IC27 Mock Test Sample 10
These questions cover important concepts of health insurance systems, funding mechanisms, regulations, and underwriting practices. They explain differences between private (commercial) and public healthcare, tax-funded systems, and social health insurance models like Germany’s. Key Indian schemes like ESI and features like cashless insurance and out-of-pocket payments are highlighted. Regulatory aspects of the Insurance Act, 1938, and the role of TAC and IIB are included. Topics such as earned premium, long-term care benefits, renewability rules, and underwriting methods like numerical rating are also covered. Additionally, comparisons of global healthcare spending and India’s GDP expenditure on health are discussed.
Q1. 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
Q2. In a tax-funded healthcare system, how are healthcare providers paid?
a) Patients pay directly
b) Providers bill insurance companies
c) Funded by the government on behalf of users
d) Employers cover all costs
Q3. What is an example of an earmarked, payroll-tax contribution to a health plan?
a) Employees to private insurance
b) Employers to social health insurance fund
c) Individuals to government system
d) Charitable contributions
Q4. What is ESI Corporation in India primarily designed to provide?
a) Coverage for natural disasters
b) Comprehensive medical care to industrial employees & families
c) Life insurance for blue-collar workers
d) Dental and vision coverage
Q5. How does cashless health insurance work in India?
a) Pay first, then reimbursement
b) Not available in India
c) Only for critical illness
d) Minimizes need for upfront funds
Q6. How many health insurance products are currently available in India?
a) More than 100
b) More than 200
c) More than 300
d) Exactly 500
Q7. What are out-of-pocket payments for healthcare?
a) Government payments
b) Employer payments
c) Direct household payments without reimbursement
d) Insurance company payments
Q8. What percentage of global health spending comes from government tax revenues?
a) 10%
b) 25%
c) 35%
d) 50%
Q9. What does the 35% share of government tax revenues exclude?
a) Govt contributions to social insurance
b) Household insurance premiums
c) Direct patient payments
d) Employer contributions
Q10. How does Germany's healthcare system function?
a) Single-payer government system
b) For-profit insurance companies
c) Non-profit sickness funds
d) Direct patient payments
Q11. Which section of Insurance Act, 1938 authorizes TAC to collect data?
a) Section 64 VB
b) Section 64 UE
c) Section 51
d) Section 64 B
Q12. What is the earned premium after 6 months for ₹20,000 (2-year policy)?
a) ₹20,000
b) ₹10,000
c) ₹5,000
d) ₹2,500
Q13. Section 64 UE authorizes TAC to:
a) Vigilance checks
b) Comprehensive claims info collection
c) Extract actionable data
d) Consumer awareness
Q14. Which statement is true about National Commission?
a) Statements 1 & 2 correct, 3 incorrect
b) Only statement 1 correct
c) Only statement 2 correct
d) Only statement 3 correct
Q15. LTC plan provides which benefits?
a) Only 1
b) Only 1 & 2
c) Only 1 & 3
d) 1, 2 & 3
Q16. Which does NOT fall under renewability/grace rules?
a) 30 days grace period
b) Continuity of benefits
c) Lifelong renewability
d) Coverage during grace period
Q17. White-labelling reinsurance in rural insurance is present in:
a) Only employers stop loss
b) Both social reinsurance & employers stop loss
c) Neither
d) Only social reinsurance
Q18. IIB was set up in which year?
a) 1999
b) 2001
c) 2004
d) 2009
Q19. Which rating method uses credits/debits?
a) Medical rating
b) Non-medical rating
c) Numerical rating
d) Medico-legal method
Q20. India’s healthcare expenditure (2008–09) vs USA 16% GDP:
a) Only 1 & 2 correct
b) Only 2 & 3 correct
c) Only 1 correct
d) Only 2 correct
