Ic38 Q&a-2
Ic38 Q&a-2
Ic38 Q&a-2
Q1:Which among the following is the regulator for the insurance industry in India?
I. Insurance Authority of India
II. Insurance Regulatory and Development Authority of India
III. Life Insurance Corporation of India
IV. General Insurance Corporation of India
Q5:Which of the below insurance scheme is run by an insurer and not sponsored by the
Government?
I. Employees State Insurance Corporation
II. Crop Insurance Scheme
III. Jan Arogya
IV. All of the above
Q 12: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?
I. Rs.100/-
II. Rs.200/-
III. Rs.80/-
IV. Rs.400/-
Q14:Why do insurers arrange for survey and inspection of the property before acceptance
of a risk?
I. To assess the risk for rating purposes
II. To find out how the insured purchased the property
III. To find out whether other insurers have also inspected the property
IV. To find out whether neighbouring property also can be insured
Q15: Which of the below option best describes the process of insurance?
I. Sharing the losses of many by a few
II. Sharing the losses of few by many
III. One sharing the losses of few
IV. Sharing of losses through subsidy
Q17 : Identify the scenario where a debate on the need for insurance is not required.
I. Property insurance
II. Business liability insurance
III. Motor insurance for third party liability
IV. Fire insurance
Q18: As per the Consumer Protection Act, 1986, who cannot be classified as a consumer?
I. Hires goods / services for personal use
II. A person who buys goods for resale purpose
III. Buys goods and services for a consideration and uses them
IV. Uses the services of another for a consideration
Q 26 : A customer having complaint regarding his insurance policy can approach IRDA
through
I. IGMS
II. District Consumer Forum
III. Ombudsman
IV. IGMS or District Consumer Forum or Ombudsman
Q 35: Which of the below consumer grievance redressal agencies would handle consumer
disputes amounting between Rs. 20 lakhs and Rs. 100 lakhs?
I. District Forum
II. State Commission
III. National Commission
IV. Zilla Parishad
Q36 : Which among the following cannot form the basis for a valid consumer complaint?
I. Shopkeeper charging a price above the MRP for a product
II. Shopkeeper not advising the customer on the best product in a category
III. Allergy warning not provided on a drug bottle
IV. Faulty products
Q 37 :Which of the below will be the most appropriate option for a customer to lodge an
insurance policy related complaint?
I. Police
II. Supreme Court
III. Insurance Ombudsman
IV. District Court
Q 38: Which of the below statement is correct with regards to the territorial jurisdiction
of the Insurance Ombudsman?
I. Insurance Ombudsman has National jurisdiction
II. Insurance Ombudsman has State jurisdiction
III. Insurance Ombudsman has District jurisdiction
IV. Insurance Ombudsman operates only within the specified territorial limits
Q 40: Are there any fee / charges that need to be paid for lodging the complaint with the
Ombudsman?
I. A fee of Rs 100 needs to be paid
II. No fee or charges need to be paid
III. 20% of the relief sought must be paid as fee
IV. 10% of the relief sought must be paid as fee
Q 48 : Which of the below party is not eligible to enter into a life insurance contract?
I. Business owner
II. Minor
III. House wife
IV. Government employee
Q 50: Which of the below is not correct with regards to insurable interest?
I. Father taking out insurance policy on his son
II. Spouses taking out insurance on one another
III. Friends taking out insurance on one another
IV. Employer taking out insurance on employees
Q 52 : Find out the proximate cause for death in the following scenario?
Ajay falls off a horse and breaks his back. He lies there in a pool of water and contracts
pneumonia. He is admitted to the hospital and dies because of pneumonia.
I. Pneumonia
II. Broken back
III. Falling off a horse
IV. Surgery
Q 57 : Which of the below mentioned insurance plans has the least or no amount of
savings element?
I. Term insurance plan
II. Endowment plan
III. Whole life plan
IV. Money back plan
Q 61 :Which among the following methods is a traditional method that can help determine
the insurance needed by an individual?
I. Human Economic Value
II. Life Term Proposition
III. Human Life Value
IV. Future Life Value
Q 62 :Which of the below is the most appropriate explanation for the fact that young
people are charged lesser life insurance premium as compared to old people?
I. Young people are mostly dependant
II. Old people can afford to pay more
III. Mortality is related to age
IV. Mortality is inversely related to age
Q 63 :Which of the below is not an advantage of cash value insurance contracts?
I. Safe and secure investment
II. Inculcates saving discipline
III. Lower yields
IV. Income tax advantages
Q65 : Which among the following would you recommend in order to seek protection
against unforeseen events?
I. Insurance
II. Transactional products like bank FDs
III. Shares
IV. Debentures
Q 68 :An individual with an aggressive risk profile is likely to follow wealth _______
investment style.
I. Consolidation
II. Gifting
III. Accumulation
IV. Spending
Q 70 : Savings can be considered as a composite of two decisions. Choose them from the
list below.
I. Risk retention and reduced consumption
II. Gifting and accumulation
III. Spending and accumulation
IV. Postponement of consumption and parting with liquidity
Q71 :During which stage of life will an individual appreciate past savings the most?
I. Post retirement
II. Earner
III. Learner
IV. Just married
Q 72 :What is the relation between investment horizon and returns?
I. Both are not related at all
II. Greater the investment horizon the larger the returns
III. Greater the investment horizon the smaller the returns
IV. Greater the investment horizon more tax on the returns
Q 81 :The ________ the premium paid by you towards your life insurance, the ________
will be the compensation paid to the beneficiary in the event of your death.
I. Higher, Higher
II. Lower, Higher
III. Higher, Lower
IV. Faster, Slower
Q 82 :Which of the below option is correct with regards to a term insurance plan?
I. Term insurance plans come with life-long renewability option
II. All term insurance plans come with a built-in disability rider
III. Term insurance can be bought as a stand-alone policy as well as a rider with
another policy
IV. There is no provision in a term insurance plans to convert it into a whole life insurance
plan
Q 84 : Using the conversion option present in a term policy you can convert the same to _
I. Whole life policy
II. Mortgage policy
III. Bank FD
IV. Decreasing term policy
Q 93 : Who among the following is most likely to buy variable life insurance?
I. People seeking fixed return
II. People who are risk averse and do not dabble in equity
III. Knowledgeable people comfortable with equity
IV. Young people in general
Q 98 :As per IRDAI norms, an insurance company can provide which of the below non-
traditional savings life insurance products are permitted in India?
Choice I: Unit Linked Insurance Plans
Choice II: Variable Insurance Plans
I. I only
II. II only
III. I and II both
IV. Neither I nor II
Q102: The sum assured under keyman insurance policy is generally linked to which of the
following?
I. Keyman income
II. Business profitability
III. Business history
IV. Inflation index
Q105 :A policy is effected under the MWP Act. If the policyholder does not appoint a
special trustee to receive and administer the benefits under the policy, the sum secured
under the policy becomes payable to the _____________.
I. Next of kin
II. Official Trustee of the State
III. Insurer
IV. Insured
Q 106 : Mahesh ran a business on borrowed capital. After his sudden demise, all the
creditors are doing their best to go after Maheshs assets. Which of the below assets is
beyond the reach of the creditors?
I. Property under Maheshs name
II. Maheshs bank accounts
III. Term life insurance policy purchased under Section 6 of MWP Act
IV. Mutual funds owned by Mahesh
Q 107 :Which of the below option is true with regards to MWP Act cases?
Statement I: Maturity claims cheques are paid to policyholders
Statement II: Maturity claims cheques are paid to trustees
I. I is true
II. II is true
III. Both I and II are true
IV. Neither I nor II is true
Q 108 :Which of the below option is true with regards to MWP act cases?
Statement I: Death claims are settled in favour of nominees
Statement II: Death claims are settled in favour of trustees
I. I is true
II. II is true
III. Both I and II are true
IV. Neither I nor II is true
Q 109: Ajay pays insurance premium for his employees. Which of the below insurance
premium will not be treated deductible as compensation paid to employee?
Choice I: Health insurance with benefits payable to employee
Choice II: Keyman life insurance with benefits payable to Ajay
I. I only
II. II only
III. Both I and II
IV. Neither I nor II
Q 110 :The practice of charging interest to borrowers who pledge their property as
collateral but leaving them in possession of the property is called _____________.
I. Security
II. Mortgage
III. Usury
IV. Hypothecation
Q 111 :Which of the below policy can provide protection to home loan borrowers?
I. Life Insurance
II. Disability Insurance
III. Mortgage Redemption Insurance
IV. General Insurance
Q114 : What does the term premium denote in relation to an insurance policy?
I. Profit earned by the insurer
II. Price paid by an insured for purchasing the policy
III. Margins of an insurer on a policy
IV. Expenses incurred by an insurer on a policy
Q 115 :Which of the below is not a factor in determining life insurance premium?
I. Mortality
II. Rebate
III. Reserves
IV. Management expenses
Q 120 :Interest rates are one of the important components used while determining the
premium. Which of the below statement is correct with regards to interest rates?
I. Lower the interest rate assumed, lower the premium
II. Higher the interest rate assumed, higher the premium
III. Higher the interest rate assumed, lower the premium
IV. The interest rates dont affect premiums
Q 124 :Which of the below statement is correct with regards to endowment assurance
plan?
I. It has a death benefit component only
II. It has a survival benefit component only
III. It has both a death benefit as well as a survival component
IV. It is similar to a term plan
Q126 :During the _________ period, if the policyholder has bought a policy and does not
want it, he / she can return it and get a refund.
I. Free evaluation III. Cancellation
II. Free look IV. Free trial
Q 127 :Which of the below is an example of standard age proof?
I. Ration card
II. Horoscope
III. Passport
IV. Village Panchayat certificate
Q 129 :Which of the below features will be checked in a medical examiners report?
I. Emotional behaviour of the proposer
II. Height, weight and blood pressure
III. Social status
IV. Truthfulness
Q 131 :The application document used for making the proposal is commonly known as the.
I. Application form
II. Proposal form
III. Registration form
IV. Subscription form
Q 132 :From the below given age proof documents, identify the one which is classified as
non-standard by insurance companies.
I. School certificate
II. Identity card in case of defence personnel
III. Ration card
IV. Certificate of baptism
Q 133: Money laundering is the process of bringing _______ money into an economy by
hiding its _______ origin so that it appears to be legally acquired.
I. Illegal, illegal
II. Legal, legal
III. Illegal, legal
IV. Legal, illegal
Q 134 :In case the policyholder is not satisfied with the policy, he / she can return the
policy within the free-look period i.e. within ________of receiving the policy document.
I. 60 days
II. 45 days
III. 30 days
IV. 15 days
Q 135 :Which of the below statement is correct with regards to a policy returned by a
policyholder during the free look period?
I. The insurance company will refund 100% of the premium
II. The insurance company will refund 50% of the premium
III. The insurance company will refund the premium after adjusting for proportionate
risk premium for the period on cover, medical examination expenses and stamp duty
charges
IV. The insurance company will forfeit the entire premium
Q 137 :What does a first premium receipt (FPR) signify? Choose the most appropriate
option.
I. Free look period has ended
II. It is evidence that the policy contract has begun
III. Policy cannot be cancelled now
IV. Policy has acquired a certain cash value
Q 138 :Which of the following documents is an evidence of the contract between insurer
and insured?
I. Proposal form
II. Policy document
III. Prospectus
IV. Claim form
Q 139 :If complex language is used to word a certain policy document and it has given rise
to an ambiguity, how will it generally be construed?
I. In favour of insured
II. In favour of insurer
III. The policy will be declared as void and the insurer will be asked to return the premium
with interest to the insured
IV. The policy will be declared as void and the insurer will be asked to return the premium
to the insured without any interest
Q 143 :What will happen if the insured person loses the original life insurance policy
document?
I. The insurance company will issue a duplicate policy without making any changes to
the contract
II. The insurance contract will come to an end
III. The insurance company will issue a duplicate policy with renewed terms and conditions
based on the current health declarations of the life insured
IV. The insurance company will issue a duplicate policy without making any changes to the
contract, but only after a Court order.
Q 145 : Which of the below forms the first part of a standard insurance policy document?
I. Policy schedule
II. Standard provisions
III. Specific policy provisions
IV. Claim procedure
Q 146 :In a standard insurance policy document, the standard provisions section will have
information on which of the below?
I. Date of commencement, date of maturity and due date of last premium
II. Name of nominee
III. The rights and privileges and other conditions, which are applicable under the
contract
IV. The signature of the authorised signatory and policy stamp
Q 147 :A clause precluding death due to pregnancy for a lady who is expecting at the
time of writing the contract will be included in which section of a standard policy
document?
I. Policy schedule III. Standard provisions
II. General provisions IV. Specific policy provisions
Q 148 :Under what circumstances would the policyholder need to appoint an appointee?
I. Insured is minor
II. Nominee is a minor
III. Policyholder is not of sound mind
IV. Policyholder is not married
Q 149 : Which of the below statement is false with regards to nomination?
I. Policy nomination is not cancelled if the policy is assigned to the insurer in return for a
loan
II. Nomination can be done at the time of policy purchase or subsequently
III. Nomination can be changed by making an endorsement in the policy
IV. A nominee has full rights on the whole of the claim
Q 150 :In order for the policy to acquire a guaranteed surrender value, for how long must
the premiums be paid as per law?
I. Premiums must be paid for at least 2 consecutive years
II. Premiums must be paid for at least 3 consecutive years
III. Premiums must be paid for at least 4 consecutive years
IV. Premiums must be paid for at least 5 consecutive years
Q 152 : Which of the below statement is correct with regards to grace period of an
insurance policy?
I. The standard length of the grace period is one month.
II. The standard length of the grace period is 30 days.
III. The standard length of the grace period is one month or 30 days.
IV. The standard length of the grace period is one month or 31 days.
Q 153 :What will happen if the policyholder does not pay the premium by the due date
and dies during the grace period?
I. The insurer will consider the policy void due to non-payment of premium by the due
date and hence reject the claim
II. The insurer will pay the claim and waive off the last unpaid premium
III. The insurer will pay the claim after deducting the unpaid premium
IV. The insurer will pay the claim after deducting the unpaid premium along with interest
which will be taken as 2% above the bank savings interest rate
Q 154 :During the revival of a lapsed policy, which of the below aspect is considered most
significant by the insurance company? Choose the most appropriate option.
I. Evidence of insurability at revival
II. Revival of the policy leading to increase in risk for the insurance company
III. Payment of unpaid premiums with interest
IV. Insured submitting the revival application within a specified time frame
Q 155 : For an insurance policy nomination is allowed under _________ of the Insurance
Act, 1938.
I. Section 10
II. Section 38
III. Section 39
IV. Section 45
Q 156 :Which of the below statement is incorrect with regards to a policy against which a
loan has been taken from the insurance company?
I. The policy will have to be assigned in favour of the insurance company
II. The nomination of such policy will get cancelled due to assignment of the policy in
favour of the insurance company
III. The nominees right will affected to the extent of the insurers interest in the policy
IV. The policy loan is usually limited to a percentage of the policys surrender value
Q 159 :Which of the following cases is likely to be declined or postponed by a life insurer?
I. Healthy 18 year old
II. An obese person
III. A person suffering from AIDS
IV. Housewife with no income of her own
Q 162 : Which of the following denotes the underwriters role in an insurance company?
I. Process claims
II. Decide acceptability of risks
III. Product design architect
IV. Customer relations manager
Q165 :Which of the following condition will affect a persons insurability negatively?
I. Daily jogs
II. Banned substance abuse
III. Lazy nature
IV. Procrastination
Q 166 :Under what method of underwriting does an underwriter assign positive rating
points for all negative or adverse factors (negative points for any positive or favourable
factors)?
I. Judgment
II. Arbitrary
III. Numerical rating
IV. Single step
Q 167 :Under risk classification, ___________ consist of those whose anticipated mortality
corresponds to the standard lives represented by the mortality table.
I. Standard lives
II. Preferred risks
III. Sub-standard lives
IV. Declined lives
Q 168 :Amruta is pregnant. She has applied for a term insurance cover. Which of the
below option will be the best option to choose for an underwriter to offer insurance to
Amruta? Choose the most likely option.
I. Acceptance at ordinary rates
II. Acceptance with extra premium
III. Decline the proposal
IV. Acceptance with a restrictive clause
Q 169 :Which of the below insurance proposal is not likely to qualify under non-medical
underwriting?
I. Savita, aged 26 years, working in an IT company as a software engineer
II. Mahesh, aged 50 years, working in a coal mine
III. Satish, aged 28 years, working in a bank and has applied for an insurance cover of Rs. 1
crore
IV. Pravin, aged 30 years, working in a departmental store and has applied for an
endowment insurance plan for a tenure of 10 years
Q 170 :Sheena is suffering from acute diabetes. She has applied for an insurance plan. In
this case the underwriter is most likely to use ____________ for underwriting. Choose the
most appropriate option.
I. Judgment method
II. Numerical method
III. Any of the above method since an illness like diabetes does not play a major role in the
underwriting process
IV. Neither of the above method as diabetes cases are rejected outright
Q171 :Santosh has applied for a term insurance policy. His anticipated mortality is
significantly lower than standard lives and hence could be charged a lower premium.
Under risk classification, Santosh will be classified under ___________.
I. Standard lives
II. Preferred risks
III. Substandard lives
IV. Declined lives
Q 172 :Which of the below statement best describes the concept of claim? Choose the
most appropriate option.
I. A claim is a request that the insurer should make good the promise specified in the
contract
II. A claim is a demand that the insurer should make good the promise specified in the
contract
III. A claim is a demand that the insured should make good the commitment specified in
the agreement
IV. A claim is a request that the insured should make good the promise specified in the
agreement
Q 173 : Given below is a list of policies. Identify under which type of policy, the claim
payment is made in the form of periodic payments?
I. Money-back policy
II. Unit linked insurance policy
III. Return of premium policy
IV. Term insurance policy
Q 174 :Mahesh has bought a life insurance policy with a critical illness rider. He has made
absolute assignment of the policy in favour of Karan. Mahesh suffers a heart attack and
there is a claim of Rs. 50,000 under the critical illness rider. To whom will the payment be
made in this case?
I. Mahesh
II. Karan
III. The payment will be shared equally by Mahesh and Karan
IV. Neither of the two because Mahesh has suffered the heart attack but the policy is
assigned in favour of Karan.
Q 175 :Praveen died in a car accident. The beneficiary submits documents for death
claim. Which of the below document is an additional document required to be submitted
in case of accidental death as compared to natural death.
I. Certificate of burial or cremation
II. Treating physicians certificate
III. Employers certificate
IV. Inquest Report
Q 176 :Which of the below death claim will be treated as an early death claim?
I. If the insured dies within three years of policy duration
II. If the insured dies within five years of policy duration
III. If the insured dies within seven years of policy duration
IV. If the insured dies within ten years of policy duration
Q 177 :Given below are some events that will trigger survival claims. Identify which of the
below statement is incorrect?
I. Claim paid on maturity of a term insurance policy
II. An instalment payable upon reaching the milestone under a money-back policy
III. Claim paid for critical illnesses covered under the policy as a rider benefit
IV. Surrender value paid on surrender of an endowment policy by the policyholder
Q 178 :A payment made under a money-back policy upon reaching a milestone will be
classified under which type of claim?
I. Death claim
II. Maturity claim
III. Periodical survival claim
IV. Surrender claim
Q 179 :Shankar bought a 10 year Unit Linked Insurance Plan. If he dies before the maturity
of the policy which of the below will be paid?
I. Lower of sum assured or fund value
II. Higher of sum assured or fund value
III. Premiums paid will be returned with 2% higher interest rate as compared to a banks
savings deposit
IV. Surrender value
Q 180 :Based on classification of claims (early or non-early), pick the odd one out?
I. Ramya dies after 6 months of buying a term insurance plan
II. Manoj dies after one and half years of buying a term insurance plan
III. David dies after two and half years of buying a term insurance plan
IV. Pravin dies after five and half years of buying a term insurance plan
Q 181 : Given below is a list of documents to be submitted for a normal death claim by all
beneficiaries in the event of death of life insured. Pick the odd one out which is
additionally required to be submitted only in case of death by accident.
I. Inquest report
II. Claim form
III. Certificate of burial or cremation
IV. Hospitals certificate
Q 182 :As per IRDAI (Protection of Policyholders Interests) Regulations, 2002, a claim
under a life policy shall be paid or be disputed, within 30 days from the date of receipt of
all relevant papers and clarifications required.
I. 7 days III. 30 days
II.15 days IV. 45 days
Q 183 :As per guidelines, an insurance company has to process an insurance proposal
within __________.
I. 7 days
II. 15 days
III. 30 days
IV. 45 days
Q 184 :In case the premium payment is made by cheque, then which of the below
statement will hold true?
I. The risk may be assumed on the date on which the cheque is posted
II. The risk may be assumed on the date on which the cheque is deposited by the insurance
company
III. The risk may be assumed on the date on which the cheque is received by the insurance
company
IV. The risk may be assumed on the date on which the cheque is issued by the proposer
Q 185 :Which of the below statement is correct with regards to a warranty?
I. A warranty is a condition which is implied without being stated in the policy
II. A warranty is a condition expressly stated in the policy
III. A warranty is a condition expressly stated in the policy and communicated to the
insured separately and not as part of the policy document
IV. If a warranty is breached, the claim can still be paid if it is not material to the risk
Q 186 :If certain terms and conditions of the policy need to be modified at the time of
issuance, it is done by setting out the amendments through __________.
I. Warranty
II. Endorsement
III. Alteration
IV. Modifications are not possible
Q 187 :Which of the below statement is correct with regards to renewal notice?
I. As per regulations there is a legal obligation on insurers to send a renewal notice to
insured, 30 days before the expiry of the policy
II. As per regulations there is a legal obligation on insurers to send a renewal notice to
insured, 15 days before the expiry of the policy
III. As per regulations there is a legal obligation on insurers to send a renewal notice to
insured, 7 days before the expiry of the policy
IV. As per regulations there is no legal obligation on insurers to send a renewal notice to
insured before the expiry of the policy
Q 188 : Though the duration of cover for pre-hospitalization expenses would vary from
insurer to insurer and is defined in the policy, the most common cover is for ________
pre-hospitalization.
I. Fifteen days
II. Thirty days
III. Forty Five days
IV. Sixty days
Q 189 :As per IRDA guidelines, a ________ grace period is allowed for renewal of individual
health policies.
I. Fifteen days III. Forty Five days
II. Thirty days IV. Sixty days
Q 190 :Which of the below statement is correct with regards to a hospitalization expenses
policy?
I. Only hospitalization expenses are covered
II. Hospitalization as well as pre and post hospitalization expenses are covered
III. Hospitalization as well as pre and post hospitalization expenses are covered and a
lumpsum amount is paid to the family members in the event of insureds death
IV. 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.
Q 192 :Which of the below statement is correct with regards to cashless service provided
in health insurance?
I. It is an environment friendly go-green initiative started by insurance companies to
promote electronic payments so that circulation of physical cash notes can be reduced and
trees can be saved.
II. Service is provided free of cost to the insured and no cash is to be paid as the payment
is made by the Government to the insurance company under a special scheme
III. All payments made by insured have to be made only through internet banking or cards
as cash is not accepted by the insurance company
IV. The insured does not pay and the insurance company settles the bill directly with
the hospital
Q 193 :Identify the correct full form of PPN with regards to hospitals in health insurance.
I. Public Preferred Network
II. Preferred Provider Network
III. Public Private Network
IV. Provider Preferential Network
Q 196 :The principle of utmost good faith in underwriting is required to be followed by _...
I. The insurer III. Both the insurer and the insured
II. The insured IV. The medical examiners
Q 199 :
1) In a group health insurance, any of the individual constituting the group could anti-
select against the insurer.
2) Group health insurance provides coverage only to employer-employee groups.
I. Statement 1 is true and statement 2 is false
II. Statement 2 is true and statement 1 is false
III. Statement 1 and statement 2 are true
IV. Statement 1 and statement 2 are false
Q 200 :Which of the following factor does not affect the morbidity of an individual?
I. Gender
II. Spouse job
III. Habits
IV. Residence location
Q 201 According to the principle of indemnity, the insured is paid for __________.
I. The actual losses to the extent of the sum insured
II. The sum insured irrespective of the amount actually spent
III. A fixed amount agreed between both the parties
IV. The actual losses irrespective of the sum assured
Q 202 :The first and the primary source of information about an applicant, for the
underwriter is his ________________.
I. Age proof documents
II. Financial documents
III. Previous medical records
IV. Proposal form
Q 204 :Which of the following statements about the numerical rating method is incorrect?
I. Numerical rating method provides greater speed in the handling of a large business with
the help of trained personnel.
II. Analysis of difficult or doubtful cases is not possible
on the basis of numerical points without medical referees or experts.
III. This method can be used by persons without any specific knowledge of medical
science.
IV. It ensures consistency between the decisions of different underwriters
Q 205 :Who among the following is not a stakeholder in insurance claim process?
I. Insurance company shareholders
II. Human Resource Department
III. Regulator
IV. TPA
Q 206 :Which of the following document is maintained at the hospital detailing all
treatment done to an in-patient?
I. Investigation report
II. Settlement sheet
III. Case paper
IV. Hospital registration certificate
Q 207 :The amount of provision made for all claims in the books of the insurer based on
the status of the claims is known as ________.
I. Pooling
II. Provisioning
III. Reserving
IV. Investing
Q 208 :Which of the following documents are not required to be submitted for Permanent
Total Disability claim?
I. Duly completed Personal Accident claim form signed by the claimant.
II. Attested copy of First Information Report if applicable.
III. Permanent disability certificate from a civil surgeon or any equivalent competent
doctors certifying the disability of the insured.
IV. Fitness certificate from the treating doctor certifying that the insured is fit to
perform his normal duties.
Q 209 :________________ are paid upfront by Assistance Company and later claimed from
insurance company.
I. Bail bond cases
II. Personal accident claims
III. Overseas travel insurance claims
IV. Untenable claims
Q 210 :Who among the following is considered as primary stakeholder in insurance claim
process?
I. Customers
II. Owners
III. Underwriters
IV. Insurance agents/brokers
Q 211 :Girish Saxenas insurance claim was denied by insurance company. In case of a
denial, what is the option available to Girish Saxena, apart from the representation to the
insurer?
I. To approach Government
II. To approach legal authorities
III. To approach insurance agent
IV. Nothing could be done in case of case denial
Q214 : Which of the following codes capture the procedures performed to treat the
illness?
I. ICD
II. DCI
III. CPT (Current Procedure Terminology )
IV. PCT
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