AHIP Module 4 Continued

AHIP Module 4 Continued State Laws When investigating complaints about a marketing representative, must Medicare health plans comply with requests for information from state insurance departments? Correct answer: Yes, Medicare health plans must comply with requests for information from state insurance departments investigating complaints about a marketing representative. Door Prizes Can a marketing representative give away more than one gift during a single event, as long as the aggregate retail value does not exceed $15? Correct answer: Yes, he can give away more than one gift during a single event, but the aggregate retail value cannot exceed $15. Scope of Appointment Before discussing Medicare Advantage options with a client, what should you do? Correct answer: You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. Additional Insurance Products What types of insurance products can you present during an MA and Part D marketing appointment? Correct answer: You can present only healthcare-related lines of business, but must obtain the beneficiary's permission to do so before the presentation occurs and document that you have obtained that permission. Disenrollment What happens to Agent Lopez's compensation if Ralph disenrolls from Top Choice Medicare Advantage plan within three months of enrollment? Correct answer: Agent Lopez's entire compensation must be recouped because Ralph disenrolled within three months of enrollment. Presenting to Seniors Can you present a program for seniors about MA-PD plans you market? Correct answer: Yes, you can appreciate the opportunity and would be happy to schedule an appointment with anyone at their request. Gifts What types of gifts can you offer to induce enrollment in a plan when marketing Medicare Advantage and Part D plans? Correct answer: You may provide gifts or prizes to all potential enrollees during an event that do not exceed $15 in retail value. Marketing Materials What do you need to do with your materials before using them for marketing purposes when marketing Medicare Advantage and Part D plans? 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. Meals What are you permitted to do with respect to meals when marketing Medicare Advantage and Part D plans? Correct answer: You may provide light snacks, but a