IC27 Mock Test Sample 12
These questions cover global and Indian health insurance systems, including funding mechanisms, government schemes, and private sector roles. They highlight differences between countries like the USA, Japan, France, and Chile in terms of coverage and financing. Key concepts include employer-sponsored insurance, social health insurance, and public-private partnerships. The role of schemes like Medicare, Medicaid, Fonasa, and ESIS is emphasized. Additionally, topics such as fraud prevention, underwriting tools, and reinsurance considerations are included. Overall, the content focuses on healthcare financing structures, policy design, and risk management practices in the insurance industry.
1. What role does add-on private insurance play in France's healthcare system?
a) It is the primary source of financing for healthcare
b) It competes with the public insurance system
c) It pays for procedures and equipment not fully covered by public insurance
d) It is mandatory for all citizens
2. What has been the primary source of health insurance coverage for the majority of the non-elderly adult population in the United States since World War II?
a) Private health insurance companies
b) Medicaid
c) Medicare
d) Employment-based health benefits
3. What percentage of the United States' GDP is accounted for by health costs?
a) 5%
b) 8%
c) 12%
d) 16%
4. What percentage of Japan's health costs were borne by the Government in 2008?
a) 20%
b) 30%
c) 50%
d) 70%
5. What is the main public health insurance system in Chile called?
a) National Health Fund (Fonasa)
b) Health Insurance Institutions (Isapres)
c) Civil Servant Medical Benefits Schemes
d) Social Security Scheme
6. What is the name of the private health insurance system in Chile?
a) National Health Fund (Fonasa)
b) Health Insurance Institutions (Isapres)
c) Social Security Scheme
d) Universal Coverage Scheme
7. Why has employer-sponsored health insurance reduced in the USA?
a) Lack of interest in health insurance
b) Decrease in employers offering benefits
c) Rising cost of healthcare benefits
d) Government intervention
8. What are the two government-provided insurance programs in the USA?
a) Medicare and Medicaid
b) Social Security and Veterans Health
c) Obamacare and CHIP
d) Private insurance and Medicaid
9. What is a concern regarding Medicare and Medicaid expenditure?
a) Lack of access
b) Decreased life expectancy
c) Economic impact of rising costs
d) Insufficient funding
10. Which category in Japan covers employees of large companies?
a) Society-managed health insurance (SHI)
b) Government managed health insurance
c) National Health Insurance
d) Long life medical care system
11. Which scheme covers employees of small employers in Japan?
a) Society-managed health insurance
b) Government managed health insurance
c) National Health Insurance
d) Small business national health plan
12. Which scheme in Japan is run by municipal governments?
a) Society-managed health insurance
b) Government managed health insurance
c) National Health Insurance (NHI)
d) Long life medical care system
13. What percentage of population in Chile is enrolled with Fonasa?
a) 20%
b) 40%
c) 50%
d) 67%
14. Which scheme in Thailand covers Government employees?
a) Civil Servant Medical Benefits Scheme (CSMBS)
b) Social Security Scheme (SSS)
c) Universal Coverage Scheme
d) National Health Fund
15. What was India’s health expenditure as % of GDP (2008-09)?
a) 1.8%
b) 3.06%
c) 4.13%
d) 26%
16. What is the purpose of Japan's Long life medical care system?
a) Cover all residents
b) Cover disabled aged 65–74
c) Finance healthcare for 75+
d) Provide specialized care
17. How is Fonasa funded in Chile?
a) Employee contributions
b) General tax revenues
c) Employer contributions
d) Private insurance contributions
18. Which Thailand scheme resembles ESIS of India?
a) Civil Servant Medical Benefits Scheme
b) Social Security Scheme (SSS)
c) Universal Coverage Scheme
d) National Health Fund
19. _____ helps verify an individual’s insurance track record.
a) RBI
b) Insurance Regulators
c) CIBIL
d) Online fraud database
20. Which factor is NOT considered in reinsurance program design?
a) Estimate of profit
b) Size of portfolio
c) Volatility of claims
d) Extent of capital credit required
