AHIP module 4 Newest Exam 2024
Agent Antonio is preparing for a presentation on Medicare and Medicare
Advantage before a local senior citizen civic group where he hopes to enroll some
attendees. Which of the following steps should he take in order to be in
compliance with Medicare marketing rules? - Correct Answer-a. Antonio should
include on the invitation a statement that a salesperson will be present with
information and applications. Correct
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - Correct Answer-d. Medicare health plans must
comply with requests for information from state insurance departments
investigating complaints about a marketing representative. Correct
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. What could you say to her? - Correct Answer-d.
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. Correct
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-c. Agent Armstrong needs
to be licensed and appointed in every state in which beneficiaries to whom he
markets ABC MA plans are located. Correct
, Mr. Prentice has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he
is compliant for which type of products? - Correct Answer-c. Medicare Advantage
(MA) and Prescription Drug (PDP) plans Correct
You are seeking to represent an individual Medicare Advantage 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? - Correct Answer-a. You will not be
able to represent any Medicare Advantage or Part D plan until you complete 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. Correct
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-c. 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. Correct
You work for a company that has marketed Medigap products for many years.
The company has added Medicare Advantage and Part D plans and you will begin
marketing those plans this fall. You are planning what materials to use to easily
show the differences 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? - Correct Answer-b. You must submit your materials to the
plan you represent, so CMS can review and approve the materials to ensure they
are accurate. Correct
Agent Antonio is preparing for a presentation on Medicare and Medicare
Advantage before a local senior citizen civic group where he hopes to enroll some
attendees. Which of the following steps should he take in order to be in
compliance with Medicare marketing rules? - Correct Answer-a. Antonio should
include on the invitation a statement that a salesperson will be present with
information and applications. Correct
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - Correct Answer-d. Medicare health plans must
comply with requests for information from state insurance departments
investigating complaints about a marketing representative. Correct
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. What could you say to her? - Correct Answer-d.
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. Correct
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-c. Agent Armstrong needs
to be licensed and appointed in every state in which beneficiaries to whom he
markets ABC MA plans are located. Correct
, Mr. Prentice has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he
is compliant for which type of products? - Correct Answer-c. Medicare Advantage
(MA) and Prescription Drug (PDP) plans Correct
You are seeking to represent an individual Medicare Advantage 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? - Correct Answer-a. You will not be
able to represent any Medicare Advantage or Part D plan until you complete 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. Correct
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-c. 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. Correct
You work for a company that has marketed Medigap products for many years.
The company has added Medicare Advantage and Part D plans and you will begin
marketing those plans this fall. You are planning what materials to use to easily
show the differences 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? - Correct Answer-b. You must submit your materials to the
plan you represent, so CMS can review and approve the materials to ensure they
are accurate. Correct
