AHIP 2027 FINAL EXAM – MEDICARE
CERTIFICATION EXAM QUESTIONS
AND ANSWERS
1. A Medicare beneficiary who is currently enrolled in a Medicare Advantage Plan wants to
switch to Original Medicare and join a standalone Part D plan. During which period can this
primarily be done?
A. General Enrollment Period (GEP)
B. Initial Coverage Election Period (ICEP)
C. Special Enrollment Period (SEP) for working aged
D. Medicare Advantage Open Enrollment Period (MA-OEP)
Answer: D
Conceptual Explanation: The MA-OEP (January 1 to March 31) allows individuals enrolled
in a Medicare Advantage plan to switch to another MA plan or return to Original Medicare
and enroll in a Part D plan.
2. Under CMS regulations for 2027, what is the maximum duration that a Scope of
Appointment (SOA) form must be retained by an agent?
A. 10 years
,B. 5 years
C. 3 years
D. 1 year
Answer: A
Conceptual Explanation: CMS requires that all marketing and enrollment records,
including Scope of Appointment forms, be retained for at least 10 years.
3. Which of the following describes the ‘48-hour rule’ regarding Scope of Appointment (SOA)?
A. Agents must wait 48 hours after an enrollment before contacting the client again.
B. Agents must wait 48 hours after a client signs an SOA before conducting a personal
marketing appointment.
C. Agents must submit the enrollment application within 48 hours of signature.
D. Clients have 48 hours to rescind an enrollment application.
Answer: B
Conceptual Explanation: Generally, agents must wait at least 48 hours between the
signing of the SOA and the start of the scheduled personal marketing appointment, with
specific exceptions for the end of enrollment periods.
4. An individual is turning 65 in August. Their Initial Enrollment Period (IEP) for Medicare
begins on:
A. August 1st
, B. July 1st
C. January 1st
D. May 1st
Answer: D
Conceptual Explanation: The IEP is a 7-month period that begins 3 months before the
month the individual turns 65, includes the birth month, and ends 3 months after.
5. Which of the following is considered a ‘Low-Value Gift’ that an agent can provide to a
prospect under CMS guidelines?
A. A $25 gift card to a local grocery store
B. A promotional item with a retail value of $15 or less
C. A $15 cash equivalent for attending a seminar
D. A $50 dinner at a sales presentation
Answer: B
Conceptual Explanation: CMS permits the provision of items that are of nominal value
(currently defined as $15 or less per item) and are not easily convertible to cash.
6. What is the primary difference between a ‘Sales/Marketing Event’ and an ‘Educational
Event’?
A. Sales events require a 48-hour notice, while educational events do not.
CERTIFICATION EXAM QUESTIONS
AND ANSWERS
1. A Medicare beneficiary who is currently enrolled in a Medicare Advantage Plan wants to
switch to Original Medicare and join a standalone Part D plan. During which period can this
primarily be done?
A. General Enrollment Period (GEP)
B. Initial Coverage Election Period (ICEP)
C. Special Enrollment Period (SEP) for working aged
D. Medicare Advantage Open Enrollment Period (MA-OEP)
Answer: D
Conceptual Explanation: The MA-OEP (January 1 to March 31) allows individuals enrolled
in a Medicare Advantage plan to switch to another MA plan or return to Original Medicare
and enroll in a Part D plan.
2. Under CMS regulations for 2027, what is the maximum duration that a Scope of
Appointment (SOA) form must be retained by an agent?
A. 10 years
,B. 5 years
C. 3 years
D. 1 year
Answer: A
Conceptual Explanation: CMS requires that all marketing and enrollment records,
including Scope of Appointment forms, be retained for at least 10 years.
3. Which of the following describes the ‘48-hour rule’ regarding Scope of Appointment (SOA)?
A. Agents must wait 48 hours after an enrollment before contacting the client again.
B. Agents must wait 48 hours after a client signs an SOA before conducting a personal
marketing appointment.
C. Agents must submit the enrollment application within 48 hours of signature.
D. Clients have 48 hours to rescind an enrollment application.
Answer: B
Conceptual Explanation: Generally, agents must wait at least 48 hours between the
signing of the SOA and the start of the scheduled personal marketing appointment, with
specific exceptions for the end of enrollment periods.
4. An individual is turning 65 in August. Their Initial Enrollment Period (IEP) for Medicare
begins on:
A. August 1st
, B. July 1st
C. January 1st
D. May 1st
Answer: D
Conceptual Explanation: The IEP is a 7-month period that begins 3 months before the
month the individual turns 65, includes the birth month, and ends 3 months after.
5. Which of the following is considered a ‘Low-Value Gift’ that an agent can provide to a
prospect under CMS guidelines?
A. A $25 gift card to a local grocery store
B. A promotional item with a retail value of $15 or less
C. A $15 cash equivalent for attending a seminar
D. A $50 dinner at a sales presentation
Answer: B
Conceptual Explanation: CMS permits the provision of items that are of nominal value
(currently defined as $15 or less per item) and are not easily convertible to cash.
6. What is the primary difference between a ‘Sales/Marketing Event’ and an ‘Educational
Event’?
A. Sales events require a 48-hour notice, while educational events do not.
