AHIP CERTIFICATION - PART 4 Exam | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+

Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? a. Medigap plans b. Medicare Advantage (MA) and Prescription Drug (PDP) plans c. Section 1332 waiver plans. d. Long-Term Care policies for Medicare beneficiaries Correct Answer: b Another agent working for your agency claims that because you are not employed by the Medicare Advantage plans that you represent, you are not subject to the same requirements as the plans themselves. How should you respond to such a statement? 2 a. Your coworker is correct. You may use any marketing techniques that do not involve providing misinformation to potential enrollees. b. Your coworker is correct because employed agents have to follow a stricter set of rules than do independent agents, such as yourself. c. 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. d. Your coworker is correct. You are subject only to requirements issued by your state department of insurance. Correct Answer: c You work for a company that has marketed Medigap products for many years. The company has added Medicare Advantage and Part D plans and you will begin marketing those plans this fall. You are planning what materials to use to easily show the differences 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? a. Only scripts and marketing practices must be approved by CMS, so you do not need to do anything further with your marketing materials, as long as you make them available to anyone who attends the marketing event b. You do not need to get CMS approval of the materials, so long as the materials are not misleading or materially inaccurate. 3 c. You must submit your materials to the plan you represent, so CMS can review and approve the materials to ensure they are accurate. d. You need to include a statement that th Correct Answer: c Which of the following is a correct statement about state laws as they pertain to marketing representatives? a. State licensure laws are pre-empted and do not apply to marketing representatives marketing MA and Part D plans b. Plan sponsors can use any marketing representative, as long as they are licensed in at least one state. c. Plans must contract only with marketing representatives who reside in the state where they intend to work. d. Medicare health plans must comply with requests for information from state insurance departments investigating complaints about a marketing representative. Correct Answer: d You are seeking to represent an individual Medicare Advantage 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?