AHIP 2026 FINAL EXAM QUESTIONS
WITH VERIFIED ANSWERS; 100%
CORRECT; GRADE A
A client wants to give you an enrollment application on
October 1 before the beginning of the Annual Election
Period because he is leaving on vacation for two weeks
and does not want to forget about turning it in. What
should you tell him? - correct answer- You
must tell him you are not permitted to take the form. If he
sends the form directly to the plan, the plan will process
the enrollment on the day the Annual Election Period
begins.
ABC is a Medicare Advantage (MA) plan sponsor. It would
like to use its enrollees' information to market non-health
related products such as life insurance and annuities.
Which statement best describes ABC's obligation to its
enrollees regarding marketing such products? -
correct answer- It must obtain a HIPAA
compliant authorization from an enrollee that indicates
the plan or plan sponsor may use their information for
marketing purposes.
,Agent Chandler is conducting a sales presentation on
senior issues where he hopes to enroll some attendees in
the Medicare Advantage (MA) plans he represents. What
action(s) may Agent Chandler take during the event? -
correct answer- Discuss plan specific information
such as premiums and benefits.
Agent Chandler is conducting a sales presentation on
senior issues where he hopes to enroll some attendees in
the Medicare Advantage (MA) plans he represents. What
action(s) may Agent Chandler take during the event? -
correct answer- Discuss plan specific information
such as premiums and benefits.
Agent Higgins helps Mrs. O'Malley enroll in AB Medicare
Advantage (MA) plan during the Annual Open Enrollment
Period. Mrs. O'Malley's effective enrollment date is
January 1st. Subsequently, Mrs. O'Malley disenrolls on
February 12th following a move outside the plan's service
area. What impact will this have on Agent Higgins'
compensation? - correct answer- AB MA plan
,does not have to recoup Agent Higgins' compensation
because she has moved away from its service area.
Agent John Miller is meeting with Jerry Smith, a new
prospect. Jerry is currently enrolled in Medicare Parts A
and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed? -
correct answer- Tell prospect Jerry Smith that he
should consider adding a standalone Part D prescription
drug coverage policy to his present coverage.
Agent Lopez helps Ralph to enroll in Top Choice Medicare
Advantage plan during the Annual Open Enrollment
Period. Ralph's effective enrollment date is January 1st.
Ralph disenrolls on February 12th because he discovers
that the plan does not cover services furnished by several
of his longtime providers. Which of the following
statements best describes the impact of Ralph's action
upon Agent Lopez's compensation? - correct
answer- Agent Lopez's entire compensation must
be recouped because Ralph disenrolled within 3 months
of enrollment.
, Agent Marvin Millner wants to reach out to his current
clients for referrals. What advice would you give to
Marvin? - correct answer- Marvin should
consult with the health plans he represents to determine
whether those plans impose requirements around
beneficiary referrals.
Agent Mendez wishes to solicit Medicare Advantage
prospects through e-mail and asks you for advice as to
whether this is possible. What should you tell her? -
correct answer- Marketing representatives may
initiate electronic contact through e-mail but an opt-out
process must be provided.
Agent Roderick enrolls retiree Mrs. Martinez in a medical
savings account (MSA) Medicare health plan. The MSA
plan does not offer prescription drug coverage, so Agent
Roderick also enrolls Mrs. Martinez in a standalone
prescription drug plan (PDP). What CMS compensation
rules apply to this situation? - correct answer-
This situation is considered a "dual enrollment," and CMS
WITH VERIFIED ANSWERS; 100%
CORRECT; GRADE A
A client wants to give you an enrollment application on
October 1 before the beginning of the Annual Election
Period because he is leaving on vacation for two weeks
and does not want to forget about turning it in. What
should you tell him? - correct answer- You
must tell him you are not permitted to take the form. If he
sends the form directly to the plan, the plan will process
the enrollment on the day the Annual Election Period
begins.
ABC is a Medicare Advantage (MA) plan sponsor. It would
like to use its enrollees' information to market non-health
related products such as life insurance and annuities.
Which statement best describes ABC's obligation to its
enrollees regarding marketing such products? -
correct answer- It must obtain a HIPAA
compliant authorization from an enrollee that indicates
the plan or plan sponsor may use their information for
marketing purposes.
,Agent Chandler is conducting a sales presentation on
senior issues where he hopes to enroll some attendees in
the Medicare Advantage (MA) plans he represents. What
action(s) may Agent Chandler take during the event? -
correct answer- Discuss plan specific information
such as premiums and benefits.
Agent Chandler is conducting a sales presentation on
senior issues where he hopes to enroll some attendees in
the Medicare Advantage (MA) plans he represents. What
action(s) may Agent Chandler take during the event? -
correct answer- Discuss plan specific information
such as premiums and benefits.
Agent Higgins helps Mrs. O'Malley enroll in AB Medicare
Advantage (MA) plan during the Annual Open Enrollment
Period. Mrs. O'Malley's effective enrollment date is
January 1st. Subsequently, Mrs. O'Malley disenrolls on
February 12th following a move outside the plan's service
area. What impact will this have on Agent Higgins'
compensation? - correct answer- AB MA plan
,does not have to recoup Agent Higgins' compensation
because she has moved away from its service area.
Agent John Miller is meeting with Jerry Smith, a new
prospect. Jerry is currently enrolled in Medicare Parts A
and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed? -
correct answer- Tell prospect Jerry Smith that he
should consider adding a standalone Part D prescription
drug coverage policy to his present coverage.
Agent Lopez helps Ralph to enroll in Top Choice Medicare
Advantage plan during the Annual Open Enrollment
Period. Ralph's effective enrollment date is January 1st.
Ralph disenrolls on February 12th because he discovers
that the plan does not cover services furnished by several
of his longtime providers. Which of the following
statements best describes the impact of Ralph's action
upon Agent Lopez's compensation? - correct
answer- Agent Lopez's entire compensation must
be recouped because Ralph disenrolled within 3 months
of enrollment.
, Agent Marvin Millner wants to reach out to his current
clients for referrals. What advice would you give to
Marvin? - correct answer- Marvin should
consult with the health plans he represents to determine
whether those plans impose requirements around
beneficiary referrals.
Agent Mendez wishes to solicit Medicare Advantage
prospects through e-mail and asks you for advice as to
whether this is possible. What should you tell her? -
correct answer- Marketing representatives may
initiate electronic contact through e-mail but an opt-out
process must be provided.
Agent Roderick enrolls retiree Mrs. Martinez in a medical
savings account (MSA) Medicare health plan. The MSA
plan does not offer prescription drug coverage, so Agent
Roderick also enrolls Mrs. Martinez in a standalone
prescription drug plan (PDP). What CMS compensation
rules apply to this situation? - correct answer-
This situation is considered a "dual enrollment," and CMS
