AHIP North Carolina 2

Question 1

In North Carolina, which state agency is primarily responsible for regulating Medicare Advantage plans?

Accepted Answer

North Carolina Department of Insurance

Answer

The North Carolina Department of Insurance (NCDOI) regulates insurance products including Medicare Advantage plans sold in the state.

Question 2

A North Carolina beneficiary enrolled in a Medicare Advantage plan wants to switch to Original Medicare. Which enrollment period allows this outside of AEP?

Accepted Answer

Open Enrollment Period (OEP) from January 1 to March 31

Answer

The Medicare Advantage Open Enrollment Period (OEP), January 1–March 31, allows MA enrollees to switch to Original Medicare or a different MA plan once.

Question 3

Which document must North Carolina agents provide to Medicare beneficiaries before discussing plan options at a sales appointment?

Accepted Answer

Scope of Appointment form

Answer

A Scope of Appointment (SOA) form must be completed before a sales appointment to document the topics the beneficiary agreed to discuss.

Question 4

Under North Carolina law, what is the 'free look' period that allows a new Medicare Supplement policyholder to cancel and receive a full refund?

Accepted Answer

30 days

Answer

North Carolina requires a 30-day free look period for Medicare Supplement (Medigap) policies, giving buyers time to review and return the policy for a full refund.

Question 5

A North Carolina resident turns 65 and enrolls in Medicare Part B. How long is their guaranteed issue window for a Medicare Supplement plan?

Accepted Answer

6 months

Answer

Federal law grants a 6-month Medigap Open Enrollment Period beginning the month a beneficiary is 65+ and enrolled in Part B, during which insurers cannot use medical underwriting.

AHIP - America's Health Insurance Plans Practice Test

AHIP - America's Health Insurance Plans Practice Test

AHIP North Carolina 2