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Insurance Exam Prep

Ran Chen, EA, CFP®

Insurance Exam Prep is a daily podcast designed to help future insurance professionals pass their licensing exams with clarity and confidence.

Built and operated by OpenExamPrep, this podcast breaks down insurance licensing exams into focused, easy-to-digest episodes covering Life Insurance, Health Insurance, and Property & Casualty, across both the national portion and state-specific requirements. Each episode targets one key concept, common exam trap, or high-frequency test topic—making it ideal for studying during commutes, workouts, or short study sessions.

Created by Ran Chen, EA, CFP®, a financial professional and exam specialist who has personally passed multiple professional licensing exams, Insurance Exam Prep was developed from firsthand experience with how complex—and often poorly taught—insurance exam material can be. The goal is simple: make insurance exam preparation clearer, more accessible, and more effective through structured explanations and modern learning tools. Whether you’re preparing for a Life, Health, or P&C exam, just starting your licensing journey, or reviewing before test day, this podcast is designed to guide you step by step—one concept at a time.

Free practice tools, AI-powered explanations, and additional exam prep resources are available at: https://open-exam-prep.com/

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Yesterday · 4 min
AHIP Medicare Exam Prep 42, Medicare Compliance Program Fundamentals
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The seven core elements of a CMS-compliant Medicare compliance program - Key distinctions between continuous operational monitoring and formal periodic auditing - Why plan sponsors retain ultimate legal accountability across all FDRs - Requirements for anonymous reporting channels and non-retaliation policies - Essential steps for corrective action, root-cause analysis, and non-discriminatory enforcement For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
Saturday · 3 min
AHIP Medicare Exam Prep 41, Fraud Waste and Abuse Distinguished
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How to differentiate fraud, waste, and abuse based on intent, legal entitlement, and efficiency on the AHIP exam. - Real-world scenarios across billing, enrollment, marketing, prescribing, and member activities to correctly classify misconduct. - Why fraud requires intentional deception, whereas waste stems from inefficiency and abuse stems from improper billing without intent. - The critical exam rule that agents must report suspected misconduct immediately without attempting to personally investigate or prove it. - A simple memory shortcut to instantly categorize questions on exam day: Fraud is Intended, Abuse is Improper, Waste is Inefficient. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
Friday · 3 min
AHIP Medicare Exam Prep 40, Prohibited Medicare Sales Practices
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How to handle unsolicited door-to-door contact and cross-selling rules by requiring advance Scope of Appointment documentation. - The fifteen-dollar nominal limit on promotional gifts and the absolute prohibition on cash or contingent inducements. - Rules against discriminatory steering and the requirement to present objective plan comparisons regardless of beneficiary health status. - Key prohibitions against misleading claims, high-pressure sales tactics, and unauthorized plan enrollments. - How to apply the SCOPE memory shortcut to quickly identify compliant actions in AHIP scenario questions. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
Thursday · 3 min
AHIP Medicare Exam Prep 39, Pre Enrollment Checklist and Enrollment Disclosures
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Mandatory timing and requirements for providing the Pre-Enrollment Checklist (PEC) under CMS guidelines. - How to accurately conduct provider and pharmacy network verifications during client consultations. - Essential drug formulary disclosure rules, including coverage tiers and utilization management restrictions. - Automatic disenrollment triggers for standalone PDPs and potential loss of employer retiree coverage. - Proper methods for documenting beneficiary intent to maintain full exam-level compliance. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
Wednesday · 3 min
AHIP Medicare Exam Prep 38, Marketing Materials Disclaimers and CMS Review
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Rules governing TPMO required disclaimers for organizations not offering all regional plans - CMS review, HPMS submission, and material identification number requirements for agent flyers - Prohibitions on using Medicare logos, card graphics, and misleading government imagery - Restrictions on subjective superlatives like best or top-rated without objective CMS star rating data - Essential pre-distribution verification steps required for independent agents before sharing marketing materials For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
Tuesday · 3 min
AHIP Medicare Exam Prep 37, TPMOs Lead Generation and Call Recording
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Medicare Advantage plans and Part D sponsors maintain ultimate compliance liability for all TPMO activities. - Explicit beneficiary opt-in consent is required prior to sharing or selling lead generation data to other entities. - The standardized TPMO disclaimer must be stated within the first minute of telephonic sales and marketing calls. - All TPMO marketing, sales, and enrollment calls must be recorded in full and retained for ten years. - Individual agents share compliance responsibility and cannot use non-compliant leads provided by third-party vendors. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 21 · 3 min
AHIP Medicare Exam Prep 36, Marketing in Health Care Settings
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Distinguish between prohibited treatment areas and allowed common areas for Medicare marketing activities - Understand the requirement for passive marketing in common areas without unsolicited beneficiary contact - Learn provider rules regarding equal plan representation and prohibition of single-plan endorsements - Differentiate between provider-initiated treatment discussions and non-compliant sales solicitation - Recall the rules for scheduling compliant marketing appointments in long-term care facilities For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 20 · 4 min
AHIP Medicare Exam Prep 35, Educational Events versus Marketing Events
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Core differences in intent, scope, and allowed settings between Medicare educational and marketing events. - Permissible educational event materials, disclaimers, and restrictions on plan-specific benefit discussions. - Rules governing sign-in sheets, lead collection, and voluntary contact mechanisms across event types. - CMS guidelines regarding meals at educational events versus light snacks at sales presentations. - How to avoid common exam traps involving event transitions, promotional gift limits, and beneficiary questions. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 19 · 4 min
AHIP Medicare Exam Prep 34, Individual Marketing Appointments
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How Scope of Appointment rules dictate product discussions across in-person, phone, and virtual marketing settings. - The strict prohibition on cross-selling non-health products like annuities during Medicare appointments. - How beneficiary control prevents unsolicited door-to-door sales and uninvited home visits. - CMS regulations regarding nominal gifts capped at fifteen dollars and the total ban on providing meals. - The SCOPE memory shortcut for identifying compliant agent actions and avoiding common AHIP exam traps. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 18 · 3 min
AHIP Medicare Exam Prep 33, Scope of Appointment Rules
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - What a Scope of Appointment (SOA) is and when it must be collected prior to Medicare Advantage or Part D sales meetings - Product-scope boundaries and why discussing new plan types or cross-selling non-health products requires a new SOA - Exceptions to advance timing requirements such as beneficiary walk-ins, inbound calls, and end of enrollment periods - Rules for multi-beneficiary meetings requiring individual SOAs for every participating beneficiary - CMS record retention rules requiring all SOA documentation to be maintained for ten years For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 17 · 3 min
AHIP Medicare Exam Prep 32, Permission to Contact and Unsolicited Outreach
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Unsolicited outreach methods such as cold calling, door-to-door visits, and leaving materials on doors are strictly prohibited by CMS rules. - Client referrals cannot be directly contacted by an agent unless the referral initiates contact or explicit prior permission is secured. - Business Reply Cards (BRCs) grant permission to contact that is strictly limited in scope to the requested product types. - Inbound calls permit answering the caller's immediate questions but do not grant broad authorization for future unsolicited calls or home visits. - Permission to contact is fact-specific, non-transferable, limited in duration, and summarized by the rule that permission is Specific, Sole, and Short-lived. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 16 · 3 min
AHIP Medicare Exam Prep 31, Communications versus Marketing
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Difference between Medicare communications and marketing based on intent and plan-specific content - Regulatory impact of classification, including HPMS submission, disclaimers, and agent conduct rules - Scenario applications involving mailers, websites, educational materials, and plan-comparison tools - Common exam traps where including specific copays or star ratings reclassifies educational material into marketing - The mental shortcut content creates classification to quickly distinguish marketing from communications on the AHIP exam For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 15 · 3 min
AHIP Medicare Exam Prep 30, Solving Part D Plan Comparison Questions
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How to evaluate Part D plans based on total estimated annual cost rather than monthly premium alone - A step-by-step comparison process for verifying drug dosages, formulary status, and tier placement - How utilization controls like prior authorization and step therapy impact actual drug coverage - Why pharmacy network status can significantly change out-of-pocket copayments and coinsurance - The DFTV mnemonic to easily recall the essential steps for Part D plan comparison questions For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 14 · 3 min
AHIP Medicare Exam Prep 29, Part D Exceptions Appeals and Transition Fills
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How coverage determinations, formulary exceptions, and tiering exceptions function under Medicare Part D. - Why specialty tier medications are strictly excluded from tiering exception requests on the exam. - The critical difference between grievances for service issues and appeals for coverage denials. - Timeframes for standard 72-hour and expedited 24-hour review requests involving prescribers. - Rules governing 30-day transition supplies during the first 90 days of new plan enrollment. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 13 · 3 min
AHIP Medicare Exam Prep 28, Part D Late Enrollment Penalties and Creditable Coverage
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - A continuous gap of 63 days or longer without creditable drug coverage triggers the Medicare Part D late enrollment penalty. - Penalty calculations count only full calendar months without creditable coverage, ignoring partial months. - The monthly penalty equals one percent of the current national base beneficiary premium multiplied by full uncovered months. - Preserving annual notices of creditable coverage provides essential proof to avoid improper penalty charges when switching plans. - Beneficiaries receiving Extra Help or Low-Income Subsidy are exempt from paying the Part D late enrollment penalty. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 12 · 3 min
AHIP Medicare Exam Prep 27, Medicare Prescription Payment Plan
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How the Medicare Prescription Payment Plan spreads out-of-pocket Part D costs across remaining calendar months - Why the program changes payment timing without altering drug prices, copays, or total out-of-pocket costs - How monthly payment amounts are calculated based on when in the calendar year costs are incurred - Voluntary election rules, including opt-in timing during AEP or mid-year - Mandatory Part D sponsor outreach requirements for high-cost beneficiaries and common exam traps For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 11 · 3 min
AHIP Medicare Exam Prep 26, Extra Help and Low Income Subsidies
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - What Part D Extra Help is and how it reduces premiums, deductibles, copayments, and waives late enrollment penalties - How automatic deeming works for Dual eligibles, SSI recipients, and Medicare Savings Program enrollees - How CMS plan reassignment protects LIS beneficiaries when standalone plan premiums exceed benchmarks - Why agents must verify current LIS status instead of guaranteeing specific subsidy amounts or copays - The DSM mental shortcut to quickly recall automatic eligibility categories on the AHIP exam For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 10 · 4 min
AHIP Medicare Exam Prep 25, Current Part D Benefit Phases and Cost Sharing
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The current CMS standard Medicare Part D structure features three benefit phases (deductible, initial coverage, catastrophic coverage), completely eliminating the legacy coverage gap or donut hole. - Maximum standard deductible caps are set by CMS at $590 in 2025 and $615 in 2026, after which beneficiaries pay 25% cost-sharing under defined standard benefit design. - Beneficiary out-of-pocket spending is capped at the True Out-of-Pocket (TrOOP) threshold of $2,000 in 2025 ($2,100 in 2026). - Beneficiaries pay $0 cost-sharing in the catastrophic coverage phase, as the former 5% coinsurance requirement has been eliminated. - TrOOP calculations include beneficiary out-of-pocket costs and manufacturer discounts for covered drugs, but strictly exclude plan premiums and non-formulary drug costs. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 9 · 3 min
AHIP Medicare Exam Prep 24, Part D Covered and Excluded Drugs
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How to determine whether a drug falls under Medicare Part A, Part B, or Part D - The specific categories of drugs statutorily excluded from basic Part D coverage - Key vaccine coverage rules separating Part B preventive shots from Part D vaccines - How enhanced Part D plans differ from basic plans regarding supplemental drug coverage - The three-step evaluation framework to avoid common trap questions on the AHIP exam For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
September 8 · 4 min
AHIP Medicare Exam Prep 23, Formularies Tiers and Utilization Management
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How Medicare Part D plans structure formularies into drug tiers from Tier 1 generics to Tier 5 specialty drugs - Why cross-referencing both specific medications and preferred network pharmacies is essential for accurate cost estimates - The mechanics of utilization management tools including prior authorization, step therapy, and quantity limits - Rules surrounding mid-year formulary changes, sixty-day advance notices, and immediate FDA safety exceptions - The PSL mental shortcut to quickly identify Part D coverage restrictions on exam questions For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

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