2022 AHIP Test Review Questions and With All Correct Answers (Graded A+)

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Question 20 Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? a.Betsy, a grandmother from overseas who has overstayed her visa. b.Guy, who has illegally ... crossed the Canadian border. c.Jose, a grandfather who was granted asylum and has worked in the United States for many years. d.Helena, an overseas college student who has overstayed her visa. Source: Module 3, Slide - Medicare Part D Eligibility. UNIT 4 MEDICARE ADVANTAGE AND PART D PLANS QUESTION 1 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? a.No. This action is permissible. Handing out enrollment forms, on the other hand, would not be permissible. Incorrect: Discussion of plan-specific information is prohibited at educational events. b.No. Attendees expect some “puffery” at any event on a product in which they may be potentially interested. c.yes. When an event has been advertised as “educational,” discussing plan-specific premiums is impermissible. d.Yes. Whether or not an event has been advertised as “educational” or a “sales presentation,” discussing plan-specific information is impermissible. Source: Module 4, Slide - Educational Events, Impermissible Activities. Question 2 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 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 best describes the marketing and compliance rules that apply to Agent Armstrong? a.Agent Armstrong needs to be licensed and appointed in every state in which beneficiaries to whom he markets ABC MA plans are located. b.Agent Armstrong needs to be licensed and appointed only in his state of residence. c.Agent Armstrong needs to be licensed and appointed only in the state where ABC Health Plan is headquartered. d.Agent Armstrong needs to be licensed and appointed only in the state where XYZ Agency is headquartered. Source: Module 4, Slide - Requirement to act as Plan Marketing Representative and Slide - Marketing Representatives - State Licensure Case Study Question 3 You will be holding a sales event soon, at which you would like to offer door prizes to attendees. Under guidelines from the Medicare agency, what types of gifts or prizes would not be allowed in this situation? a.Two or more gifts whose combined value does not exceed $15. Incorrect: This statement is incorrect because marketing representatives may offer more than one gift to sales event attendees provided the combined value of all items does not exceed $15. b.Gifts worth more than $15 but based on anticipated attendance will not exceed $15 per attendee. c.Gift cards or gift certificates of $15 or less that can be readily converted to cash. d.Gifts of nominal retail value ($15 or less) Source: Module 4, Slide - Gifts and Promotional Items. Question 4 Another agent you know has engaged in misconduct that has been verified by the plan she represented. What sort of penalty might the plan impose on this individual? a. Plans must immediately terminate their contracts with such individuals. b.Plans do not impose penalties. Instead, the Medicare agency has specific authority to fine such individuals for each violation. c. Her name will be reported to a publicly accessible database and could be advertised in local newspapers. d.The plan may withhold commission, require retraining, report the misconduct to a state department of insurance or terminate the contract. Source: Module 4, Slide - Plan Oversight and Enforcement. Question 5 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 advice should you give Miguel? a.During the MA-OEP Miguel can purchase a list of individuals who have chosen MA plans during Annual Enrollment Period (AEP) and create a marketing plan aimed at targeting them to select a plan he sells. b.During the MA-OEP Miguel can send unsolicited print materials to seniors in his area advertising the opportunity to change from one MA plan to another. c.During the MA-OEP Miguel can make unsolicited calls to former enrollees who have selected a new plan during the Annual Enrollment Period (AEP). d.During the MA-OEP, Miguel can have one-on-one meetings with beneficiaries who have requested such meetings. Source: Module 4, Slide - Open Enrollment Period - Marketing Prohibitions and Slide - Promoting Health Plans During Open Enrollment Period. Question 6 You are seeking to represent an individual Medicare Advantage plan and an individual 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? a.Your name will be registered with the Medicare agency by the plans you are seeking to represent and you will be unable to contract with any Medicare Advantage or Part D plan. b.You 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. c.You will have to repeat the tests in three months, but may begin enrolling beneficiaries while you are waiting. d.You will have to attend one of several remedial training events sponsored by the Medicare agency before being allowed to retake the test. Source: Module 4, Slide - Requirements to act as Plan Marketing Representatives. Question 7 A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? a.Before speaking with the individual, you must inquire as to her eligibility for MA and Part D plans and then complete a scope of appointment form for the plans for which she is eligible. b.You must set an appointment for another time, at least 48 hours from the point when she walked into your office. c.You do not have to do anything. You may proceed with the discussion and enroll the individual if she so desires. d.You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. [Show More]

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