AHIP Module 4 (2024/25); Questions with
Complete Solutions
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?
c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
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?
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. Correct
Wendy Park becomes eligible for Medicare for the first time in July. With
the help of Agent James Chan, she enrolls in FeelBetter Medicare
Advantage plan with an effective date of July 1st. Which statement best
, AHIP Module 4 (2024/25); Questions with
Complete Solutions
describes how Agent Chan may be compensated under CMS rules?
Feel Better will pay Agent Chan initial year compensation for the months
July through December. Renewal amounts will be paid starting in January
if Ms. Park remains enrolled the following year.
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?
b. You must submit your materials to the plan you represent, so CMS can
review and approve the materials to ensure they are accurate. Correct
Which of the following is a correct statement about state laws as they
pertain to marketing representatives?
, AHIP Module 4 (2024/25); Questions with
Complete Solutions
d. Medicare health plans must comply with requests for information from
state insurance departments investigating complaints about a marketing
representative. Correct
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?
a. You will not be able to represent any Medicare Advantage or Part D
plan until you complete 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.
Correct
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
Complete Solutions
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?
c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
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?
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. Correct
Wendy Park becomes eligible for Medicare for the first time in July. With
the help of Agent James Chan, she enrolls in FeelBetter Medicare
Advantage plan with an effective date of July 1st. Which statement best
, AHIP Module 4 (2024/25); Questions with
Complete Solutions
describes how Agent Chan may be compensated under CMS rules?
Feel Better will pay Agent Chan initial year compensation for the months
July through December. Renewal amounts will be paid starting in January
if Ms. Park remains enrolled the following year.
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?
b. You must submit your materials to the plan you represent, so CMS can
review and approve the materials to ensure they are accurate. Correct
Which of the following is a correct statement about state laws as they
pertain to marketing representatives?
, AHIP Module 4 (2024/25); Questions with
Complete Solutions
d. Medicare health plans must comply with requests for information from
state insurance departments investigating complaints about a marketing
representative. Correct
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?
a. You will not be able to represent any Medicare Advantage or Part D
plan until you complete 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.
Correct
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
