AHIP CERTIFICATION

AHIP CERTIFICATION - PART
4QUESTIONS WITH CORRECT
ANSWERS 2025/2026
AcorrectAanswersMr.APrenticeAhasAmanyAclientsAwhoAareAMedicareAbeneficiaries.AHeAshouldAre
viewAtheACentersAforAMedicareA&AMedicaidAServices'AMarketingAGuidelinesAtoAensureAheAisAco
mpliantAforAwhichAtypeAofAproducts?A



a.AMedigapAplansA
A



b.AMedicareAAdvantageA(MA)AandAPrescriptionADrugA(PDP)AplansA
A



c.ASectionA1332AwaiverAplans.A
A



d.ALong-TermACareApoliciesAforAMedicareAbeneficiaries
A



cA-
AcorrectAanswersAnotherAagentAworkingAforAyourAagencyAclaimsAthatAbecauseAyouAareAnotAem


ployedAbyAtheAMedicareAAdvantageAplansAthatAyouArepresent,AyouAareAnotAsubjectAtoAtheAsam
eArequirementsAasAtheAplansAthemselves.AHowAshouldAyouArespondAtoAsuchAaAstatement?



a.AYourAcoworkerAisAcorrect.AYouAmayAuseAanyAmarketingAtechniquesAthatAdoAnotAinvolveAprovi
A


dingAmisinformationAtoApotentialAenrollees.A

Ab.AYourAcoworkerAisAcorrectAbecauseAemployedAagentsAhaveAtoAfollowAaAstricterAsetAofArulesAth
anAdoAindependentAagents,AsuchAasAyourself.A

c.AYourAcoworkerAisAnotAcorrect.AMarketingAonAbehalfAofAaAplanAisAconsideredAmarketingAbyAth
A


eAplanAandArequiresAthatAallAcontractedAandAemployedAagentsAcomplyAwithAallAMedicareAmark
etingArules.A

Ad.AYourAcoworkerAisAcorrect.AYouAareAsubjectAonlyAtoArequirementsAissuedAbyAyourAstateAdepar
tmentAofAinsurance.

cA-
AcorrectAanswersYouAworkAforAaAcompanyAthatAhasAmarketedAMedigapAproductsAforAmanyAyea


rs.ATheAcompanyAhasAaddedAMedicareAAdvantageAandAPartADAplansAandAyouAwillAbeginAmarket
ingAthoseAplansAthisAfall.AYouAareAplanningAwhatAmaterialsAtoAuseAtoAeasilyAshowAtheAdifference
sAinAbenefits,ApremiumsAandAcostAsharingAforAeachAofAtheAproducts.AWhatAdoAyouAneedAtoAdoA
withAyourAmaterialsAbeforeAusingAthemAforAmarketingApurposes?

,a.AOnlyAscriptsAandAmarketingApracticesAmustAbeAapprovedAbyACMS,AsoAyouAdoAnotAneedAtoAd
A


oAanythingAfurtherAwithAyourAmarketingAmaterials,AasAlongAasAyouAmakeAthemAavailableAtoAany
oneAwhoAattendsAtheAmarketingAeventA

Ab.AYouAdoAnotAneedAtoAgetACMSAapprovalAofAtheAmaterials,AsoAlongAasAtheAmaterialsAareAnotAm
isleadingAorAmateriallyAinaccurate.A

c.AYouAmustAsubmitAyourAmaterialsAtoAtheAplanAyouArepresent,AsoACMSAcanAreviewAandAapprov
A


eAtheAmaterialsAtoAensureAtheyAareAaccurate.A

Ad.AYouAneedAtoAincludeAaAstatementAthatAtheAplansAyouAareAmarketingAareAapprovedAbyAtheAC
entersAforAMedicareA&AMedicaidAServicesAandAtheADepartmentAofAHealthAandAHumanAServices
.

dA-
AcorrectAanswersWhichAofAtheAfollowingAisAaAcorrectAstatementAaboutAstateAlawsAasAtheyAperta


inAtoAmarketingArepresentatives?A



a.AStateAlicensureAlawsAareApre-
A


emptedAandAdoAnotAapplyAtoAmarketingArepresentativesAmarketingAMAAandAPartADAplansA

Ab.APlanAsponsorsAcanAuseAanyAmarketingArepresentative,AasAlongAasAtheyAareAlicensedAinAatAlea
stAoneAstate.A

c.APlansAmustAcontractAonlyAwithAmarketingArepresentativesAwhoAresideAinAtheAstateAwhereAth
A


eyAintendAtoAwork.A

d.AMedicareAhealthAplansAmustAcomplyAwithArequestsAforAinformationAfromAstateAinsuranceAd
A


epartmentsAinvestigatingAcomplaintsAaboutAaAmarketingArepresentative.

bA-
AcorrectAanswersYouAareAseekingAtoArepresentAanAindividualAMedicareAAdvantageAplanAandAanA


individualAPartADAplanAinAyourAstate.AYouAhaveAcompletedAtheArequiredAtrainingAforAeachAplan,A
butAyouAdidAnotAachieveAaApassingAscoreAonAtheAtestsAthatAcameAafterAtheAtraining.AWhatAcanAy
ouAdoAinAthisAsituation?A



a.AYourAnameAwillAbeAregisteredAwithAtheAMedicareAagencyAbyAtheAplansAyouAareAseekingAtoAre
A


presentAandAyouAwillAbeAunableAtoAcontractAwithAanyAMedicareAAdvantageAorAPartADAplan.A

Ab.AYouAwillAnotAbeAableAtoArepresentAanyAMedicareAAdvantageAorAPartADAplanAuntilAyouAcompl
eteAtheAtrainingAandAachieveAanAadequateAscore,AalthoughAyouAwillAnotAhaveAtoAtakeAaAtestAifAy
ouAexclusivelyAmarketAemployer/unionAgroupAplansAandAtheAcompaniesAdoAnotArequireAtestin
g.A

, c.AYouAwillAhaveAtoAattendAoneAofAseveralAremedialAtrainingAeventsAsponsoredAbyAtheAMedicar
A


eAagencyAbeforeAbeingAallowedAtoAretakeAtheAtest.A

d.AYouAwillAhaveAtoArepeatAtheAtestsAinAthreeAmonths,AbutAmayAbeginAenrollingAbeneficiariesAw
A


hileAyouAareAwaiting.

cA-
AcorrectAanswersYourAcolleagueAworksAatAaAthirdApartyAmarketingAorganizationA(TMO)AandAshe


AsaidAsheAdidAnotAneedAtoAtakeAtheAMedicareAtrainingAforAbrokersAandAagentsAorApassAaAtestAtoA


marketAMedicareAplansAsinceAherAcontractAisAwithAtheATMO,AnotAtheAplansAthatAhaveAtheAprod
uctsAsheAsells.AWhatAcouldAyouAsayAtoAher?



a.AYouAcouldAtellAherAsheAisAwrongAandAthatAonlyAagentsAemployedAbyAtheAplansAareAexemptAfr
A


omAtrainingAandAtestingArequirements.A

b.AYouAcouldAtellAherAsheAisArightAandAaskAifAyouAcouldAgetAaAcontractAwithAtheATMOAtoo.A
A



Ac.AYouAcouldAtellAherAsheAisAwrong,AandAthatAonlyAagentsAsellingAemployer/unionAgroupAplansA
areApermittedAanAexemptionAfromAtesting,AbutAsomeAemployer/unionAgroupAplansAmayArequir
eAtestingAtoApromoteAagentAcomplianceAwithACMSAmarketingArequirements.A

Ad.AYouAcouldAtellAherAsheAwasAright,AbutAnewArulesAwillArequireAherAtoAtakeAtheAtrainingAandApa
ssAtheAtestAatAleastAeveryAotherAyear.

dA-
AcorrectAanswersAgentAArmstrongAisAemployedAbyAXYZAAgency,AwhichAisAunderAcontractAwithA


ABCAHealthAPlan,AaAMedicareAAdvantageA(MA)AplanAthatAoffersAplansAinAmultipleAstates.AXYZAA
gencyAmaintainsAaAwebsiteAmarketingAtheAMAAplansAwithAwhichAitAhasAcontracts.AAgentAArmst
rongAfollowsAupAwithAindividualsAwhoArequestAmoreAinformationAaboutAABCAMAAplansAviaAtheA
websiteAandAtriesAtoApersuadeAthemAtoAenrollAinAABCAplans.AWhatAstatementAbestAdescribesAt
heAmarketingAandAcomplianceArulesAthatAapplyAtoAAgentAArmstrong?



a.AAgentAArmstrongAneedsAtoAbeAlicensedAandAappointedAonlyAinAhisAstateAofAresidence.A
A



Ab.AAgentAArmstrongAneedsAtoAbeAlicensedAandAappointedAonlyAinAtheAstateAwhereAABCAHealth
APlanAisAheadquartered.A



Ac.AAgentAArmstrongAneedsAtoAbeAlicensedAandAappointedAonlyAinAtheAstateAwhereAXYZAAgencyA
isAheadquartered.A

Ad.AAgentAArmstrongAneedsAtoAbeAlicensedAandAappointedAinAeveryAstateAinAwhichAbeneficiarie
sAtoAwhomAheAmarketsAABCAMAAplansAareAlocated.