AHIP FWA FINAL PAPER TEST UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
✔✔You are meeting with Mrs. Hall in her home. On her scope of appointment form, she
asked to discuss Medicare Advantage plans. During the meeting, she asks to discuss a
stand-alone prescription drug plan. She is leaving the next day to visit her family for a
week in another state, so it is important for her to make a decision before she leaves.
What must happen before that additional discussion can take place? - ✔✔Since Mrs.
Hall specifically asked that you discuss the stand-alone Part D plan, you may do so, as
long as she signs a new scope of appointment form first, indicating that she wants to
discuss the Part D plan.
✔✔Monica is an agent focused on serving seniors eligible for Medicare. As she reviews
her records, she is trying to determine which of the following items are considered
compensation. What do you tell her?
I. Commissions
II. Bonuses
III. Mileage reimbursement
IV. Awards - ✔✔I, II and IV only
✔✔Agent Harriet Walker has recently begun marketing Medicare Advantage and
related products aimed at meeting the needs of senior citizens. Client Mildred Jones
has expressed interest in a Medicare Advantage plan. It is now the beginning of
September. If you were in Agent Walker's position, what would you do? - ✔✔Inquire
whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on
October 15th.
✔✔You market many different types of insurance and ordinarily you spend time each
evening calling potential clients. To comply with requirements for marketing Medicare
Advantage and Part D plans, what must you do about contacting potential clients to
market those plans? - ✔✔You will have to avoid calling any potential client unless he or
she initiates contact with you and specifically asks that you give him or her a call.
✔✔During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a
5-star rating in customer service and care coordination, and received an overall plan
performance rating of a 4-star, which of the following would be the best statement to say
to her? - ✔✔The Medicare Advantage plan received a 5-star rating in customer service
and care coordination with an overall performance rating of 4-stars.
, ✔✔Ms. Claggett is sixty-six (66) years old. She has been covered under Original
Medicare for the last six years due to her disability and has never been enrolled in a
Medicare Advantage or a Part D plan before. She wants to enroll in a Part D plan. She
knows that there is such a thing as the "Part D Initial Enrollment Period" (IEP) and has
concluded that, since she has never enrolled in such a plan before, she should be
eligible to enroll under this period. What should you tell her about how the Part D Initial
Enrollment Period applies to her situation? - ✔✔Ms. Claggett has had two IEPs and
missed them both. The first occurred three months before and three months after the
month when she was first entitled to Part A OR enrolled in Part B. Because she was
eligible for Medicare before age 65, Ms. Claggett had a second IEP based on turning
age 65, which has also expired.
✔✔Mr. Wilcox has been enrolled in Lexington Private Fee-for-Service (PFFS) Medicare
Advantage Health Plan (Lexington) for several years. Recently, Mr. Wilcox decided to
spend time with his children who live in another state that is not in Lexington's service
area. In the future, he may relocate near his children permanently. How does this move
to another service area impact his PFFS MA coverage? - ✔✔Lexington can allow for
Mr. Wilcox's continued enrollment for up to 12 months whether or not he is in a
visitor/traveler (V/T) program since it is a PFFS plan.
✔✔Mrs. Parker likes to handle most of her business matters through telephone calls.
She currently is enrolled in Original Medicare Parts A and B but has heard about a
Medicare Advantage plan offered by Senior Health from a neighbor. Mrs. Parker asks
you whether she can enroll in Senior Health's MA plan over the telephone. What can tell
her?
I. Enrollment requests can only be made in face-to-face interviews or by mail.
II. Telephone enrollment request calls must be recorded.
III. Telephonic enrollments must include all required elements necessary to complete an
enrollment.
IV. The signature element must be completed via certified mail. - ✔✔II and III only
✔✔Mrs. Reynolds is in her Medicare initial coverage election period (ICEP) and the
date of her entitlement to Part A and B has already occurred. Mrs. Reynolds has just
signed up for a Medicare Advantage plan on the second of the month. She is leaving for
vacation in two weeks and wants to know if her new coverage will start before she
leaves. What should you tell her? - ✔✔Typically, her coverage would begin on the first
day of the next month, so she should not expect her coverage to begin before she
leaves.
✔✔Mr. Fitzgerald is selling his home to permanently move into a retirement facility near
his daughter in a neighboring state before the Annual Election Period. He has a stand-
alone prescription drug plan and has learned it is not available where he is moving. He
CORRECT ANSWERS
✔✔You are meeting with Mrs. Hall in her home. On her scope of appointment form, she
asked to discuss Medicare Advantage plans. During the meeting, she asks to discuss a
stand-alone prescription drug plan. She is leaving the next day to visit her family for a
week in another state, so it is important for her to make a decision before she leaves.
What must happen before that additional discussion can take place? - ✔✔Since Mrs.
Hall specifically asked that you discuss the stand-alone Part D plan, you may do so, as
long as she signs a new scope of appointment form first, indicating that she wants to
discuss the Part D plan.
✔✔Monica is an agent focused on serving seniors eligible for Medicare. As she reviews
her records, she is trying to determine which of the following items are considered
compensation. What do you tell her?
I. Commissions
II. Bonuses
III. Mileage reimbursement
IV. Awards - ✔✔I, II and IV only
✔✔Agent Harriet Walker has recently begun marketing Medicare Advantage and
related products aimed at meeting the needs of senior citizens. Client Mildred Jones
has expressed interest in a Medicare Advantage plan. It is now the beginning of
September. If you were in Agent Walker's position, what would you do? - ✔✔Inquire
whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on
October 15th.
✔✔You market many different types of insurance and ordinarily you spend time each
evening calling potential clients. To comply with requirements for marketing Medicare
Advantage and Part D plans, what must you do about contacting potential clients to
market those plans? - ✔✔You will have to avoid calling any potential client unless he or
she initiates contact with you and specifically asks that you give him or her a call.
✔✔During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a
5-star rating in customer service and care coordination, and received an overall plan
performance rating of a 4-star, which of the following would be the best statement to say
to her? - ✔✔The Medicare Advantage plan received a 5-star rating in customer service
and care coordination with an overall performance rating of 4-stars.
, ✔✔Ms. Claggett is sixty-six (66) years old. She has been covered under Original
Medicare for the last six years due to her disability and has never been enrolled in a
Medicare Advantage or a Part D plan before. She wants to enroll in a Part D plan. She
knows that there is such a thing as the "Part D Initial Enrollment Period" (IEP) and has
concluded that, since she has never enrolled in such a plan before, she should be
eligible to enroll under this period. What should you tell her about how the Part D Initial
Enrollment Period applies to her situation? - ✔✔Ms. Claggett has had two IEPs and
missed them both. The first occurred three months before and three months after the
month when she was first entitled to Part A OR enrolled in Part B. Because she was
eligible for Medicare before age 65, Ms. Claggett had a second IEP based on turning
age 65, which has also expired.
✔✔Mr. Wilcox has been enrolled in Lexington Private Fee-for-Service (PFFS) Medicare
Advantage Health Plan (Lexington) for several years. Recently, Mr. Wilcox decided to
spend time with his children who live in another state that is not in Lexington's service
area. In the future, he may relocate near his children permanently. How does this move
to another service area impact his PFFS MA coverage? - ✔✔Lexington can allow for
Mr. Wilcox's continued enrollment for up to 12 months whether or not he is in a
visitor/traveler (V/T) program since it is a PFFS plan.
✔✔Mrs. Parker likes to handle most of her business matters through telephone calls.
She currently is enrolled in Original Medicare Parts A and B but has heard about a
Medicare Advantage plan offered by Senior Health from a neighbor. Mrs. Parker asks
you whether she can enroll in Senior Health's MA plan over the telephone. What can tell
her?
I. Enrollment requests can only be made in face-to-face interviews or by mail.
II. Telephone enrollment request calls must be recorded.
III. Telephonic enrollments must include all required elements necessary to complete an
enrollment.
IV. The signature element must be completed via certified mail. - ✔✔II and III only
✔✔Mrs. Reynolds is in her Medicare initial coverage election period (ICEP) and the
date of her entitlement to Part A and B has already occurred. Mrs. Reynolds has just
signed up for a Medicare Advantage plan on the second of the month. She is leaving for
vacation in two weeks and wants to know if her new coverage will start before she
leaves. What should you tell her? - ✔✔Typically, her coverage would begin on the first
day of the next month, so she should not expect her coverage to begin before she
leaves.
✔✔Mr. Fitzgerald is selling his home to permanently move into a retirement facility near
his daughter in a neighboring state before the Annual Election Period. He has a stand-
alone prescription drug plan and has learned it is not available where he is moving. He
