AHIP UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● Another agent working for your agency claims that because you are
not employed by the MA plans that you represent, you are not subject to
the same requirements as the plans themselves.
Answer: 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 MA and Part D plans and you will
begin marketing those plans this fall. You are planning what materials to
use to easily show the difference 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?
Answer: You must submit your materials to the plan you represent, so
CMS can review and approve the materials to ensure they are accurate.
●● Which of the following is a correct statement about state laws as they
pertain to marketing representatives?
Answer: Medicare health plans must comply with requests for
information from state insurance departments investigating complaints
about a marketing representative.
,●● You are seeking to represent an individual MA 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?
Answer: You will NOT be able to represent any MA or Part D plan until
you compete 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.
Answer: 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.
●● During a sales presentation to Ms. Daley for MA plan that has a 5
star rating in customer service and care coordination, and received an
overall plan performance rating of a 4 star, which of the following would
be the correct statement to say to her?
Answer: The MA plan received a 5 star rating in customer service and
care coordination with an overall performance rating of 4 stars.
, ●● During a sales presentation, you client ask you whether the Medicare
agency recommends that she sign up for your plan or stay in Original
Medicare.
Answer: Tell her that the Medicare agency does not endorse or
recommend any plan.
●● Medicare health plan establish provisions in marketing
representative contracts to ensure compliance with applicable laws and
policies. If non-compliance occurs, CMS can penalize a plan in which of
the following ways?
Answer: CMS requires plan sponsors to create and complete a corrective
action plan and may terminate a sponsor's contract.
●● You have set up an appointment for an in-home sales presentation
with Mrs. Fowler, who expressed interest in the Medicare plans you
represent. In preparation for the sales presentation, what must you do?
Answer: Prior to conducting the presentation, obtain, and document
having obtained her permission to visit, along wit her interest in the
specific products you will present.
●● LU is turning 65 in November and called to ask for your help
deciding on a MA 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?
Answer: You may provide her with the required enrollment material and
take her completed enrollment application.
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● Another agent working for your agency claims that because you are
not employed by the MA plans that you represent, you are not subject to
the same requirements as the plans themselves.
Answer: 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 MA and Part D plans and you will
begin marketing those plans this fall. You are planning what materials to
use to easily show the difference 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?
Answer: You must submit your materials to the plan you represent, so
CMS can review and approve the materials to ensure they are accurate.
●● Which of the following is a correct statement about state laws as they
pertain to marketing representatives?
Answer: Medicare health plans must comply with requests for
information from state insurance departments investigating complaints
about a marketing representative.
,●● You are seeking to represent an individual MA 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?
Answer: You will NOT be able to represent any MA or Part D plan until
you compete 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.
Answer: 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.
●● During a sales presentation to Ms. Daley for MA plan that has a 5
star rating in customer service and care coordination, and received an
overall plan performance rating of a 4 star, which of the following would
be the correct statement to say to her?
Answer: The MA plan received a 5 star rating in customer service and
care coordination with an overall performance rating of 4 stars.
, ●● During a sales presentation, you client ask you whether the Medicare
agency recommends that she sign up for your plan or stay in Original
Medicare.
Answer: Tell her that the Medicare agency does not endorse or
recommend any plan.
●● Medicare health plan establish provisions in marketing
representative contracts to ensure compliance with applicable laws and
policies. If non-compliance occurs, CMS can penalize a plan in which of
the following ways?
Answer: CMS requires plan sponsors to create and complete a corrective
action plan and may terminate a sponsor's contract.
●● You have set up an appointment for an in-home sales presentation
with Mrs. Fowler, who expressed interest in the Medicare plans you
represent. In preparation for the sales presentation, what must you do?
Answer: Prior to conducting the presentation, obtain, and document
having obtained her permission to visit, along wit her interest in the
specific products you will present.
●● LU is turning 65 in November and called to ask for your help
deciding on a MA 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?
Answer: You may provide her with the required enrollment material and
take her completed enrollment application.
