AHIP FINAL EXAM TEST
QUESTIONS WITH DETAILED
VERIFIED ANSWERS
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.
Agent Jennings makes a presentation on Medicare
advertised as an educational event. Agent Jennings
distributes materials that are solely educational in nature.
However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an
,event that has been advertised as educational? -
correct answer- Yes. When an event has been
advertised as "educational," discussing plan-specific
premiums is impermissible.
Agent Martinez 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 the subject
line must say "marketing" and an opt-out process must be
provided.
Alice is enrolled in a MA-PD plan. She makes a permanent
move across the country and wonders what her options
are for continuing MA-PD coverage. What would you say
to her in regard to a special enrollment period (SEP)? -
correct answer- She is likely to qualify for a SEP.
She can choose an effective date of up to three months
after the month in which the enrollment form is received
by the new plan, but the effective date may not be earlier
than the date of her permanent move.
, 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.
During a sales presentation, your client asks you whether
the Medicare agency recommends that she sign up for
your plan or stay in Original Medicare. What should you
tell her? - correct answer- Tell her that the
Medicare agency does not endorse or recommend any
plan.
Mr. and Mrs. Nunez attended one of your sales
presentations. They've asked you to come to their home
to clear up a few questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can finish
things up. She goes to bed. At the end of your discussion,
Mr. Nunez says that he wants to enroll both himself and
his wife. What should you do? - correct answer-
QUESTIONS WITH DETAILED
VERIFIED ANSWERS
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.
Agent Jennings makes a presentation on Medicare
advertised as an educational event. Agent Jennings
distributes materials that are solely educational in nature.
However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an
,event that has been advertised as educational? -
correct answer- Yes. When an event has been
advertised as "educational," discussing plan-specific
premiums is impermissible.
Agent Martinez 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 the subject
line must say "marketing" and an opt-out process must be
provided.
Alice is enrolled in a MA-PD plan. She makes a permanent
move across the country and wonders what her options
are for continuing MA-PD coverage. What would you say
to her in regard to a special enrollment period (SEP)? -
correct answer- She is likely to qualify for a SEP.
She can choose an effective date of up to three months
after the month in which the enrollment form is received
by the new plan, but the effective date may not be earlier
than the date of her permanent move.
, 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.
During a sales presentation, your client asks you whether
the Medicare agency recommends that she sign up for
your plan or stay in Original Medicare. What should you
tell her? - correct answer- Tell her that the
Medicare agency does not endorse or recommend any
plan.
Mr. and Mrs. Nunez attended one of your sales
presentations. They've asked you to come to their home
to clear up a few questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can finish
things up. She goes to bed. At the end of your discussion,
Mr. Nunez says that he wants to enroll both himself and
his wife. What should you do? - correct answer-
