IC38 - HEALTH INSURANCE AGENT EXAM - 24
| Q1.Which One of the Following Documents, is not accepted as a Standard Age-Proof Document? |
| a) school-leaving Certificate |
| b) PassPort |
| c) Horoscope |
| d) Employer's Certificate |
| Q2.What does not go on to make a healthy relationship? |
| a) Attraction |
| b) Trust |
| c) Communication |
| d) Scepticism |
| Q3.Which of the following are requisites of a valid insurance contract? (1) Consideration. (2) parties of the same mind (3) .parties are competent to contract |
| a) Only Statement 1 |
| b) Statement 2 is True |
| c) Both 1 and 2 are true |
| d) All of the above |
| Q4.The Concept of Utmost Good Faith indicates that It is the Positive Duty of the Proposer, to ____ disclose, Accurately and Fully, All the Facts, Material to the Risk-Being-Proposed, Whether Requested or Not. |
| a) Completely |
| b) Voluntarily |
| c) Definitively |
| d) Accurately |
| Q5.In Case of a ___, the Customer pays the Hospital, from His or Her Own Resources, and then files His or Her Claim, with the Insurer or Third-Party Administrator (T.P.A.) , for Payment of the Admissible Claim. |
| a) Reimbursement Claim |
| b) Cash-Less Facility |
| c) Pay-As-You-Go Claim |
| d) Treat First, Pay Later Claim |
|
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| Q6.In the Case of a ____, the Customer does not pay the Expenses at the Time of Admission or Treatment. The Net-Work Hospital provides the Services, based on a Pre-Approval from the Insurer or Third-Party Administrator (T.P.A.), and later submits the Documents, to the Insurer or Third-Party Administrator (T.P.A.), for Settlement of the Claim. |
| a) Reimbursement Claim |
| b) Cash-Less Facility |
| c) Pre-Approved Claim |
| d) Treat First, Pay Later Claim |
| Q7.Which of the following statement is correct with regards to cashless insurance? |
| a) All treatments are provided free of cost by the hospital |
| b) Payments to the hospital are done by cheques |
| c) The policy is given free to the patient |
| d) The patient doesn't pay for the treatment |
| Q8.Mr. Jayendra fell-off a Horse and landed in a Puddle. He had to lie in the Puddle for a Long- Time, because, the Fall had broken His Leg, this resulted in Him contracting Severe Pneumonia. He was treated in a Near-By Hospital, where, He dies, as a result of Pneumonia. What is the Proximate Cause of Death, in this case? |
| a) Pneumonia. |
| b) Leg-Injury, sustained as a result of the Fall. |
| c) Negligence of Doctors. |
| d) Hospital-Treatment. |
| Q9.Which One of the Following Consumer-Disputes' Redressal-Agencies, entertains the Appeals, against the Orders of Any State Commission? |
| a) District Forum |
| b) National Commission |
| c) Insurance Regulatory and Development Authority of India (I.R.D.A.I.) |
| d) No Appeal can be made. |
| Q10.Classifying the Risks, Depending on the Characteristics and Degree of Risk-Posed, an Appropriate Rate of Premium, may be levied, is the Main Purpose of ____. |
| a) Cover-Letter |
| b) Underwriting |
| c) Bond |
| d) Agreement |