AHIP Marketing, Sales Compliance, and Ethics 2

Question 1

Which of the following is a permissible activity for an agent when conducting a community education event?

Accepted Answer

Providing objective educational information about Medicare without promoting a specific plan

Answer

Distributing enrollment applications and accepting completed forms

Answer

Conducting one-on-one sales presentations during the event

Answer

Asking attendees to provide their Medicare numbers for a plan comparison

Question 2

An agent receives a referral lead from a friend who is a doctor. Under the Anti-Kickback Statute, what must the agent be careful about?

Accepted Answer

Avoiding providing any compensation or anything of value to the doctor for the referral

Answer

Verifying the beneficiary's Medicare number before meeting

Answer

Obtaining written consent from the beneficiary before the appointment

Answer

Filing the referral with CMS within 48 hours

Question 3

Under CMS rules, unsolicited contact with Medicare beneficiaries via telephone (cold calling) is:

Accepted Answer

Prohibited unless the beneficiary has given prior permission

Answer

Permitted if the agent is licensed in the beneficiary's state

Answer

Allowed once per calendar year per beneficiary

Answer

Permitted during AEP regardless of prior consent

Question 4

An agent must retain the Scope of Appointment (SOA) form for a minimum of:

Accepted Answer

10 years

Answer

1 year

Answer

6 months

Answer

3 years

Question 5

When a beneficiary is enrolled in a Medicare plan, the agent must provide them with:

Accepted Answer

The Evidence of Coverage (EOC), Summary of Benefits, and Annual Notice of Change (if applicable)

Answer

Only the Summary of Benefits

Answer

The Annual Notice of Change only

Answer

A verbal summary of the plan; written materials are optional

Question 6

Which of the following statements about Medicare marketing rules for door-to-door sales is correct?

Accepted Answer

Uninvited door-to-door sales contact with Medicare beneficiaries is prohibited

Answer

Agents may conduct door-to-door sales if wearing an approved ID badge

Answer

Door-to-door solicitation is permitted only during the AEP

Answer

Door-to-door contact is allowed if the beneficiary's name is on a public list