2026 AHIP (FWA) Module – Discrimination, Fraud,
Waste & Abuse Exam Questions & Verified Answers
(CMS-Aligned Study Guide
What’s Inside
• Actual AHIP 2026 FWA and Discrimination module
questions with verified answers
• Fully aligned with the Centers for Medicare &
Medicaid Services (CMS) and AHIP guidelines
• Verified answers with concise rationales for quick
understanding
• Designed to mirror the style and difficulty of the
AHIP certification module quizzes
**1. Under ACA Section 1557, a health plan premium sold through a
state exchange may, based on an individual’s age and: charge higher
premiums.**
,**A. National origin**
**B. Sex**
**C. Age**
**D. Race**
**Correct Answer:** C. Age
**Rationale:** Section 1557 allows health plans to use age as a rating
factor in premium calculation, consistent with federal regulations; other
personal characteristics (race, national origin, sex) may not ethically or
legally influence premiums.
---
**2. As a result of violations of ACA Section 1557 nondiscrimination
rules,: a health plan may revoke an agent or broker’s appointment with
the health plan.**
**A. No consequence**
**B. May revoke agent or broker’s appointment**
**C. Increase commissions**
**D. Cover additional benefits**
, **Correct Answer:** B. May revoke agent or broker’s appointment
**Rationale:** Health plans are required to maintain compliance across all
channels, including agents or brokers, and may revoke appointments for
noncompliance to avoid organizational liability.
---
**3. ACA Section 1557 rules for disability concern: policies and
procedures, physical access, and communication.**
**A. Only policies and procedures**
**B. Only physical access**
**C. Physical access, policies and procedures, and communication**
**D. Only communication**
**Correct Answer:** C. Physical access, policies and procedures, and
communication
**Rationale:** Section 1557 mandates non-discrimination at multiple
operational levels, prominently including accessible policies, physical
locations, and communication supports for individuals with disabilities.
---
Waste & Abuse Exam Questions & Verified Answers
(CMS-Aligned Study Guide
What’s Inside
• Actual AHIP 2026 FWA and Discrimination module
questions with verified answers
• Fully aligned with the Centers for Medicare &
Medicaid Services (CMS) and AHIP guidelines
• Verified answers with concise rationales for quick
understanding
• Designed to mirror the style and difficulty of the
AHIP certification module quizzes
**1. Under ACA Section 1557, a health plan premium sold through a
state exchange may, based on an individual’s age and: charge higher
premiums.**
,**A. National origin**
**B. Sex**
**C. Age**
**D. Race**
**Correct Answer:** C. Age
**Rationale:** Section 1557 allows health plans to use age as a rating
factor in premium calculation, consistent with federal regulations; other
personal characteristics (race, national origin, sex) may not ethically or
legally influence premiums.
---
**2. As a result of violations of ACA Section 1557 nondiscrimination
rules,: a health plan may revoke an agent or broker’s appointment with
the health plan.**
**A. No consequence**
**B. May revoke agent or broker’s appointment**
**C. Increase commissions**
**D. Cover additional benefits**
, **Correct Answer:** B. May revoke agent or broker’s appointment
**Rationale:** Health plans are required to maintain compliance across all
channels, including agents or brokers, and may revoke appointments for
noncompliance to avoid organizational liability.
---
**3. ACA Section 1557 rules for disability concern: policies and
procedures, physical access, and communication.**
**A. Only policies and procedures**
**B. Only physical access**
**C. Physical access, policies and procedures, and communication**
**D. Only communication**
**Correct Answer:** C. Physical access, policies and procedures, and
communication
**Rationale:** Section 1557 mandates non-discrimination at multiple
operational levels, prominently including accessible policies, physical
locations, and communication supports for individuals with disabilities.
---
