AHIP Marketing, Sales Compliance, and Ethics

Question 1

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?

Accepted Answer

Never — CMS prohibits marketing events at healthcare facilities

Answer

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.

Question 2

Which of the following agent activities is PROHIBITED under CMS marketing rules?

Accepted Answer

Offering gifts or meals of more than nominal value to influence enrollment

Answer

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.

Question 3

An agent who sells Medicare Advantage or Part D plans must be licensed in the state where the beneficiary:

Accepted Answer

Resides

Answer

Agents must hold a valid health insurance license in the state where the beneficiary resides in order to sell Medicare plans in that state.

Question 4

Before conducting a Medicare sales presentation, an agent must:

Accepted Answer

Provide the beneficiary with a Scope of Appointment (SOA) form and have it signed

Answer

The Scope of Appointment (SOA) form documents which plan types the beneficiary agreed to discuss, and must be completed before the sales meeting.

Question 5

What is the 'cooling-off period' related to Medicare marketing?

Accepted Answer

The 48-hour period after a sales event during which the agent cannot call the beneficiary back

Answer

After a marketing/sales event, agents must wait 48 hours before following up with a beneficiary who attended, to avoid high-pressure tactics.

AHIP - America's Health Insurance Plans Practice Test

AHIP - America's Health Insurance Plans Practice Test

AHIP Marketing, Sales Compliance, and Ethics