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Ahip module 4 final questions and answers 2015/2016
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Ahip 2025 module 4 final1. 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? >ANS>?It must obtain a HIPAA compliant authorization from an enrollee
that indicates the plan or plan ?sponsor may use their information for marketing
purposes.
2. Agent Daniel Webber has properly set up a sales appointment to meet with client
Edward Young at Agent Webber's office. At the agreed upon appointment time, Mr.
Young arrives with his elderly neighbor - Clara Burton, who wants to learn about her
Medicare Advantage options. What should Agent Daniel Webber do? >ANS>After
executing a scope of appointment (SOA) with Clara Burton, meet with Edward Young
and Clara Burton to discuss their Medicare Advantage options.
3. Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail and asks
you for advice as to whether this is possible. What should you tell her? >ANS>Marketing
representatives may initiate electronic contact through e-mail but an opt-out process
must be provided.
4. Another agent working for your agency claims that because you are not employed by the
Medicare Advantage plans that you represent, you are not subject to the same
marketing requirements as the plans themselves. How should you respond to such a
statement? >ANS>Your coworker is not correct. Marketing on behalf of a plan is
considered marketing by the plan and requires that all contracted and employed agents
comply with all Medicare marketing rules.
5. 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?
>ANS>The plan may withhold commission, require retraining, report the misconduct to a
state department of insurance or terminate the contract.
6. Evan Marsh is a newly appointed agent. Evan intends to conduct an educational session
on Medicare at a senior citizens center near his home. He has advertised the session as
an educational event. Evan asks you what is permissible at such an event. What should
you say? >ANS>Evan may provide a meal as long as its value is $15 or less per
attendee and he may make available business reply cards (BRCs).
7. Hector Hernandez is an independent agent. Hector sells plans on behalf of three
Medicare Advantage organizations that offer a total of 10 plans but does not represent
all Medicare Advantage organizations offering plans that are available in his area. Which
of the following statements best describes any steps Hector is required to take?
>ANS>During the first minute of a sales call, Hector must use a disclaimer that says "I
do not represent every plan available in your area. I represent 3 organizations that offer
10 plans in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local
State Health Insurance Program to get information on all your options."
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