IC27 HEALTH INSURANCE EXAM - 13

Q1.To be eligible for an insurance claim. a patient generally needs to be hospitalized for at least _ hours
   12
   18
   24
   36
   48
 
Q2.With reference to 'hospital cash plans' - which of the below options is true?
  It provides a daily allowance in addition to an indemnity claim
  It provides only a one-time allowance which is included in indemnity claim
   Linked to the actual hospitalization expenses incurred
   Not available as a standalone product
  It provides a lump-sum allowance for the entire duration of hospitalization
 
Q3.Which of the following statement(s) is/are true with respect to contributions made to funds for healthcare in France? 1. Contribution to these funds is non-mandatory 2. Contribution to these funds is mandatory 3. A person cannot opt-out of the scheme
   Only 1 is true
   Only 2 is true
   Only 3 is true
   Both 1 and 2 are true
   Both 2 and 3 are true
 
Q4.State which analysis can divide the written premium for each of the policy years into two different segments?
   Earned premium
   Claims probability distribution
   Written premium
   Group size distribution
   Stated premium
 
Q5.When was the Indian Life Insurance Act introduced to regulate insurance companies in India?
   1905
   1912
   1924
   1938
   1947
 
Q6.Which of the following statements is/are true with respect to the rules for Grievance Redressal? 1. Any person who has a grievance against an insurer may himself or through his legal heirs make a complaint in writing to the Ombudsman within whose jurisdiction the branch or office of the insurer complained against is located 2. The Ombudsman may either make a recommendation through mediation or pass an award which he/she thinks is fair as per the facts and circumstances of the claim 3. The TPA shall appoint an Ombudsman for the purpose of these rules
   Only statement 1 is correct
   Only statement 2 is correct
   Only statement 3 is correct
   Both 1 and 2 are correct
   Both 2 and 3 are correct
 
Q7.What could be a drawback of the cashless health cover in India?
  There is a delay in the claim settlement process due to a lack of liquidity with insurance companies
   People may misuse the facility and get treated for unnecessary health problems
   People become more vulnerable to fake claims
   Hospitals will give improper treatment to a person who has cashless healthcare cover
   There is an additional premium load towards cashless policies
 
Q8.A Critical illness policy ____. 1. can also be taken as a stand-alone CI product 2. provides a lump sum payment on diagnosis of a covered condition 3. can come as an Accelerated CI benefit product, as a rider to a health insurance policy
   Only 1
   Only 2
   Only 3
   Both 1 and 2
  All 1, 2 and 3
 
Q9.Which amongst the following options is true with respect to Insurance Risk?
  In health insurance, though each risk by itself is not very large there still exists the risk of ‘concentration’
   Even though the insurer may hold good quality assets, holding long term debt can lead to liquidity risk
  Operational and other risks including the risk of frauds, risk of not keeping up with technology, risk of losing key human resources, etc.
   This mismatch lessens the insurer’s ability to arrange adequate cash to pay its liabilities at a short notice
  Similar to other businesses with financial dealings, there is a risk of default by business associates like providers, suppliers, and re-insurers
 
Q10.The National Insurance Act come into existence in Japan in the year __.
   1952
   1950
   1960
   1961
   1968

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