IC38 - HEALTH INSURANCE AGENT EXAM - 29
| Q1.The responsibility on proving the claim is covered rests with |
| a) The third party |
| b) Insurer |
| c) Insured |
| d) All of the above |
| Q2.For an Insurance Claim to be paid, the Associated Loss, incurred due to the Risk, must be _ and __. |
| a) Definite, Measurable |
| b) Static, Speculative |
| c) Dynamic, Critical |
| d) Pure, Marginal |
| Q3.Primary care can be described as ___. |
| a) Care provided to the patient in an acute setting |
| b) Care provided in hospitals |
| c) the First point of contact for people seeking healthcare |
| d) Care provided by Doctors |
| Q 4.Which among the following is not a pre-requisite for launching a complaint with the Ombudsman? |
| a) The complaint must be by an individual on a Personal Lines insurance |
| b) The complaint must be lodged within 1 year of the insurer rejecting the complaint |
| c) Complainant has to approach a consumer forum prior to the Ombudsman |
| d) The total relief sought must be within an amount of Rs.20 lakhs. |
| Q 5.Which of the following is/are, Example / Examples of Day-Care Procedure? I. Eye-Surgeries. II. Chemo-Therapy. III. Dialysis. |
| a) Only I. |
| b) I and II. |
| c) II and III. |
| d) I, II, and III. |
| Q6.Which One of the Following, has the Supervisory Jurisdiction over State Commission? |
| a) District Forum |
| b) National Commission |
| c) Ombudsman |
| d) None of the Above. |
| Q7.Who devises the Institute Time Clauses? |
| a) IRDA |
| b) General Insurance Corporation |
| c) Insurers |
| d) Institute of London Underwriters |
| Q8.As per IRDA regulations issued in February 2013, what is the grace period allowed beyond the expiry date of the policy, for renewal? |
| a) 15 days |
| b) 30 days |
| c) 45 days |
| d) 60 days |
| Q9.The amount of relief payable under the public liability insurance Act, 1991 for permanent total disability is |
| a) Rs.12,500 |
| b) Rs. 25,000 |
| c) Rs. 50,000 |
| d) Rs. 1,00,000 |
| Q10.When completing a proposal form for household insurance, a proposer states that his house is built from timber. An underwriter would treat this information as being |
| a) an implied condition. |
| b) a material fact. |
| c) a policy condition. |
| d) a policy warranty. |