AHIP Marketing, Sales Compliance, and Ethics 3

Question 1

What does the term 'slamming' refer to in Medicare sales compliance?

Accepted Answer

Enrolling a beneficiary in a plan without their knowledge or consent

Answer

Slamming refers to the unauthorized enrollment of a beneficiary into a Medicare plan without their knowledge or consent.

Question 2

Under CMS rules, agents selling Medicare plans are required to complete training and certification:

Accepted Answer

Annually for each carrier whose products they sell

Answer

CMS requires agents to complete annual training and pass certification tests for each plan sponsor (carrier) whose Medicare products they sell.

Question 3

Which document defines the products and benefits an agent agreed to discuss with a beneficiary before a sales meeting?

Accepted Answer

Scope of Appointment (SOA)

Answer

The Scope of Appointment (SOA) form documents which Medicare plan types (e.g., MA, PDP, Medigap) the beneficiary agreed to discuss at the upcoming meeting.

Question 4

If a beneficiary requests information about a Medicare plan online or via an enrollment form, an agent may follow up by telephone:

Accepted Answer

Immediately, as the request constitutes prior permission

Answer

When a beneficiary initiates contact or requests information (such as by submitting an online inquiry), the agent has permission to follow up by telephone.

Question 5

What is the agent's obligation if a beneficiary wants to discuss a product not listed on the Scope of Appointment (SOA)?

Accepted Answer

Obtain a new SOA for the additional product types before discussing them

Answer

If a beneficiary wants to discuss products not listed on the original SOA, a new or amended SOA must be completed and signed before those products are discussed.

AHIP - America's Health Insurance Plans Practice Test

AHIP - America's Health Insurance Plans Practice Test

AHIP Marketing, Sales Compliance, and Ethics 3