliance with Medicare marketing rules?
You have set up an appointment for an in-
home sales presentation with Mrs. Fernandez, c. Prior to conducting the
who expressed interest in the Medicare plans presentation, obtain, and document
you represent. In preparation for the sales having obtained her permission to
presentation, what must you do? visit, along with her interest in the
specific products you will present.
Correct
