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Melissa Meadows is a marketing representative for Best Care which has recently
introduced a Medicare Advantage plan offering comprehensive dental benefits for $15
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per month. Best Care has not submitted any potential posts to CMS for approval.
Melissa would like to use the power of social media to reach potential prospects. What
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advice would you give her?correct answersAs soon as CMS approves Best Care's
social media posts, Agent Meadows could post a tweet stating that "Best Care offers an
array of Medicare Advantage benefit packages. One might be right for you. Call me to
find out more!"
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?correct answersYes. 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
answersMarketing representatives may initiate electronic contact through e-mail but an
opt-out process must be provided.
Miguel Sanchez is a relatively new agent who has come to you for advice as to what he
can do during the Medicare Advantage Open Enrollment Period (MA-OEP). What
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advice should you give Miguel?correct answersDuring the MA-OEP, Miguel can have
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one-on-one meetings with beneficiaries who have requested such meetings.
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ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
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information to market non-health related products such as life insurance and annuities.
Which statement best describes ABC's obligation to its enrollees regarding marketing
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such products?correct answersIt must obtain a HIPAA complaint authorization from an
enrollee that indicates the plan or plan sponsor may use their information for marketing
purposes.
You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns?correct answersTell her that Medicare guidelines allow you to conduct
marketing activities in common areas of a provider's facility.
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 answersTell her that the Medicare agency does not endorse or
recommend any plan.
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
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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
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best describes the marketing and compliance rules that apply to Agent
Armstrong?correct answersAgent Armstrong needs to be licensed and appointed in
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every state in which beneficiaries to whom he markets ABC MA plans are located.
You have been providing a pre-Thanksgiving meal during sales presentations in
November for many years and your clients look forward to attending this annual event.
When marketing Medicare Advantage and Part D plans, what are you permitted to do
with respect to meals?correct answersYou may provide light snacks, but a Thanksgiving
style meal would be prohibited, regardless of who provides or pays for the meal.
Next week you will be participating in your first "educational event" for prospective
enrollees. To be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage?correct answersYou should plan to ensure that the
educational event is an informative event and must not conduct a sales presentation or
distribute or accept enrollment forms at the event.
You are working several plans and community organizations to sponsor an educational
event. When putting together advertisements for this event, what should you do?correct
answersYou must ensure that the advertisements indicate it is an educational event,
otherwise it will be considered a marketing event.
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Another agent you know has engaged in misconduct that has been verified by the plan
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she represented. What sort of penalty might the plan impose on this individual?correct
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answersThe plan may withhold commission, require retraining, report the misconduct to
a state department of insurance or terminate the contract.
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You are seeking to represent an individual Medicare Advantage plan and an individual
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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?correct answersYou will not be able to represent any Medicare
Advantage or Part D plan until you complete the training and achieve an adequate
score. However, you will not have to take a test if you exclusively market
employer/union group plans and the companies do not require testing.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members?correct answersMarket non-health related items or services
such as life insurance or annuities policies to current members as permitted following
HIPAA Privacy Rules.
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work
and is covered by an employer health plan, he has not enrolled in Part B or Part D. He
receives a notice on June 1 that his employer is cutting back on prescription drug
benefits and that as of July 1 his coverage will no longer be creditable. He has come to
you for advice. What advice would you give Mr. Rockwell about special election periods
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Melissa Meadows is a marketing representative for Best Care which has recently
introduced a Medicare Advantage plan offering comprehensive dental benefits for $15
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per month. Best Care has not submitted any potential posts to CMS for approval.
Melissa would like to use the power of social media to reach potential prospects. What
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advice would you give her?correct answersAs soon as CMS approves Best Care's
social media posts, Agent Meadows could post a tweet stating that "Best Care offers an
array of Medicare Advantage benefit packages. One might be right for you. Call me to
find out more!"
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?correct answersYes. 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
answersMarketing representatives may initiate electronic contact through e-mail but an
opt-out process must be provided.
Miguel Sanchez is a relatively new agent who has come to you for advice as to what he
can do during the Medicare Advantage Open Enrollment Period (MA-OEP). What
e
ie
advice should you give Miguel?correct answersDuring the MA-OEP, Miguel can have
di
one-on-one meetings with beneficiaries who have requested such meetings.
ird
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees'
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information to market non-health related products such as life insurance and annuities.
Which statement best describes ABC's obligation to its enrollees regarding marketing
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such products?correct answersIt must obtain a HIPAA complaint authorization from an
enrollee that indicates the plan or plan sponsor may use their information for marketing
purposes.
You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns?correct answersTell her that Medicare guidelines allow you to conduct
marketing activities in common areas of a provider's facility.
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 answersTell her that the Medicare agency does not endorse or
recommend any plan.
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
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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
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best describes the marketing and compliance rules that apply to Agent
Armstrong?correct answersAgent Armstrong needs to be licensed and appointed in
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every state in which beneficiaries to whom he markets ABC MA plans are located.
You have been providing a pre-Thanksgiving meal during sales presentations in
November for many years and your clients look forward to attending this annual event.
When marketing Medicare Advantage and Part D plans, what are you permitted to do
with respect to meals?correct answersYou may provide light snacks, but a Thanksgiving
style meal would be prohibited, regardless of who provides or pays for the meal.
Next week you will be participating in your first "educational event" for prospective
enrollees. To be sure that you do not violate any of the applicable guidelines, in what
activities should you plan to engage?correct answersYou should plan to ensure that the
educational event is an informative event and must not conduct a sales presentation or
distribute or accept enrollment forms at the event.
You are working several plans and community organizations to sponsor an educational
event. When putting together advertisements for this event, what should you do?correct
answersYou must ensure that the advertisements indicate it is an educational event,
otherwise it will be considered a marketing event.
e
ie
Another agent you know has engaged in misconduct that has been verified by the plan
di
she represented. What sort of penalty might the plan impose on this individual?correct
ird
answersThe plan may withhold commission, require retraining, report the misconduct to
a state department of insurance or terminate the contract.
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You are seeking to represent an individual Medicare Advantage plan and an individual
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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?correct answersYou will not be able to represent any Medicare
Advantage or Part D plan until you complete the training and achieve an adequate
score. However, you will not have to take a test if you exclusively market
employer/union group plans and the companies do not require testing.
Plan sponsors may undertake the following marketing activities with current Medicare
Advantage plan members?correct answersMarket non-health related items or services
such as life insurance or annuities policies to current members as permitted following
HIPAA Privacy Rules.
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work
and is covered by an employer health plan, he has not enrolled in Part B or Part D. He
receives a notice on June 1 that his employer is cutting back on prescription drug
benefits and that as of July 1 his coverage will no longer be creditable. He has come to
you for advice. What advice would you give Mr. Rockwell about special election periods
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