Marketing, Sales Compliance, and Ethics Flashcards
6 cards from real AHIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Marketing, Sales Compliance, and Ethics flashcards as text
Under CMS marketing guidelines, when can an agent conduct a marketing/sales event at a healthcare facility such as a hospital or skilled nursing facility?
Answer: Never — CMS prohibits marketing events at healthcare facilities
CMS prohibits marketing and sales activities at healthcare facilities such as hospitals, physician offices, and skilled nursing facilities because beneficiaries in these settings are considered vulnerable.
Which of the following agent activities is PROHIBITED under CMS marketing rules?
Answer: Offering gifts or meals of more than nominal value to influence enrollment
Agents may not offer gifts, meals, or items of more than nominal value (currently $15 per item, $75 aggregate) to influence a beneficiary's enrollment decision.
An agent who sells Medicare Advantage or Part D plans must be licensed in the state where the beneficiary:
Answer: Resides
Agents must hold a valid health insurance license in the state where the beneficiary resides in order to sell Medicare plans in that state.
Before conducting a Medicare sales presentation, an agent must:
Answer: Provide the beneficiary with a Scope of Appointment (SOA) form and have it signed
The Scope of Appointment (SOA) form documents which plan types the beneficiary agreed to discuss, and must be completed before the sales meeting.
What is the 'cooling-off period' related to Medicare marketing?
Answer: The 48-hour period after a sales event during which the agent cannot call the beneficiary back
After a marketing/sales event, agents must wait 48 hours before following up with a beneficiary who attended, to avoid high-pressure tactics.
CMS requires that all marketing materials used by Medicare Advantage and Part D plans be:
Answer: Submitted to CMS for review and approval before distribution
CMS requires plan sponsors to submit marketing materials for review and approval through the Health Plan Management System (HPMS) before distributing them.