AHIP Module 4| 2025-2026 LATEST UPDATED| 50 ACTUAL
EXAM COMPLETE QUESTIONS AND ANSWERS | 100%
RATED CORRECT | 100% VERFIED | 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? - (answer)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?
- (answer)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? -
,(answer)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? - (answer)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.
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? - (answer)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? - (answer)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? - (answer)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? - (answer)Agent Armstrong needs to be licensed and
appointed in every state in which beneficiaries to whom he markets ABC MA plans
are located.
EXAM COMPLETE QUESTIONS AND ANSWERS | 100%
RATED CORRECT | 100% VERFIED | 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? - (answer)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?
- (answer)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? -
,(answer)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? - (answer)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.
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? - (answer)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? - (answer)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? - (answer)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? - (answer)Agent Armstrong needs to be licensed and
appointed in every state in which beneficiaries to whom he markets ABC MA plans
are located.
