Prior to Exam Question Bank

Questions and Answers

Which statement regarding group health insurance is correct?

Only hospitalization expenses are covered.

Hospitalization expenses are covered from the first year, and pre and post hospitalization expenses are covered from the second year if the first year is claim free. (correct)

Hospitalization expenses are covered and a lumpsum amount is paid to family members in the event of insured's death.

Hospitalization as well as pre and post hospitalization expenses are covered.

Primary care can be described as:

Care provided by Doctors

Care provided in hospitals

Care provided to patient in an acute setting

First point of contact for people seeking healthcare (correct)

Statement 1 is true and statement 2 is false.

True

Which of the following refers to a hospital/health care provider enlisted by an insurer to provide medical services to an insured on payment by a cashless facility?

Network provider Signup and view all the answers

Which documents are not required for Permanent Total Disability claim?

Fitness certificate from the treating doctor certifying that the insured is fit to perform his normal duties Signup and view all the answers

Risk transfer through risk pooling is called __________.

insurance Signup and view all the answers

What is underwriting in insurance?

Underwriting is the process of risk selection and risk pricing in insurance. Signup and view all the answers

Match the risk reduction measures with their descriptions:

Risk retention = Accepting the risk and absorbing the losses if they occur Loss prevention = Taking steps to prevent or reduce the occurrence of risks Risk transfer = Transferring the risk to another party (like an insurer) Risk avoidance = Taking actions to avoid the risk altogether Signup and view all the answers

The duration of cover for pre-hospitalization expenses would typically vary from insurer to insurer, but the most common cover is for ________ pre-hospitalization.

fifteen days Signup and view all the answers

Gender is a factor that affects the morbidity of an individual.

True Signup and view all the answers

Match the following documents with their description:

Investigation report = Details all treatment for in-patient Settlement sheet = Financial settlement document Case paper = Medical case documentation Hospital registration certificate = Proof of hospital registration Signup and view all the answers

Health insurance is designed to handle which of the following risks?

Morbidity Signup and view all the answers

Which of the below group would not be eligible for a group health insurance policy?

Group of unrelated individuals formed for the purpose of availing group health insurance Signup and view all the answers

Who cannot be covered under a family floater policy?

Maternal uncle Signup and view all the answers

As per IRDA regulations issued in February 2013, what is the grace period allowed beyond the expiry date of the policy, for renewal?

15 days Signup and view all the answers

Identify the form of insurance that is depicted in the following scenario: Patient pays the health provider and is subsequently reimbursed by the health insurance company.

Indemnity Signup and view all the answers

Moral hazard by health insurance companies can result in:

Abuse of health insurance Signup and view all the answers

Which of the below elements promote trust?

Politeness, affirmation and communication Signup and view all the answers

Active listening involves paying attention to the speaker, giving an occasional nod and smile, and providing feedback.

True Signup and view all the answers

Expand the term IGMS.

Integrated Grievance Management System Signup and view all the answers

_____ is reflected in the caring attitude and individualized attention provided to customers.

Assurance Signup and view all the answers

Match the following: A pair of jeans - ஜீன்ஸ் ஒரு தாடி

I. Ethical behaviour = காப்பீடு விற்கும் தாற்றத்ளத சாத்தியமற்றது II. Reliability = ேம்பகத்தன்ளம III. Empathy = பச்சாதாபம் IV. Responsiveness = பபாறுப்புடன் பசயல்படுவது Signup and view all the answers

What is the main purpose of insurance?

To enjoy peace of mind and plan one's business more effectively Signup and view all the answers

Which of the following statements is correct with regards to the territorial jurisdiction of the Insurance Ombudsman?

Insurance Ombudsman has District jurisdiction Signup and view all the answers

What is the origin of modern insurance business?

Lloyds, Bottomry, Rhodes, Malhotra Committee Signup and view all the answers

What is meant by 'risk retention' in the context of insurance?

One decides to bear the risk and its effects Signup and view all the answers

How is the complaint to be launched with an insurance ombudsman?

The complaint is to be made in writing Signup and view all the answers

Insurance prevents loss of asset.

False Signup and view all the answers

What is the time limit for approaching an Insurance Ombudsman?

Within one year of rejection of the complaint by the insurer Signup and view all the answers

Out of 400 houses, each valued at Rs. 20,000, on an average 4 houses get burnt every year resulting in a combined loss of Rs. 80,000. What should be the annual contribution of each house owner to make good this loss?

Rs. 80/- Signup and view all the answers

Which among the following is not a pre-requisite for launching a complaint with the Ombudsman?

II. Signup and view all the answers

Which of the following statements is true?

Insurance is a method of sharing the losses of a few by many Signup and view all the answers

Why do insurers arrange for survey and inspection of the property before acceptance of a risk?

To assess the risk for rating purposes Signup and view all the answers

Which of the following options best describes the process of insurance?

Sharing the losses of few by many Signup and view all the answers

What is meant by customer lifetime value?

Sum of economic benefits that can be achieved by building a long term relationship with the customer Signup and view all the answers

In a customer's mind, there are two types of feelings and related emotions that arise with each service failure on the part of the insurance company. These feelings are:

Sense of unfairness and hurt ego Signup and view all the answers

What does not go on to make a healthy relationship?

Scepticism Signup and view all the answers

Which among the following is not an element of active listening?

Being extremely judgmental Signup and view all the answers

Insurance is a tangible good.