AHIP TRAINING MODULE 4 MARKETING EXAM
WITH QUESTIONS & VERIFIED ANSWERS
GRADED A+
PRENTICE has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare and Medicaid Services' Marketing guidelines to ensure he
is compliant for which type of products? - ANSWER-MA and PDP
Another agent working for your agency claims that because you are not employed
by the MA plans that you represent, you are not subject to the same requirements
as the plans themselves. - 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.
You work for a company that has marketed Medigap products for many years. The
company has added MA and Part D plans and you will begin marketing those plans
this fall. You are planning what materials to use to easily show the difference 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? - ANSWER-
You must submit your materials to the plan you represent, so CMS can review and
approve the materials to ensure they are accurate.
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - ANSWER-Medicare health plans must comply with
requests for information from state insurance departments investigating complaints
about a marketing representative.
You are seeking to represent an individual MA 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? - ANSWER-You will NOT be able to represent any MA or
Part D plan until you compete 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.
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. - 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.
During a sales presentation to Ms. Daley for MA 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 correct statement to say to
her? - ANSWER-The MA plan received a 5 star rating in customer service and
care coordination with an overall performance rating of 4 stars.
During a sales presentation, you client ask you whether the Medicare agency
recommends that she sign up for your plan or stay in Original Medicare. -
ANSWER-Tell her that the Medicare agency does not endorse or recommend any
plan.
Medicare health plan establish provisions in marketing representative contracts to
ensure compliance with applicable laws and policies. If non-compliance occurs,
CMS can penalize a plan in which of the following ways? - ANSWER-CMS
requires plan sponsors to create and complete a corrective action plan and may
terminate a sponsor's contract.
You have set up an appointment for an in-home sales presentation with Mrs.
Fowler, who expressed interest in the Medicare plans you represent. In preparation
WITH QUESTIONS & VERIFIED ANSWERS
GRADED A+
PRENTICE has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare and Medicaid Services' Marketing guidelines to ensure he
is compliant for which type of products? - ANSWER-MA and PDP
Another agent working for your agency claims that because you are not employed
by the MA plans that you represent, you are not subject to the same requirements
as the plans themselves. - 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.
You work for a company that has marketed Medigap products for many years. The
company has added MA and Part D plans and you will begin marketing those plans
this fall. You are planning what materials to use to easily show the difference 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? - ANSWER-
You must submit your materials to the plan you represent, so CMS can review and
approve the materials to ensure they are accurate.
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - ANSWER-Medicare health plans must comply with
requests for information from state insurance departments investigating complaints
about a marketing representative.
You are seeking to represent an individual MA 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? - ANSWER-You will NOT be able to represent any MA or
Part D plan until you compete 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.
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. - 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.
During a sales presentation to Ms. Daley for MA 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 correct statement to say to
her? - ANSWER-The MA plan received a 5 star rating in customer service and
care coordination with an overall performance rating of 4 stars.
During a sales presentation, you client ask you whether the Medicare agency
recommends that she sign up for your plan or stay in Original Medicare. -
ANSWER-Tell her that the Medicare agency does not endorse or recommend any
plan.
Medicare health plan establish provisions in marketing representative contracts to
ensure compliance with applicable laws and policies. If non-compliance occurs,
CMS can penalize a plan in which of the following ways? - ANSWER-CMS
requires plan sponsors to create and complete a corrective action plan and may
terminate a sponsor's contract.
You have set up an appointment for an in-home sales presentation with Mrs.
Fowler, who expressed interest in the Medicare plans you represent. In preparation
