, AHIP - DISCRIMINATION, FRAUD,
WASTE, & ABUSE – 2026 – STUDY
GUIDE (EXAM STYLE WITH ANSWERS
& RATIONALES)
SAVE
ACA Section 1557 & Compliance – Study Guide (Exam Style with Answers & Rationales)
1. Under ACA Section 1557, a health plan premium sold through a state exchange may, based
on an individual’s age and:
CORRECT ANSWER: Charge higher premiums
Rationale: Section 1557 permits age-based rating in certain ACA-compliant structures, meaning
premiums can vary by age within regulatory limits.
2. As a result of violations of ACA Section 1557 nondiscrimination rules:
CORRECT ANSWER: A health plan may revoke an agent or broker’s appointment with the health
plan
Rationale: Violations can lead to corrective actions, including termination of agent relationships.
3. ACA Section 1557 rules for disability concern:
CORRECT ANSWER: Policies and procedures, physical access, and communication
Rationale: Disability protections include accessible facilities, effective communication, and non-
discriminatory policies.
4. Which Medicare programs are covered by ACA Section 1557 under the Biden
Administration’s Final Rule (2024)?
WASTE, & ABUSE – 2026 – STUDY
GUIDE (EXAM STYLE WITH ANSWERS
& RATIONALES)
SAVE
ACA Section 1557 & Compliance – Study Guide (Exam Style with Answers & Rationales)
1. Under ACA Section 1557, a health plan premium sold through a state exchange may, based
on an individual’s age and:
CORRECT ANSWER: Charge higher premiums
Rationale: Section 1557 permits age-based rating in certain ACA-compliant structures, meaning
premiums can vary by age within regulatory limits.
2. As a result of violations of ACA Section 1557 nondiscrimination rules:
CORRECT ANSWER: A health plan may revoke an agent or broker’s appointment with the health
plan
Rationale: Violations can lead to corrective actions, including termination of agent relationships.
3. ACA Section 1557 rules for disability concern:
CORRECT ANSWER: Policies and procedures, physical access, and communication
Rationale: Disability protections include accessible facilities, effective communication, and non-
discriminatory policies.
4. Which Medicare programs are covered by ACA Section 1557 under the Biden
Administration’s Final Rule (2024)?
