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AHIP MODULE 4 QUIZ QUESTIONS WITH 100%
CORRECT SOLUTIONS 2025 (ALREADY GRADED A+).
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? - (answers)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? - (answers)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 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? - (answers)You must submit your materials to the plan you
represent, so CMS can review and approve the materials to ensure they are
accurate.
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? - (answers)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
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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. What could you say to her? - (answers)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.
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - (answers)Medicare health plans must comply with
requests for information from state insurance departments investigating
complaints about a marketing representative.
Next week you will be participating in your First educational event. In order to be
sure that you do not violate any of the applicable guidelines, in what activities
should you plan to engage? - (answers)You should plan to ensure that the
educational event is a social event, and must NOT conduct a sales presentation or
distribute or accept enrollment forms at the event.
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? - (answers)Agent Armstrong needs to be
AHIP MODULE 4 QUIZ QUESTIONS WITH 100%
CORRECT SOLUTIONS 2025 (ALREADY GRADED A+).
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? - (answers)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? - (answers)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 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? - (answers)You must submit your materials to the plan you
represent, so CMS can review and approve the materials to ensure they are
accurate.
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? - (answers)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
, 2|Page
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. What could you say to her? - (answers)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.
Which of the following is a correct statement about state laws as they pertain to
marketing representatives? - (answers)Medicare health plans must comply with
requests for information from state insurance departments investigating
complaints about a marketing representative.
Next week you will be participating in your First educational event. In order to be
sure that you do not violate any of the applicable guidelines, in what activities
should you plan to engage? - (answers)You should plan to ensure that the
educational event is a social event, and must NOT conduct a sales presentation or
distribute or accept enrollment forms at the event.
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? - (answers)Agent Armstrong needs to be
