IC38 - English Exam (Life Agent Exam) Mock Test 06
These IC38 questions cover the history of insurance, arbitration, health insurance claims, policy documentation, insurance solicitation, customer service, exclusions, life insurance payments, pre- and post-hospitalization expenses, and cashless facilities. Insurance has existed in various forms since ancient times. Arbitration can help resolve certain insurance disputes. Health insurance policies may cover various treatment-related expenses, including medical, diagnostic, ICU, and ambulance costs depending on policy terms. Policy documents contain important information about coverage, exclusions, premiums, and insured members. IRDAI regulates insurance solicitation and sales. Good customer service helps build strong relationships. Customers should understand exclusions and limitations. Life insurers provide advance claim intimation, while TPAs facilitate cashless treatment through hospital agreements.
Q1. When did insurance first exist in some form or another?
a) 300 BC
b) 1706
c) Early 1800s
d) 7th century AD
Q2. Which disputes can be settled through arbitration?
a) Disputes relating to question of liability
b) Disputes regarding the quantum to be paid
c) Both a and b
d) None of the above
Q3. Which expenses are included in the coverage for Covid-19 treatment?
a) Surgeon, Anaesthetist, Medical Practitioner Fees
b) Diagnostic imaging modalities expenses
c) Intensive Care Unit (ICU) expenses
d) Expenses incurred on road Ambulance
Q4. Which of the following is NOT required to be mentioned in the Health Insurance Policy document?
a) Proportionate Deductions and Package rates
b) Premium payable and periodicity of instalments
c) Details of the insured's family members
d) Perils covered and exclusions
Q5. Who can be part of the process of solicitation and sales of insurance as per IRDAI regulations?
a) Only authorised employees of insurance companies and specified persons of licensed intermediaries who are trained and authorised
b) Anyone can be part of the process
c) Only insurance agents appointed by an insurer
d) None of the above
Q6. Why is customer service important for the insurance industry?
a) To make customers feel indifferent
b) To provide tangible products to customers
c) To delight customers and build relationships
d) To limit the claims that customers make
Q7. Why is it important for the customer to be aware of the excluded items of expenses?
a) To negotiate lower prices for excluded items
b) To seek reimbursement for excluded items
c) To understand the limitations of coverage
d) To determine the premium amount
Q8. How are maturity claims, survival benefit claims, and annuities typically initiated by life insurers, according to IRDAI's regulations?
a) By sending advance intimation
b) By sending post-dated cheque
c) By giving direct credit to the bank account
d) By providing cash payment at the insurer's office
Q9. How are pre-post hospital expenses typically paid in some policies?
a) As a fixed amount
b) As a percentage of hospital claims
c) As a lump sum payment
d) As a separate premium
Q10. How does the cashless facility work in the TPA's settlement process?
a) The TPA insurer enters into an agreement with the hospital for cashless facility.
b) Agreements are possible with other medical service providers as well.
c) The process used for providing cashless facility is discussed in this section.
d) All of the above
