AHIP Module 4 Test Questions and Answers
Mr. Prentice has many clients who are Medicare pass a test to market Medicare plans since her
beneficiaries. He should review the Centers for contract is with the TMO, not the plans that have the
Medicare & Medicaid Services' Marketing Guidelines products she sells. What could you say to her? -
to ensure he is compliant for which type of products? ANSWER -You could tell her she is wrong, and
- ANSWER -MA and PDP that only agents selling employer/union group plans
are permitted an exemption from testing, but some
employer/union group plans may require testing to
Another agent working for your agency claims that promote agent compliance with CMS marketing
because you are not employed by the Medicare requirements.
Advantage plans that you represent, you are not
subject to the same requirements as the plans
themselves. How should you respond to such a Agent Armstrong is employed by XYZ Agency, which
statement? - ANSWER -Your coworker is not is under contract with ABC Health Plan, a Medicare
correct. Marketing on behalf of a plan is considered Advantage (MA) plan that offers plans in multiple
states. XYZ Agency maintains a website marketing
marketing by the plan and requires that all contracted
and employed agents comply with all Medicare the MA plans with which it has contracts. Agent
marketing rules. 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
You work for a company that has marketed Medigap plans. What statement best describes the marketing
products for many years. The company has added and compliance rules that apply to Agent Armstrong?
Medicare Advantage and Part D plans and you will - ANSWER -Agent Armstrong needs to be
begin marketing those plans this fall. You are licensed and appointed in every state in which
planning what materials to use to easily show the beneficiaries to whom he markets ABC MA plans are
differences in benefits, premiums and cost sharing located.
for each of the products. What do you need to do
with your materials before using them for marketing
purposes? - ANSWER -You must submit your Which of the following is a correct statement about
materials to the plan you represent, so CMS can state laws as they pertain to marketing
review and approve the materials to ensure they are representatives? - ANSWER -Medicare Health
accurate. Plans must comply with requests for information from
state insurance departments investigating complaints
about a marketing representatives.
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 You are mailing invitations to new Medicare
each plan, but you did not achieve a passing score beneficiaries for a marketing event. You want an idea
on the tests that came after the training. What can of how many people to expect, so you would like to
you do in this situation? - ANSWER -You will request RSVPs. What should you keep in mind? -
not be able to represent any Medicare Advantage or ANSWER -You may request RSVPs, but you
Part D plan until you complete the training and are not permitted to require contact information.
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 Next week you will be participating in your first
not require testing. "educational event" for prospective enrollees. In order
to be sure that you do not violate any of the
applicable guidelines, in what activities should you
Your colleague works at a third-party marketing plan to engage? - ANSWER -You should plan to
organization (TMO) and she said she did not need to ensure that the educational event is a social event
take the Medicare training for brokers and agents or and must not conduct a sales presentation or
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, AHIP Module 4 Test Questions and Answers
distribute or accept enrollment forms at the event. having obtained her permission to visit, along with her
interest in the specific products you will present.
If you are to be in compliance with Medicare's
guidance regarding educational events, which of the Mrs. Lu is turning 65 in November and called to ask
following would be acceptable activities? - for your help deciding on a Medicare Advantage plan.
ANSWER -You may distribute business cards She agreed to sign a scope of appointment form and
to individuals who request information on how to meet with you October 15. During the appointment,
contact you for the further details on the plan you what are you permitted to do? - ANSWER -You
represent. may provide her with the required enrollment
materials and take her completed enrollment
application.
You are working with a number of plans and
community organizations to sponsor an educational
event. When putting together advertisements for this While making an appointment to discuss MA and Part
event, what should you do? - ANSWER -You D plans with a potential enrollee, you are asked to
must ensure that the advertisements indicate it is an describe other types of insurance products that your
educational event, otherwise, it will be considered a client might wish to purchase. What additional types
marketing event. of insurance can you present during the MA and Part
D marketing appointment? - ANSWER -You can
present only health care related lines of business but
You plan to participate in an educational event must obtain the beneficiary's permission to do so
sponsored by a large regional health care system. before the presentation occurs and document that
One of your colleagues suggests that you do a you have obtained that permission.
presentation on one of the Medicare Health plans
you market, and modify it to include information
about preventive screening tests showcased at the A Medicare beneficiary has walked into your office
event. How should you respond to your colleague's and requested that you sit down with her and discuss
suggestion? - ANSWER -You should tell your her options under the MA program. Before engaging
colleague no because participation in an educational in such a discussion, what should you do? -
event may not include a sales presentation. ANSWER -You must have her sign a scope of
appointment form, indicating which products she
wishes to discuss. You may then proceed with the
Agent Mary Jennings makes a presentation on discussion.
Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely
educational in nature. However, she gives a brief You are meeting with Mrs. Hall in her home. On her
presentation that mentions plan-specific premiums. Is scope of appointment form, she asked to discuss
this a prohibited activity at an event that has been Medicare Advantage plans. During the meeting, she
advertised as educational? - ANSWER -Yes. asks to discuss a stand-alone prescription drug plan.
When an event has been advertised as educational, She is leaving the next day to visit her family for a
discussing plan-specific premiums is impermissible. week in another state, so it is important for her to
make a decision before she leaves. What must
happen before the additional discussion can take
You have set up an appointment for an in-home place? - ANSWER -Since Mrs. Hall specifically
sales presentation with Mrs. Fernandez, who asked that you discuss the stand alone part D plan,
expressed interest in the Medicare plans you you may do so, as long as she signs a new scope of
represent. In preparation for the sales presentation, appointment form first, indicating that she wants to
what must they do? - ANSWER -Prior to discuss the Part D plan.
conducting the presentation, obtain, and document
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Mr. Prentice has many clients who are Medicare pass a test to market Medicare plans since her
beneficiaries. He should review the Centers for contract is with the TMO, not the plans that have the
Medicare & Medicaid Services' Marketing Guidelines products she sells. What could you say to her? -
to ensure he is compliant for which type of products? ANSWER -You could tell her she is wrong, and
- ANSWER -MA and PDP that only agents selling employer/union group plans
are permitted an exemption from testing, but some
employer/union group plans may require testing to
Another agent working for your agency claims that promote agent compliance with CMS marketing
because you are not employed by the Medicare requirements.
Advantage plans that you represent, you are not
subject to the same requirements as the plans
themselves. How should you respond to such a Agent Armstrong is employed by XYZ Agency, which
statement? - ANSWER -Your coworker is not is under contract with ABC Health Plan, a Medicare
correct. Marketing on behalf of a plan is considered Advantage (MA) plan that offers plans in multiple
states. XYZ Agency maintains a website marketing
marketing by the plan and requires that all contracted
and employed agents comply with all Medicare the MA plans with which it has contracts. Agent
marketing rules. 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
You work for a company that has marketed Medigap plans. What statement best describes the marketing
products for many years. The company has added and compliance rules that apply to Agent Armstrong?
Medicare Advantage and Part D plans and you will - ANSWER -Agent Armstrong needs to be
begin marketing those plans this fall. You are licensed and appointed in every state in which
planning what materials to use to easily show the beneficiaries to whom he markets ABC MA plans are
differences in benefits, premiums and cost sharing located.
for each of the products. What do you need to do
with your materials before using them for marketing
purposes? - ANSWER -You must submit your Which of the following is a correct statement about
materials to the plan you represent, so CMS can state laws as they pertain to marketing
review and approve the materials to ensure they are representatives? - ANSWER -Medicare Health
accurate. Plans must comply with requests for information from
state insurance departments investigating complaints
about a marketing representatives.
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 You are mailing invitations to new Medicare
each plan, but you did not achieve a passing score beneficiaries for a marketing event. You want an idea
on the tests that came after the training. What can of how many people to expect, so you would like to
you do in this situation? - ANSWER -You will request RSVPs. What should you keep in mind? -
not be able to represent any Medicare Advantage or ANSWER -You may request RSVPs, but you
Part D plan until you complete the training and are not permitted to require contact information.
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 Next week you will be participating in your first
not require testing. "educational event" for prospective enrollees. In order
to be sure that you do not violate any of the
applicable guidelines, in what activities should you
Your colleague works at a third-party marketing plan to engage? - ANSWER -You should plan to
organization (TMO) and she said she did not need to ensure that the educational event is a social event
take the Medicare training for brokers and agents or and must not conduct a sales presentation or
1/6
, AHIP Module 4 Test Questions and Answers
distribute or accept enrollment forms at the event. having obtained her permission to visit, along with her
interest in the specific products you will present.
If you are to be in compliance with Medicare's
guidance regarding educational events, which of the Mrs. Lu is turning 65 in November and called to ask
following would be acceptable activities? - for your help deciding on a Medicare Advantage plan.
ANSWER -You may distribute business cards She agreed to sign a scope of appointment form and
to individuals who request information on how to meet with you October 15. During the appointment,
contact you for the further details on the plan you what are you permitted to do? - ANSWER -You
represent. may provide her with the required enrollment
materials and take her completed enrollment
application.
You are working with a number of plans and
community organizations to sponsor an educational
event. When putting together advertisements for this While making an appointment to discuss MA and Part
event, what should you do? - ANSWER -You D plans with a potential enrollee, you are asked to
must ensure that the advertisements indicate it is an describe other types of insurance products that your
educational event, otherwise, it will be considered a client might wish to purchase. What additional types
marketing event. of insurance can you present during the MA and Part
D marketing appointment? - ANSWER -You can
present only health care related lines of business but
You plan to participate in an educational event must obtain the beneficiary's permission to do so
sponsored by a large regional health care system. before the presentation occurs and document that
One of your colleagues suggests that you do a you have obtained that permission.
presentation on one of the Medicare Health plans
you market, and modify it to include information
about preventive screening tests showcased at the A Medicare beneficiary has walked into your office
event. How should you respond to your colleague's and requested that you sit down with her and discuss
suggestion? - ANSWER -You should tell your her options under the MA program. Before engaging
colleague no because participation in an educational in such a discussion, what should you do? -
event may not include a sales presentation. ANSWER -You must have her sign a scope of
appointment form, indicating which products she
wishes to discuss. You may then proceed with the
Agent Mary Jennings makes a presentation on discussion.
Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely
educational in nature. However, she gives a brief You are meeting with Mrs. Hall in her home. On her
presentation that mentions plan-specific premiums. Is scope of appointment form, she asked to discuss
this a prohibited activity at an event that has been Medicare Advantage plans. During the meeting, she
advertised as educational? - ANSWER -Yes. asks to discuss a stand-alone prescription drug plan.
When an event has been advertised as educational, She is leaving the next day to visit her family for a
discussing plan-specific premiums is impermissible. week in another state, so it is important for her to
make a decision before she leaves. What must
happen before the additional discussion can take
You have set up an appointment for an in-home place? - ANSWER -Since Mrs. Hall specifically
sales presentation with Mrs. Fernandez, who asked that you discuss the stand alone part D plan,
expressed interest in the Medicare plans you you may do so, as long as she signs a new scope of
represent. In preparation for the sales presentation, appointment form first, indicating that she wants to
what must they do? - ANSWER -Prior to discuss the Part D plan.
conducting the presentation, obtain, and document
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