AHIP 2026 MODULE 4 PRACTICE EXAM-COMMUNICATIONS AND
MARKETING RULES EXAM, LATEST REVISED QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS GRADED A+
This exam contains questions covering Communications and Marketing Rules for
Medicare Advantage and Part D Plans. Choose the best answer for each question.
Questions
Which of the following plans are subject to Medicare marketing and communication
rules?
A) Only Medicare Advantage plans
B) MA plans, MA-PD plans, PDP plans, and Section 1876 cost plans ●
C) Only Part D plans
D) Medicare Supplement plans only
Answer: B) MA plans, MA-PD plans, PDP plans, and Section 1876 cost plans
What is a Third-Party Marketing Organization (TPMO)?
A) Only employed agents of a ̣ plan
B) Organizations and individuals compensated to perform lead generation,
marketing, sales, and enrollment functions
C) Medicare employees
D) Hospital staff members
Answer: B) Organizations and individuals compensated to perform lead generation,
marketing, sales, and enrollment functions
Are independent agents and brokers considered TPMOs?
A) No, never
,B) Only if they work full-time
C) Yes, they are TPMOs
D) Only during Annual Election Period
Answer: C) Yes, they are TPMOs
Which of the following rules does NOT apply when marketing to employer/union
group health plans?
A) Annual training requirements
B) Prohibition against unsolicited contacts
C) State licensing requirements
D) Fraud, waste, and abuse training
Answer: B) Prohibition against unsolicited contacts
When marketing to employer/union groups, which requirement is waived?
A) State licensing
B) Pre-enrollment checklist requirement
C) Annual training
D) Background checks
Answer: B) Pre-enrollment checklist requirement
Are plans required to submit employer-specific marketing materials to CMS?
A) Yes, always
B) No, but CMS may request and review them
C) Only during AEP
D) Only if complaints occur
Answer: B) No, but CMS may request and review them
What are the two main requirements for agents and brokers?
A) College degree and experience
B) Licensed by the state and appointed by the plan if required ●
C) Medicare certification only
D) Federal registration only
, Answer: B) Licensed by the state and appointed by the plan if required
How often must agents and brokers complete Medicare training?
A) Every two years
B) Only once
C) At least annually
D) Every six months
Answer: C) At least annually
Must agents and brokers pass a written test each year?
A) No, only initial certification needed
B) Yes, except those marketing only employer/union group plans ● C) Only if they
fail the first time
D) Tests are optional
Answer: B) Yes, except those marketing only employer/union group plans
What is the difference between communications and marketing?
A) There is no difference
B) Marketing is a ̣ subset of communications with specific intent and content ●
Communications only refers to mail
D) Marketing only refers to phone calls
Answer: B) Marketing is a subset of communications with specific intent and content
For material to be considered marketing, it must have:
A) Only marketing intent
B) Only marketing content
C) Both marketing intent AND marketing content
D) Neither intent nor content matters
Answer: C) Both marketing intent AND marketing content
MARKETING RULES EXAM, LATEST REVISED QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS GRADED A+
This exam contains questions covering Communications and Marketing Rules for
Medicare Advantage and Part D Plans. Choose the best answer for each question.
Questions
Which of the following plans are subject to Medicare marketing and communication
rules?
A) Only Medicare Advantage plans
B) MA plans, MA-PD plans, PDP plans, and Section 1876 cost plans ●
C) Only Part D plans
D) Medicare Supplement plans only
Answer: B) MA plans, MA-PD plans, PDP plans, and Section 1876 cost plans
What is a Third-Party Marketing Organization (TPMO)?
A) Only employed agents of a ̣ plan
B) Organizations and individuals compensated to perform lead generation,
marketing, sales, and enrollment functions
C) Medicare employees
D) Hospital staff members
Answer: B) Organizations and individuals compensated to perform lead generation,
marketing, sales, and enrollment functions
Are independent agents and brokers considered TPMOs?
A) No, never
,B) Only if they work full-time
C) Yes, they are TPMOs
D) Only during Annual Election Period
Answer: C) Yes, they are TPMOs
Which of the following rules does NOT apply when marketing to employer/union
group health plans?
A) Annual training requirements
B) Prohibition against unsolicited contacts
C) State licensing requirements
D) Fraud, waste, and abuse training
Answer: B) Prohibition against unsolicited contacts
When marketing to employer/union groups, which requirement is waived?
A) State licensing
B) Pre-enrollment checklist requirement
C) Annual training
D) Background checks
Answer: B) Pre-enrollment checklist requirement
Are plans required to submit employer-specific marketing materials to CMS?
A) Yes, always
B) No, but CMS may request and review them
C) Only during AEP
D) Only if complaints occur
Answer: B) No, but CMS may request and review them
What are the two main requirements for agents and brokers?
A) College degree and experience
B) Licensed by the state and appointed by the plan if required ●
C) Medicare certification only
D) Federal registration only
, Answer: B) Licensed by the state and appointed by the plan if required
How often must agents and brokers complete Medicare training?
A) Every two years
B) Only once
C) At least annually
D) Every six months
Answer: C) At least annually
Must agents and brokers pass a written test each year?
A) No, only initial certification needed
B) Yes, except those marketing only employer/union group plans ● C) Only if they
fail the first time
D) Tests are optional
Answer: B) Yes, except those marketing only employer/union group plans
What is the difference between communications and marketing?
A) There is no difference
B) Marketing is a ̣ subset of communications with specific intent and content ●
Communications only refers to mail
D) Marketing only refers to phone calls
Answer: B) Marketing is a subset of communications with specific intent and content
For material to be considered marketing, it must have:
A) Only marketing intent
B) Only marketing content
C) Both marketing intent AND marketing content
D) Neither intent nor content matters
Answer: C) Both marketing intent AND marketing content
