IC27 Mock Test Sample 9

1. Which department uses data to benchmark underwriting performance?
a) Human Resources
b) Finance
c) Underwriting
d) Actuarial
e) Marketing

2. Which statement is correct regarding NRHM and constitution?
a) NRHM funded & implemented by Centre
b) NRHM funded by State, implemented by Centre
c) Public health is in Concurrent list
d) Public health is in General list
e) NRHM funded by Centre, implemented by States

3. Fraud by medical providers is called:
a) Medical fraud
b) Internal fraud
c) External fraud
d) Soft fraud
e) Hard fraud

4. Measure under technology/process interface for fraud prevention:
a) Judicial action
b) RAG analysis
c) Whistle blower policy
d) Fraud database creation
e) Consumer awareness

5. IRDA Micro Insurance regulations were framed in:
a) 2000
b) 2003
c) 2004
d) 2005
e) 2006

6. Critical illness benefit policy – payout for malaria hospitalization:
a) Rs 20,000
b) Rs 50,000
c) Rs 70,000
d) Rs 10,000
e) Claim rejected

7. Percentage of allopathic doctors in private sector:
a) 52%
b) 75%
c) 77%
d) 82%
e) 65%

8. Private health expenditure share in India:
a) 52%
b) 75%
c) 82%
d) 77%
e) 65%

9. Household health spending on drugs (NSSO):
a) <10%
b) 25%
c) >50%
d) 30%
e) 40%

10. Government health spending – one-tenth component:
a) Drug procurement
b) Hospital infrastructure
c) Equipment
d) Workforce
e) Health education

11. First standardized health insurance product in India:
a) HealthShield
b) HealthGuard
c) MediCare
d) MediShield
e) Mediclaim

12. Private sector share in total health spending:
a) 25%
b) 50%
c) 75%
d) 82%
e) 77%

13. Central price regulator for pharma industry:
a) NPPA
b) Ministry of Health
c) State Drug Controller
d) NHRA
e) Ministry of Chemicals

14. What makes health insurance different?
a) Covers health expenses
b) Involves third party provider
c) Government regulated
d) Lower premiums
e) Not profitable

15. Why is health insurance an imperfect market?
a) Not profitable
b) Covers health expenses
c) Third party involvement
d) Information asymmetry, risk selection, moral hazard
e) Government regulation

16. Scheme introduced in 1954 for central employees:
a) ESIS
b) CGHS
c) NRHM
d) ICDS
e) RSBY

17. NHS in UK is funded by:
a) Social insurance
b) User fees
c) Taxes
d) Private insurance
e) Donations

18. Employment-based insurance system is:
a) Government tax system
b) Social health insurance
c) User fees
d) Private insurance
e) Donations

19. Financing method ensuring universal coverage:
a) Social insurance
b) Private insurance
c) User fees
d) Tax-funded system
e) Donations

20. ESI Corporation is financed by:
a) Government only
b) Employers only
c) Employees only
d) Employers + employees + government
e) Donations