IC27 Mock Test Sample 10

1. What is commercial health insurance in India also known as?
a) Government health insurance
b) Public health insurance
c) Private health insurance
d) Social health insurance

2. In a tax-funded healthcare system, how are healthcare providers paid?
a) Patients pay for healthcare services directly out of pocket
b) Healthcare providers bill insurance companies
c) Healthcare providers are funded by the government on behalf of users
d) Employers cover all healthcare costs for their employees

3. What is an example of an earmarked, payroll-tax contribution to a health plan?
a) Contributions made by employees to a private health insurance plan
b) Contributions made by employers to a social health insurance fund
c) Contributions made by individuals to a government healthcare system
d) Contributions made by charitable organizations to healthcare providers

4. What is ESI Corporation in India primarily designed to provide?
a) Coverage for natural disasters
b) Comprehensive medical care to industrial sector employees and their families
c) Life insurance coverage for blue-collar employees
d) Coverage for dental and vision care

5. How does cashless health insurance work in India?
a) It requires individuals to pay first and then seek reimbursement
b) It is not available in India
c) It provides coverage only for critical illnesses
d) It minimizes the need to arrange large funds during emergencies

6. How many health insurance products are currently available in the Indian market?
a) More than 100
b) More than 200
c) More than 300
d) Exactly 500

7. What are out-of-pocket payments for healthcare?
a) Payments made by the government
b) Payments made by employers
c) Payments made directly by households without reimbursement
d) Payments made by insurance companies

8. What percentage of global health spending comes from government tax revenues?
a) 10%
b) 25%
c) 35%
d) 50%

9. What does the 35% share of government tax revenues exclude?
a) Contributions to social health insurance
b) Household premium payments
c) Direct payments by patients
d) Employer contributions

10. How does Germany's healthcare system primarily function?
a) Single-payer government system
b) For-profit insurers
c) Non-profit sickness funds with negotiated payments
d) Direct out-of-pocket payments

11. Which section of The Insurance Act, 1938 authorizes TAC to collect information?
a) Section 64 VB
b) Section 64 UE
c) Section 51
d) Section 64 B

12. What would be the earned premium after 6 months for a 2-year policy of Rs. 20,000?
a) Rs 20000
b) Rs 10000
c) Rs 5000
d) Rs 2500

13. Section 64 UE authorizes TAC to:
a) Conduct vigilance checks
b) Collect comprehensive claims information
c) Extract actionable data
d) Create consumer awareness

14. Which statement is true regarding National Commission?
a) Only insurance complaints are allowed
b) Both life and general insurance complaints can be taken
c) It is the final authority with no appeal
d) Only general insurance complaints are allowed

15. LTC (Long Term Care) plan provides which benefits?
a) Only nursing care
b) Nursing and living costs
c) Amenities cost only
d) All types of long-term care expenses

16. Which does NOT fall under renewability grace period rules?
a) 30 days grace period
b) Continuity of benefits
c) Lifetime renewability
d) Coverage during grace period

17. White-labelling in rural insurance is present in:
a) Employers stop loss
b) Social reinsurance
c) Both
d) Micro products

18. In which year was IIB established?
a) 1999
b) 2001
c) 2004
d) 2009

19. Under which method are credits/debits used in underwriting?
a) Medical rating method
b) Non-medical rating method
c) Numerical rating method
d) Medico-legal method

20. India’s healthcare expenditure (2008-09) compared to GDP includes:
a) Only 4.13%
b) Only 1.43%
c) Both 4.13% and 1.43%
d) None of these