AHIP 2025 MODULE 4 QUESTIONS WITH
CORRECT ANSWERS
n Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings
distributes materials that are solely educational. 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?
- Yes. Whether or not an event has been advertised as "educational" or a "sales presentation," discussing
plan-specific information is impermissible.
You are meeting with Mrs. Hall in her home. On her scope of appointment form, she asked to discuss
Medicare Advantage plans. During the meeting, she asked to discuss a stand-alone prescription drug
plan. She is leaving the next day to visit her family for a week in another state, so she needs to decide
before she leaves. What must happen before that additional discussion can take place? - Since Mrs. Hall
specifically asked that you discuss the stand-alone Part D plan, you may do so, as long as she signs a new
scope of appointment form first, indicating that she wants to discuss the Part D plan.
During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a 5-star rating in
customer service and care coordination, and received an overall plan performance rating of a 4-star,
which of the following would be the best statement to say to her? - The Medicare Advantage plan
received a 5-star rating in customer service and care coordination with an overall performance rating of
4 stars.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - Winthrop Brokerage does not need to submit the advertisement to CMS for prior
approval because it does not include information about the plans' benefits structures, cost-sharing, or
information about measures or ranking standards.
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the MA and Part D marketing
appointments? - You can present only health care related lines of business but must obtain the
beneficiary's permission to do so before the presentation occurs and document that you have obtained
that permission.
Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at
meeting the needs of senior citizens. Client Mildred Jones has expressed interest in a Medicare
Advantage plan. It is now the beginning of September. If you were in Agent Walker's position, what
would you do? - Inquire whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on October 15th.
By contacting plans available in your area, you have learned that the plan you represent has a
significantly lower monthly premium than the others. Furthermore, you see that the plan you represent
has a unique benefits package. What should you do to make sure your clients know about these pieces
CORRECT ANSWERS
n Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent Jennings
distributes materials that are solely educational. 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?
- Yes. Whether or not an event has been advertised as "educational" or a "sales presentation," discussing
plan-specific information is impermissible.
You are meeting with Mrs. Hall in her home. On her scope of appointment form, she asked to discuss
Medicare Advantage plans. During the meeting, she asked to discuss a stand-alone prescription drug
plan. She is leaving the next day to visit her family for a week in another state, so she needs to decide
before she leaves. What must happen before that additional discussion can take place? - Since Mrs. Hall
specifically asked that you discuss the stand-alone Part D plan, you may do so, as long as she signs a new
scope of appointment form first, indicating that she wants to discuss the Part D plan.
During a sales presentation to Ms. Daley for a Medicare Advantage plan that has a 5-star rating in
customer service and care coordination, and received an overall plan performance rating of a 4-star,
which of the following would be the best statement to say to her? - The Medicare Advantage plan
received a 5-star rating in customer service and care coordination with an overall performance rating of
4 stars.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - Winthrop Brokerage does not need to submit the advertisement to CMS for prior
approval because it does not include information about the plans' benefits structures, cost-sharing, or
information about measures or ranking standards.
While making an appointment to discuss Medicare Advantage (MA) and Part D plans with a potential
enrollee, you are asked to describe other types of insurance products that your client might wish to
purchase. What additional types of insurance can you present during the MA and Part D marketing
appointments? - You can present only health care related lines of business but must obtain the
beneficiary's permission to do so before the presentation occurs and document that you have obtained
that permission.
Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at
meeting the needs of senior citizens. Client Mildred Jones has expressed interest in a Medicare
Advantage plan. It is now the beginning of September. If you were in Agent Walker's position, what
would you do? - Inquire whether the client qualifies for a special enrollment period, and if not, solicit an
enrollment application once the annual open enrollment election period begins on October 15th.
By contacting plans available in your area, you have learned that the plan you represent has a
significantly lower monthly premium than the others. Furthermore, you see that the plan you represent
has a unique benefits package. What should you do to make sure your clients know about these pieces
