AHIP Marketing and Enrollment Exam — Exam
Questions with Correct Answers
(VerifiedAnswers) Plus Rationales 2026 Q&A
Instant Download PDF
Question 1
Which organization establishes the federal rules governing
Medicare Advantage and Part D marketing requirements?
A. Social Security Administration
B. Department of Labor
C. Centers for Medicare & Medicaid Services (CMS)
D. Internal Revenue Service
Rationale: CMS administers Medicare and establishes and
enforces the federal requirements governing Medicare
Advantage and Part D plans, including marketing and
enrollment requirements. Agents and brokers must comply with
applicable federal requirements as well as state licensing rules.
CMS's Medicare Marketing Guidelines are intended for
Medicare Advantage organizations, MA-PD plans, PDPs, and
certain other Medicare plans.
,Question 2
Before conducting a personal marketing appointment with a
Medicare beneficiary, an agent generally must obtain and
document what?
A. A completed enrollment application
B. The beneficiary's medical history
C. A Scope of Appointment (SOA)
D. A signed claim form
Rationale: The Scope of Appointment documents the products
or plan types the beneficiary has agreed to discuss during a
personal marketing appointment. It helps protect beneficiaries
from unexpected sales presentations and helps establish that
the agent stayed within the agreed-upon scope. Federal
requirements specifically address securing and documenting an
SOA before a personal marketing appointment.
Question 3
A beneficiary attends an educational Medicare event. What is
generally appropriate for an agent to do at that educational
event?
A. Conduct a sales presentation
B. Collect completed enrollment applications
C. Compare premiums of specific plans and recommend one
,D. Answer beneficiary-initiated questions and provide contact
information for future contact
Rationale: Educational events are intended to provide objective
information rather than steer beneficiaries toward a particular
plan. An educational event may allow beneficiary-initiated
questions and can facilitate future contact, but marketing and
sales activities should not be conducted as part of the
educational event. This distinction is important because a sales
presentation can turn an educational activity into a marketing
event subject to additional requirements.
Question 4
Which statement best describes a marketing or sales event?
A. It provides only general information about Medicare
B. It is designed exclusively to answer beneficiary questions
about Original Medicare
C. It is designed to steer or attempt to steer beneficiaries
toward a plan or limited set of plans
D. It is an event where enrollment is prohibited under all
circumstances
Rationale: A marketing or sales event is intended to promote or
steer beneficiaries toward specific Medicare Advantage or Part
D plan options. Because these activities are promotional, they
, are subject to Medicare marketing requirements. Educational
events, by contrast, are designed to provide objective
information without steering beneficiaries toward a particular
plan.
Question 5
Which statement about an agent's state license is correct?
A. A Medicare agent only needs a federal license
B. State licensing is optional if the agent sells only Medicare
Advantage plans
C. Agents must meet applicable state licensing and
appointment requirements
D. Agents are licensed exclusively by CMS
Rationale: Agents and brokers must comply with applicable
state insurance licensing requirements in the states where they
conduct business. CMS also requires Medicare-related training
and testing requirements. A Medicare contract with a plan does
not replace state licensing obligations.
Question 6
What is one major purpose of Medicare marketing regulations?
Questions with Correct Answers
(VerifiedAnswers) Plus Rationales 2026 Q&A
Instant Download PDF
Question 1
Which organization establishes the federal rules governing
Medicare Advantage and Part D marketing requirements?
A. Social Security Administration
B. Department of Labor
C. Centers for Medicare & Medicaid Services (CMS)
D. Internal Revenue Service
Rationale: CMS administers Medicare and establishes and
enforces the federal requirements governing Medicare
Advantage and Part D plans, including marketing and
enrollment requirements. Agents and brokers must comply with
applicable federal requirements as well as state licensing rules.
CMS's Medicare Marketing Guidelines are intended for
Medicare Advantage organizations, MA-PD plans, PDPs, and
certain other Medicare plans.
,Question 2
Before conducting a personal marketing appointment with a
Medicare beneficiary, an agent generally must obtain and
document what?
A. A completed enrollment application
B. The beneficiary's medical history
C. A Scope of Appointment (SOA)
D. A signed claim form
Rationale: The Scope of Appointment documents the products
or plan types the beneficiary has agreed to discuss during a
personal marketing appointment. It helps protect beneficiaries
from unexpected sales presentations and helps establish that
the agent stayed within the agreed-upon scope. Federal
requirements specifically address securing and documenting an
SOA before a personal marketing appointment.
Question 3
A beneficiary attends an educational Medicare event. What is
generally appropriate for an agent to do at that educational
event?
A. Conduct a sales presentation
B. Collect completed enrollment applications
C. Compare premiums of specific plans and recommend one
,D. Answer beneficiary-initiated questions and provide contact
information for future contact
Rationale: Educational events are intended to provide objective
information rather than steer beneficiaries toward a particular
plan. An educational event may allow beneficiary-initiated
questions and can facilitate future contact, but marketing and
sales activities should not be conducted as part of the
educational event. This distinction is important because a sales
presentation can turn an educational activity into a marketing
event subject to additional requirements.
Question 4
Which statement best describes a marketing or sales event?
A. It provides only general information about Medicare
B. It is designed exclusively to answer beneficiary questions
about Original Medicare
C. It is designed to steer or attempt to steer beneficiaries
toward a plan or limited set of plans
D. It is an event where enrollment is prohibited under all
circumstances
Rationale: A marketing or sales event is intended to promote or
steer beneficiaries toward specific Medicare Advantage or Part
D plan options. Because these activities are promotional, they
, are subject to Medicare marketing requirements. Educational
events, by contrast, are designed to provide objective
information without steering beneficiaries toward a particular
plan.
Question 5
Which statement about an agent's state license is correct?
A. A Medicare agent only needs a federal license
B. State licensing is optional if the agent sells only Medicare
Advantage plans
C. Agents must meet applicable state licensing and
appointment requirements
D. Agents are licensed exclusively by CMS
Rationale: Agents and brokers must comply with applicable
state insurance licensing requirements in the states where they
conduct business. CMS also requires Medicare-related training
and testing requirements. A Medicare contract with a plan does
not replace state licensing obligations.
Question 6
What is one major purpose of Medicare marketing regulations?
