AHIP Discrimination Fraud Waste and Abuse Training
Tested Questions with Correct Answers
(A+ Guarantee)
1. Under ACA Section 1557, a health plan premium sold through a state ex-
change may, based on an individual's age and
Answer: charge higher premiums.
2. As a result of violations of ACA Section 1557 nondiscrimination rules,
Answer: a health plan may revoke an agent or broker's appointment with the health plan.
3. ACA Section 1557 rules for disability concern
Answer: policies and procedures, physical access, and communication.
4. Which Medicare programs are covered by ACA Section 1557 under the Biden
Administration's Final Rule (2024)?
Answer: Parts A, C, and D, and Part B.
5. Which of the following statements best describes Section 1557 of the Afford-
able Care Act (ACA)?
Answer: Section 1557 incorporates earlier civil rights protections in regard to race, color, national origin,
, disability, age and sex.
6. Section 1557 of the Affordable Care Act applies to
Answer: all health programs and activities administered by or receiving federal financial assistance
from HHS.
7. Which of the following would be considered permissible under Section
1557?
Answer: Broker Mary Jones has recruited a diverse workforce. She encourages her agents to prospect through
community-based marketing and within their community of influence.
8. Which of these actions is most likely to be permitted in dealing with a person
with limited English proficiency?
Answer: Allowing a child to interpret in an emergency.
9. Which of the following statements best describes the scope of operations
subject to Section 1557 under the Final Rule (2024) of the Biden Administra-
tion?
Answer: Entities principally engaged in health care, which includes health insurers, must comply with Section
1557 for all programs they otter.
10. For a health plan, what are the possible consequences of violations of ACA
Section 1557?
Tested Questions with Correct Answers
(A+ Guarantee)
1. Under ACA Section 1557, a health plan premium sold through a state ex-
change may, based on an individual's age and
Answer: charge higher premiums.
2. As a result of violations of ACA Section 1557 nondiscrimination rules,
Answer: a health plan may revoke an agent or broker's appointment with the health plan.
3. ACA Section 1557 rules for disability concern
Answer: policies and procedures, physical access, and communication.
4. Which Medicare programs are covered by ACA Section 1557 under the Biden
Administration's Final Rule (2024)?
Answer: Parts A, C, and D, and Part B.
5. Which of the following statements best describes Section 1557 of the Afford-
able Care Act (ACA)?
Answer: Section 1557 incorporates earlier civil rights protections in regard to race, color, national origin,
, disability, age and sex.
6. Section 1557 of the Affordable Care Act applies to
Answer: all health programs and activities administered by or receiving federal financial assistance
from HHS.
7. Which of the following would be considered permissible under Section
1557?
Answer: Broker Mary Jones has recruited a diverse workforce. She encourages her agents to prospect through
community-based marketing and within their community of influence.
8. Which of these actions is most likely to be permitted in dealing with a person
with limited English proficiency?
Answer: Allowing a child to interpret in an emergency.
9. Which of the following statements best describes the scope of operations
subject to Section 1557 under the Final Rule (2024) of the Biden Administra-
tion?
Answer: Entities principally engaged in health care, which includes health insurers, must comply with Section
1557 for all programs they otter.
10. For a health plan, what are the possible consequences of violations of ACA
Section 1557?
