IC27 HEALTH INSURANCE EXAM - 08
Q1.The occurrence of the insured event does not entitle the insured to compensation unless he has suffered some monetary loss. Which of the following principle of insurance defines this statement? |
Principle of utmost good faith |
Principle of indemnity |
Principle of subrogation |
Principle of proximate cause |
Principle of contribution |
Q2.___ claims are typically reinsured only at a portfolio level. |
High severity and High frequency |
High severity and Low frequency |
Low severity and High frequency |
Low severity and Low frequency |
None of the above |
Q3.The IRDA was established in the year __. |
1999 |
2000 |
2001 |
2002 |
2003 |
Q4.Which process is used to analyze the insurance data and come up with a formula to be used to predict the future with as much accuracy as possible? |
Rating |
Modeling |
Claim settlement |
Reporting delay pattern |
Claim settlement |
Q5.In RAG analysis, which categories are continuously monitored to take actions accordingly including cancellation of policy? |
Red category |
Amber category |
Green category |
Both Red and Amber categories |
All Red, Amber, and Green categories |
Q6.Which statement is INCORRECT with respect to Reinsurance? |
Reinsurance is a transaction between insurance companies |
Reinsurance is insurance for insurers |
Reinsurance does not require underwriting skills |
Reinsurance is a risk transfer mechanism |
Reinsurance is a transaction between insurance companies |
Q7.When a policyholder has a complaint to make, he must first approach ___. |
The insurance Ombudsman |
The District Commission |
The Consumer Complaint cell of the insurer |
The Grievance Redressal cell of IRDA |
Only the judicial channels |
Q8.The focus should be on ____ to make health insurance viable. |
classifying fraudulent claims |
reducing fraudulent claims |
identifying fraudulent claims |
encouraging fraudulent claims |
transferring fraudulent claims |
Q9.___ channels are available to a policyholder for registering complaints relating to personal insurance claims. |
Consumer courts only |
Civil courts only |
Both Consumer courts and Civil courts |
None of the above |
Consumer courts only |
Q10.__ is a deliberate attempt either to stage an event or an accident requiring hospitalization that would be covered under a medical insurance policy. |
Hard fraud |
Soft fraud |
Internal fraud |
External fraud |
Hospital fraud |