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 e...
AHIP Module 4 QUESTIONS &
SOLUTIONS(GRADED A)
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?
- ANSWER Yes. When an event has been advertised as "educational," discussing plan-specific premiums
is impermissible.
You are working several plans and community organizations to sponsor an educational event. When
putting together advertisements for this event, what should you do? - ANSWER You must ensure that the
advertisements indicate it is an educational event, otherwise it will be considered a marketing event.
Plan sponsors may undertake the following marketing activities with current Medicare Advantage plan
members? - ANSWER Market non-health related items or services such as life insurance or annuities
policies to current members as permitted following HIPAA Privacy Rules.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' 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 such products? - ANSWER It must obtain a HIPAA
compliant 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? - ANSWER Tell her that
Medicare guidelines allow you to conduct marketing activities in common areas of a provider's facility.
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?7 - ANSWER The plan may withhold
commission, require retraining, report the misconduct to a state department of insurance or terminate
the contract
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