IC27 HEALTH INSURANCE EXAM - 10
| Q1.Which is the most critical step in data warehousing? |
| Business goal setting |
| Deciding requirements for business data warehouse |
| Collection of first-hand data |
| Defining the scope of data collection |
| Understanding of the available data |
| Q2.With regards to Insurable Interest, which of the below statement is correct? |
| The person taking the insurance has no legally recognized relationship to the object of the insurance |
| A person has the legal right to ensure his health by taking a health insurance policy |
| A person should not have a pecuniary interest in the asset he is going to get insured |
| The reason why employers buy health insurance plans for their employees is because it is mandatory |
| The greatest liability of a person is his own health |
| Q3.Regulation no. __ of IRDAI Protection of policyholders interests regulations 2002 states that every insurer should have in place a grievance redressal system to address the complaints of the policyholders. |
| 5 |
| 6 |
| 7 |
| 8 |
| 9 |
| Q4.Insurers have to provide sufficient information to prospects regarding claim processes. This rule is as per which act/regulation? |
| Insurance act |
| IRDA Act |
| General Insurance Business (Nationalization) Act |
| Contract Act |
| Policy Holder Protection Regulation |
| Q5.A score of 3.9 was received by which of the following options in context to - 'taking measures for post-sales dissonance of health insurance – Clarity of information'? |
| Health policy wordings are available to download from the company’s website |
| Availability of broachers in vernacular language |
| Product coverage and exclusions mentioned in the health insurance proposal form |
| Reconfirmation of health insurance premium to be charged |
| Coverage and exclusions displayed on the company’s website |
| Q6.The full form of FCR is ____. |
| Final Call Receipt |
| Free Call Resolution |
| Fast Call Resolution |
| First Call Resolution |
| Factual Call Receipt |
| Q7.Which of these is also known as Income Protection Plan? |
| Critical illness |
| Life insurance |
| Disability benefit |
| Personal accident |
| Indemnity health insurance |
| Q8.Which of the following is a suitable measure to be taken by a good data warehouse to avoid spelling errors in name, city name, etc.? |
| Appointment of proofreaders for the database |
| Checking of data entry at two levels to remove errors |
| Development of high-end spell check software |
| Such fields can come in drop-down menus |
| Provision of a pre-defined list of names and accept only those values |
| Q9.What does the term ' Creating a Fraud database' mean in context to fighting frauds in insurance? 1. This is a powerful tool at the claim filing stage 2. This database must have all information about frauds or suspicious transactions for all insurance companies 3. Such database gives information on fraud (consisting of customers, agents, doctors, etc) |
| Only statement 2 is correct |
| Only statement 3 is correct |
| Statement 2 and 3 are correct, 1 is incorrect |
| Statement 1 and 3 are correct, 2 is incorrect |
| Statement 1 and 2 are correct, 3 is incorrect |
| Q10.What percentage of the Indian population is lead towards poverty due to out-of-pocket medical expenses every year? |
| Approx 2.20% |
| Approx 1.54 % |
| Approx 4.25% |
| Approx 5.80 % |
| Approx 10.50 % |