AHIP 2023 MODULE 4 QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS
2024
This year you have decided to focus your efforts on marketing to employer group plans. One employer
provides you with a list of their retirees and asks you to contact them to explain the characteristics of the
plan they have selected. What should you do? - ANSWER You may go ahead and call them.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - ANSWER Winthrop Brokerage does not need to submit the advertisement to CMS
for prior approval because it does not include information about the plans' benefits structures, cost-
sharing, or information about measures or ranking standards.
BestCare Health Plan has received a request from a state insurance department in connection with the
investigation of several marketing representatives licensed by the state who sell Medicare Advantage
plans. What action(s) should BestCare take in response? - ANSWER Cooperate with the state and supply
requested information.
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? - ANSWER The Medicare Advantage
plan received a 5-star rating in customer service and care coordination with an overall performance
rating of 4-stars.
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? - ANSWER 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.
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the MA and Part D marketing
appointment? - ANSWER You can present only health care related lines of business but must obtain the
ANSWERS WITH VERIFIED SOLUTIONS
2024
This year you have decided to focus your efforts on marketing to employer group plans. One employer
provides you with a list of their retirees and asks you to contact them to explain the characteristics of the
plan they have selected. What should you do? - ANSWER You may go ahead and call them.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - ANSWER Winthrop Brokerage does not need to submit the advertisement to CMS
for prior approval because it does not include information about the plans' benefits structures, cost-
sharing, or information about measures or ranking standards.
BestCare Health Plan has received a request from a state insurance department in connection with the
investigation of several marketing representatives licensed by the state who sell Medicare Advantage
plans. What action(s) should BestCare take in response? - ANSWER Cooperate with the state and supply
requested information.
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? - ANSWER The Medicare Advantage
plan received a 5-star rating in customer service and care coordination with an overall performance
rating of 4-stars.
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? - ANSWER 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.
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the MA and Part D marketing
appointment? - ANSWER You can present only health care related lines of business but must obtain the
