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AHIP MODULE 4 QUIZ 2025 QUESTIONS
AND CORRECT ANSWERS.
1. 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? -correct answer-Medicare
Advantage (MA) and Prescription Drug (PDP) plans Correct
2. 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? -correct answer-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.
3. 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? -correct answer-You must submit your materials to the
plan you represent, so CMS can review and approve the materials to ensure
they are accurate.
4. 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? -correct answer-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.
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5. 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 agents or
pass a test to market Medicare plans since her contract is with the TMO, not the
plans that have the products she sells. What could you say to her? -correct
answer-You could tell her she is wrong, and that only agents selling
employer/union group plans are permitted an exemption from testing, but some
employer/union group plans may require testing to promote agent compliance
with CMS marketing requirements.
6. Which of the following is a correct statement about state laws as they pertain to
marketing representatives? -correct answer-Medicare health plans must comply
with requests for information from state insurance departments investigating
complaints about a marketing representative.
7. Next week you will be participating in your First educational event. In order to
be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage? -correct answer-You should plan to ensure
that the educational event is a social event, and must NOT conduct a sales
presentation or distribute or accept enrollment forms at the event.
8. Agent Armstrong is employed by XYZ Agency, which is under contract with
ABC Health Plan, a Medicare Advantage (MA) plan that offers plans in
multiple states. XYZ Agency maintains a website marketing the MA plans with
which it has contracts. Agent Armstrong follows up with individuals who
request more information about ABC MA plans via the website and tries to
persuade them to enroll in ABC plans. What statement best describes the
marketing and compliance rules that apply to Agent Armstrong? -correct
answer-Agent Armstrong needs to be licensed and appointed in every state in
which beneficiaries to whom he markets ABC MA plans are located.
9. You are mailing invitations to new Medicare beneficiaries for a marketing
event. You want an idea of how many people to expect, so you would like to
request RSVPs. What should you keep in mind? -correct answer-You may
request RSVPs, but you are not permitted to require contact information.
10.If you are to be in compliance with Medicare's guidelines regarding educational
events, which of the following would be acceptable activities? -correct answer-
AHIP MODULE 4 QUIZ 2025 QUESTIONS
AND CORRECT ANSWERS.
1. 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? -correct answer-Medicare
Advantage (MA) and Prescription Drug (PDP) plans Correct
2. 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? -correct answer-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.
3. 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? -correct answer-You must submit your materials to the
plan you represent, so CMS can review and approve the materials to ensure
they are accurate.
4. 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? -correct answer-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.
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5. 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 agents or
pass a test to market Medicare plans since her contract is with the TMO, not the
plans that have the products she sells. What could you say to her? -correct
answer-You could tell her she is wrong, and that only agents selling
employer/union group plans are permitted an exemption from testing, but some
employer/union group plans may require testing to promote agent compliance
with CMS marketing requirements.
6. Which of the following is a correct statement about state laws as they pertain to
marketing representatives? -correct answer-Medicare health plans must comply
with requests for information from state insurance departments investigating
complaints about a marketing representative.
7. Next week you will be participating in your First educational event. In order to
be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage? -correct answer-You should plan to ensure
that the educational event is a social event, and must NOT conduct a sales
presentation or distribute or accept enrollment forms at the event.
8. Agent Armstrong is employed by XYZ Agency, which is under contract with
ABC Health Plan, a Medicare Advantage (MA) plan that offers plans in
multiple states. XYZ Agency maintains a website marketing the MA plans with
which it has contracts. Agent Armstrong follows up with individuals who
request more information about ABC MA plans via the website and tries to
persuade them to enroll in ABC plans. What statement best describes the
marketing and compliance rules that apply to Agent Armstrong? -correct
answer-Agent Armstrong needs to be licensed and appointed in every state in
which beneficiaries to whom he markets ABC MA plans are located.
9. You are mailing invitations to new Medicare beneficiaries for a marketing
event. You want an idea of how many people to expect, so you would like to
request RSVPs. What should you keep in mind? -correct answer-You may
request RSVPs, but you are not permitted to require contact information.
10.If you are to be in compliance with Medicare's guidelines regarding educational
events, which of the following would be acceptable activities? -correct answer-
