AHIP CWA EXAM MODULE 1-5,
NONDISCRIMINATION, FWA, COMPLIANCE
ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT AND
VERIFIED ANSWERS) |AGRADE
Terms in this set (100)
ABC is a Medicare Authorization may be obtained by directing a
Advantage (MA) plan beneficiary to a website to provide consent as long as
sponsor. It would like to the website includes a mechanism for an electronic
use its enrollees' signature that is valid under applicable law.
information to market
non-health related
products such as life
insurance and annuities. To
do so it must obtain
authorization from the
enrollees. Which
statement best describes
the authorization process?
,Agent Armstrong is Agent Armstrong needs to be licensed and appointed
employed by XYZ Agency, in every state in which beneficiaries to whom he
which is under contract markets ABC MA plans are located.
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?
,Agent Jennings makes a Yes. When an event has been advertised as
presentation on Medicare "educational," discussing plan-specific premiums is
advertised as an impermissible.
educational event. Agent
Jennings distributes
materials that are solely
educational in nature.
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?
Agent John Miller is Tell prospect Jerry Smith that he should consider
meeting with Jerry Smith, a adding a standalone Part D prescription drug
new prospect. Jerry is coverage policy to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased a
Medicare Supplement
(Medigap) plan which he
has had for several years.
However, the plan does
not provide drug benefits.
How would you advise
Agent John Miller to
proceed?
, Agent Lopez helps Ralph Agent Lopez's entire compensation must be
to enroll in Top Choice recouped because Ralph disenrolled within 3 months
Medicare Advantage plan of enrollment.
during the Annual Open
Enrollment Period. Ralph's
effective enrollment date
is January 1st. Ralph
disenrolls on February 12th
because he discovers that
the plan does not cover
services furnished by
several of his longtime
providers. Which of the
following statements best
describes the impact of
Ralph's action upon Agent
Lopez's compensation?
Agent Martinez wishes to Marketing representatives may initiate electronic
solicit Medicare contact through e-mail but an opt-out process must
Advantage prospects be provided.
through e-mail and asks
you for advice as to
whether this is possible.
What should you tell her?
All plans must cover at Standard Part D coverage would require payment of
least the standard Part D an annual deductible, and once past the catastrophic
coverage or its actuarial coverage threshold, the beneficiary pays whichever is
equivalent. Which of the greater of either the co-pays for generic and brand
following statements best name drugs or coinsurance of 5%.
describes some of the
costs a beneficiary would
incur for prescription
drugs under the standard
coverage?
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