2026
COMPLETE TEST BANK – 200 QUESTIONS WITH
ANSWERS & RATIONALES
SECTION 1: COMPLIANCE & ETHICS (Questions 1-30)
Question 1
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy.
A. True
B. False
Correct Answer: A
Rationale: This is a mandatory requirement for all contracted brokers and agents.
Adherence to the Code of Conduct ensures ethical business practices and regulatory compliance
when representing Centene and Wellcare plans .
---
Question 2
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one
MA plan provider. The disclaimer must be: (Select all that apply.)
A. Included in any marketing materials
B. Verbally conveyed within the first minute of a sales call
C. Prominently displayed on TPMO websites
D. Electronically conveyed in communications
, Correct Answer: A, B, C, D
Rationale: The Third-Party Marketing Organization (TPMO) disclaimer must be included
in all marketing materials, verbally conveyed within the first minute of a sales call, prominently
displayed on websites, and electronically conveyed in email, online chat, or other electronic
communications .
---
Question 3
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through which of the following?
A. Complaint Tracking Module (CTM)
B. Grievance
C. Secret Shop Finding
D. All of these
Correct Answer: D
Rationale: Agents may be investigated based on noncompliant activity reported through
the Complaint Tracking Module (CTM), formal grievances, or secret shop findings. All three are
legitimate sources of compliance concerns .
---
Question 4
Communication of PHI can be: (Select all that apply.)
A. Written
B. Electronic
C. Verbal
Correct Answer: A, B, C
, Rationale: Protected Health Information (PHI) can be communicated through written,
electronic, and verbal means. However, all communications must comply with HIPAA privacy
and security requirements regardless of the method used .
---
Question 5
A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to provide
truthful or complete information.
A. True
B. False
Correct Answer: A
Rationale: Termination for cause is a legitimate consequence for failing to cooperate with
compliance investigations, encouraging others to avoid interviews, or providing false or
incomplete information. This protects the integrity of compliance processes .
---
Question 6
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity?
A. Speak with the investigator as quickly as possible
B. Answer all questions honestly and completely
C. Offer information and documents important to the investigation
D. All of the above
Correct Answer: D
Rationale: All three actions are required when contacted regarding an allegation of
noncompliant activity. Full cooperation with investigators is mandatory .
, ---
Question 7
The 24-hour waiting period to retake the Mastery Exam has been eliminated for 2026.
A. True
B. False
Correct Answer: A
Rationale: The 24-hour waiting period to retake the Mastery Exam has been eliminated,
with unlimited exam attempts now available for 2026 .
---
Question 8
Marketing benefits in a service area where those benefits are not available is prohibited and
considered misleading.
A. True
B. False
Correct Answer: A
Rationale: Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading, regardless of local/regional or media use .
---
Question 9
What is the passing score required to successfully complete the Wellcare ACT Mastery Exam?
A. 70%
B. 75%