AHIP Module 4 ACTUAL Exam Questions
and CORRECT Answers
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
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
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
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
, 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
You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an
idea of how many people to expect, so you would like to request RSVPs. What should you keep
in mind? - CORRECT ANSWER - d. You may request RSVPs, but you are not permitted
to require contact information. 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
You have set up an appointment for an in-home sales presentation with Mrs. Fernandez, who
expressed interest in the Medicare plans you represent. In preparation for the sales presentation,
what must you do? - CORRECT ANSWER - c. Prior to conducting the presentation,
obtain, and document having obtained her permission to visit, along with her interest in the
specific products you will present. Correct
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a Medicare
Advantage plan. She agreed to sign a scope of appointment form and meet with you October 15.
During the appointment, what are you permitted to do? - CORRECT ANSWER - c. You
and CORRECT Answers
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
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
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
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
, 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
You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an
idea of how many people to expect, so you would like to request RSVPs. What should you keep
in mind? - CORRECT ANSWER - d. You may request RSVPs, but you are not permitted
to require contact information. 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
You have set up an appointment for an in-home sales presentation with Mrs. Fernandez, who
expressed interest in the Medicare plans you represent. In preparation for the sales presentation,
what must you do? - CORRECT ANSWER - c. Prior to conducting the presentation,
obtain, and document having obtained her permission to visit, along with her interest in the
specific products you will present. Correct
Mrs. Lu is turning 65 in November and called to ask for your help deciding on a Medicare
Advantage plan. She agreed to sign a scope of appointment form and meet with you October 15.
During the appointment, what are you permitted to do? - CORRECT ANSWER - c. You
