Health Insurance (IC 27): Memory based questions
The insurance institute of India conducts the III exam. Every year, the exam is held four times: once in March, once in May, once in September, and once in November. We are offering Recollected Questions (Memory-based Questions) for the Health Insurance (IC 27) exam. The maximum number of questions are repeated in each exam in these papers. As a result, Ambitiousbaba is providing you with a recollected Question on IC 27, Health Insurance.
These Health Insurance (IC 27) Memory Based Questions can come in handy in the forthcoming Exam.
Health Insurance (IC 27) Memory Based Questions
- Calculations based on deductibles
- Sum insured for individuals in micro insurance upto 1 lakh
- Health expenditure is 4.13% of GDP
- Bhore committee 1946
- Insurer should bear atleast 50% of the costs of medical tests if proposal is accepted
- Questions on identifying claim analysis (Ch4)
- Question on insurance payable considering waiting period
- Calculation of claim payable along with no claim bonus
- Japan universal coverage 1962
- Identify the disease covered under critical illness and day care
- Most widespread fraud-cash defalcation
- Sum insured for mediclaim 1 lac
- Scores as per post sales dissonance- customer feedback
- What is quota share reinsurance
- Changing joining dates of employees- Application fraud
- Country with dual structure for insurance- Chile
- Group vs individual insurance
- The onus of proof shall rest with the insurer in case of any undisclosed material fact.
- Questions on SSS
- White labelling refers to a structure where the reinsurer designs the entire insurance product
- Case studies on quota share, excess loss and surplus share
- Question on whistle blower or squealing
- Most common fraud in health insurance is cash defalcation
- Identify the critical illness (5 options like malaria, small pox, CABG, etc were given )
- Making a claim of hysterectomy with fabricated medical papers is false claims
- In eligibility fraud, the benefit is paid illegitimately
- Case study to distinguish the type of fraud. Mr. A intentionally plans an accident and hits a tree and fractures his leg. This is a hard fraud
- If a critical illness is diagnosed in 1st 4 years of policy, the insurance company will not pay the claim for which insured had signs or symptoms or received medical treatment within 48 months prior to insured’s first policy with the insurer.
- Why the frauds in insurance are not looked up with so much importance as frauds in other areas
- Why a failed insurer has major repercussions
- Meaning of business environment risk
- Underwriting practices and risk appetite of the insurer gives rise to which type of risk?
- Meaning of cream skimming
- Age and health are the key features in Underwriting
- When was Insurance Information Bureau (IIB) constituted? 2009
- Collection and analysis of data based on past experience is done by actuary
- The total number of claims settled by the end of each month from the month of claim occurrence is called Payment Duration Analysis
- Identifying the major disease group, their claim frequency and cost of treatment by provider comes under Analysis by diagnosis grouping and provider network analysis
- Factors determining Reinsurance at the end of year
- Questions to distinguish between written and earned premium
- Claims data is contained in Table C
- Question on function of TPAs
- Which of the following disease falls under day care (options like stroke, cataract etc were given)
- Minimum waiting period for policies is 30 days
- Which policy provides living costs like food, clothing, amenities? Long term care plan
- Questions on co insurance and deductible
- Calculation of amount paid in no claim discount for 2 years ( the discount is calculated in a cumulative manner)
- 3 statements were given on health insurance as a contract. Meaning of the word contract- it’s derived from Contrahere which means mutual
- Almost 5-6 questions on health policies of different countries
- A minor proposer cannot directly buy a health insurance policy due to lack of capacity to contract
- Please see the order of policy form preamble- operative clause ….
- Holders of credit cards issued by a specific company falls under Group health insurance
- Definition of numerical rating method
- The financial status of a proposer is checked when he takes a policy with high sum insured
- Select the correct meaning of insurable interest
- Maximum limit of sum insured in micro insurance products is ₹100,000 for individuals
- Questions on maximum sum assured in RSBY. Few features of RSBY:-
- Premium borne by central and state government
- It is for Below poverty line
- They have to pay 30 Rs
- SA 30000
- Family cover
- One time payment
- It is only towards card charges- RSBY identity card
- Exclusions in a policy
- Composition of government tax revenue in world health expenditure is 35%
- Composition of social insurance is 25%
- Contribution towards health insurance in France = Employer+ Employee+ General taxes
- Why health insurance is mainly under state control? I think it falls under state list, not sure though.
- Stages of fraud
- Collection and analysis of health insurance data
- Chap 9 health insurance frauds
- Chap 3 health insurance products in india
- Chap4 health insurance underwriting
- Chap5 health insurance policy forms
- Questions on irda, councils and functions
- Questions on establishment dates
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