AHIP 2025 MOD. 5| ALL QUESTIONS & CORRECT DETAILED
ANSWERS LATEST 2025|26 VERSION
1. Mr. Garcia was told he qualifies for a special election period (SEP), but he
lost the paper that explains what he could do during the SEP. What can you
tell him? ANS >> If the SEP is for MA coverage, he will generally have one
opportunity to change his MA coverage.
2. Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but
she has been working with Agent Neil Adams in the selection of a Medicare
Advantage (MA) plan. It is mid-September, and Mrs. Young is going on vaca-
tion. Agent Adams is considering suggesting that he and Mrs.Young complete
the application together before she leaves. He will then submit the paper
application before the start of the annual enrollment period (AEP). What would
you say If you were advising Agent Adams? ANS >> This is a bad idea. Agents
are generally prohibited from soliciting or accepting an enrollment form before the
start of the AEP.
3. Mr. Anderson is a very organized individual and has filled out and brought
to you an enrollment form on October 10 for a new plan available on January
1 next year. He is currently enrolled in Original Medicare. What should you
do? ANS >> Tell Mr. Anderson that you cannot accept any enrollment forms until the
annual election period begins.
4. Mrs. Schmidt is moving and a friend told her she might qualify for a "special
election period" to enroll in a new Medicare Advantage plan. She contacted
you to ask what a special election period is. What could you tell her? ANS >>
It is
a period, outside of the Annual Election Period, when a Medicare beneficiary can
select a new or different Medicare Advantage and/or Part D prescription drug plan.
https://www.stuvia.com/user/Mboffin 1/7
, Typically, the special election period is beneficiary specific and results from events,
such as when the beneficiary moves outside of the service area.
5. Mr. Chen is enrolled in his employer's group health plan and will be retiring
soon. He would like to know his options since he has decided to drop his
retiree coverage and is eligible for Medicare. What should you tell him? ANS
>> Mr. Chen can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment.
6. Mr. Yoo's employer has recently dropped comprehensive creditable pre-
scription drug coverage that was offered to company retirees. The company
told Mr. Yoo that, because he was affected by this change, he would qualify
for a special election period. Mr. Yoo contacted you to find out more about
what this means. What can you tell him? ANS >> It means that he qualifies for a
one-time opportunity to enroll in an MA-PD or Part D prescription drug plan.
7. 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
https://www.stuvia.com/user/Mboffin 2/7
ANSWERS LATEST 2025|26 VERSION
1. Mr. Garcia was told he qualifies for a special election period (SEP), but he
lost the paper that explains what he could do during the SEP. What can you
tell him? ANS >> If the SEP is for MA coverage, he will generally have one
opportunity to change his MA coverage.
2. Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but
she has been working with Agent Neil Adams in the selection of a Medicare
Advantage (MA) plan. It is mid-September, and Mrs. Young is going on vaca-
tion. Agent Adams is considering suggesting that he and Mrs.Young complete
the application together before she leaves. He will then submit the paper
application before the start of the annual enrollment period (AEP). What would
you say If you were advising Agent Adams? ANS >> This is a bad idea. Agents
are generally prohibited from soliciting or accepting an enrollment form before the
start of the AEP.
3. Mr. Anderson is a very organized individual and has filled out and brought
to you an enrollment form on October 10 for a new plan available on January
1 next year. He is currently enrolled in Original Medicare. What should you
do? ANS >> Tell Mr. Anderson that you cannot accept any enrollment forms until the
annual election period begins.
4. Mrs. Schmidt is moving and a friend told her she might qualify for a "special
election period" to enroll in a new Medicare Advantage plan. She contacted
you to ask what a special election period is. What could you tell her? ANS >>
It is
a period, outside of the Annual Election Period, when a Medicare beneficiary can
select a new or different Medicare Advantage and/or Part D prescription drug plan.
https://www.stuvia.com/user/Mboffin 1/7
, Typically, the special election period is beneficiary specific and results from events,
such as when the beneficiary moves outside of the service area.
5. Mr. Chen is enrolled in his employer's group health plan and will be retiring
soon. He would like to know his options since he has decided to drop his
retiree coverage and is eligible for Medicare. What should you tell him? ANS
>> Mr. Chen can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment.
6. Mr. Yoo's employer has recently dropped comprehensive creditable pre-
scription drug coverage that was offered to company retirees. The company
told Mr. Yoo that, because he was affected by this change, he would qualify
for a special election period. Mr. Yoo contacted you to find out more about
what this means. What can you tell him? ANS >> It means that he qualifies for a
one-time opportunity to enroll in an MA-PD or Part D prescription drug plan.
7. 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
https://www.stuvia.com/user/Mboffin 2/7
