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AHIP 2025-2026| FINAL EXAM TEST QUESTIONS
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 - Agent Armstrong needs to
be licensed and appointed in every state in which beneficiaries to whom
he markets ABC MA plans are located.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that
mentions plan-specific premiums. Is this a prohibited activity at an event
that has been advertised as educational? - CORRECT ANSWER - Yes.
When an event has been advertised as "educational," discussing plan-
specific premiums is impermissible.
Agent Martinez wishes to solicit Medicare Advantage prospects through
e-mail and asks you for advice as to whether this is possible. What
should you tell her? - CORRECT ANSWER - Marketing representatives
may initiate electronic contact through e-mail but the subject line must
say "marketing" and an opt-out process must be provided.
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Alice is enrolled in a MA-PD plan. She makes a permanent move across
the country and wonders what her options are for continuing MA-PD
coverage. What would you say to her in regard to a special enrollment
period (SEP)? - CORRECT ANSWER - She is likely to qualify for a SEP.
She can choose an effective date of up to three months after the month
in which the enrollment form is received by the new plan, but the
effective date may not be earlier than the date of her permanent move.
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 - 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.
During a sales presentation, your client asks you whether the Medicare
agency recommends that she sign up for your plan or stay in Original
Medicare. What should you tell her? - CORRECT ANSWER - Tell her
that the Medicare agency does not endorse or recommend any plan.
Mr. and Mrs. Nunez attended one of your sales presentations. They've
asked you to come to their home to clear up a few questions. During the
presentation, Mrs. Nunez feels tired and tells you that her husband can
finish things up. She goes to bed. At the end of your discussion, Mr.
Nunez says that he wants to enroll both himself and his wife. What
should you do? - CORRECT ANSWER - As long as she is able to do so,
AHIP 2025-2026| FINAL EXAM TEST QUESTIONS
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 - Agent Armstrong needs to
be licensed and appointed in every state in which beneficiaries to whom
he markets ABC MA plans are located.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that
mentions plan-specific premiums. Is this a prohibited activity at an event
that has been advertised as educational? - CORRECT ANSWER - Yes.
When an event has been advertised as "educational," discussing plan-
specific premiums is impermissible.
Agent Martinez wishes to solicit Medicare Advantage prospects through
e-mail and asks you for advice as to whether this is possible. What
should you tell her? - CORRECT ANSWER - Marketing representatives
may initiate electronic contact through e-mail but the subject line must
say "marketing" and an opt-out process must be provided.
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Alice is enrolled in a MA-PD plan. She makes a permanent move across
the country and wonders what her options are for continuing MA-PD
coverage. What would you say to her in regard to a special enrollment
period (SEP)? - CORRECT ANSWER - She is likely to qualify for a SEP.
She can choose an effective date of up to three months after the month
in which the enrollment form is received by the new plan, but the
effective date may not be earlier than the date of her permanent move.
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 - 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.
During a sales presentation, your client asks you whether the Medicare
agency recommends that she sign up for your plan or stay in Original
Medicare. What should you tell her? - CORRECT ANSWER - Tell her
that the Medicare agency does not endorse or recommend any plan.
Mr. and Mrs. Nunez attended one of your sales presentations. They've
asked you to come to their home to clear up a few questions. During the
presentation, Mrs. Nunez feels tired and tells you that her husband can
finish things up. She goes to bed. At the end of your discussion, Mr.
Nunez says that he wants to enroll both himself and his wife. What
should you do? - CORRECT ANSWER - As long as she is able to do so,
