PCEIA New Edition Questions (English - Set 6
PCEIA New Edition Questions (English - Set 6
PCEIA New Edition Questions (English - Set 6
1. Which of the following provides for an annuitant to put in a lump sum at entry and on
attainment of a specified age, the insurer will pay an annuity of a specified amount until
death?
A. Single life annuity
B. Immediate annuity
C. Deferred annuity
D. Last survivor annuity
6. Underwritting guards against anti-selection and to ensure that the rates charges are
A. Ratable
B. Equitable
C. Manageable
D. Unsuitable
10. In the context of the law of contract, the term ’caveat emptor’ is
A. Let the seller beware
B. Let the buyer beware
C. Utmost good faith
D. Representation
12. Policies generally issued for the purpose of mortgage protection are usually in the nature
of __________________ insurance.
A. Convertible term
B. Decreasing term
C. Increasing term
D. Whole life
13. Term insurance is different from other forms of permanent insurance as it doesnt NOT
provid any
A. Protection
B. Survival benefit
C. Convertibility
D. Renewability
15. Premiums for participating policies are higher due to the right to share in the profits of
the operation of a life insurance company. This additional premium is known as
A. Profit premium
B. Risk premium
C. Bonus risk
D. Bonus loading
16. If your client effects an ordinary whole life policy on his own life at age 25, he has to pay
premium until
A. His dealth or when he reaches the age of 85 and above
B. He converts the policy into paid-up policy
C. He surrender the policy
D. Any of the above happens
17. An endowment policy pays the sum assured of the policy when the life insured
A. Dies anytime or survives up to the age 85 or more
B. Dies anytime within a specified perios or survives at the end of that period
C. Survives at the end of the specified period
D. Dies within the specified period
18. Term insurance is sold at a relatively low premium because it provides temporary death
protection and
A. Has no cash surrender value at the end of the period
B. An increasing commission rate is paid to agents
C. The mortality rate is lower
D. Involves a small face amount (sum assured)
20. Nathan was hospitalized for 3 days in a private hospital this year. The hospital bill
amounted to RM3,000. This is his 1st claim on his hospital and surgical insurance policy
this year. Given that the policy has an annual deductible of RM1,000, a co-payment
requirement of 20% and assuming that the whole hospital bill is eligible for insurance
reimbursement, how much will the hospital and surgical insurance policy reimburse
Nathan?
A. RM1,400
B. RM1,600
C. RM1,800
D. RM2,000
22. Which of the follwing circumstances doesnt NOT require further medical investigations,
and/or documentation in the process of underwriting medical and health insurance?
A. A pre-existing condition which increases the probability of a recurrence
B. A medical condition which is capable of prolonging the recover period
C. An accidental injury which had caused temporary disablement
D. An impaired risk which adverse medical history
23. Which section of the policy states that the proposal and declaration shall be the basis of
the contract between the insured and the insurer?
A. Representation clause
B. Recital clause
C. Operative clause
D. Attestation clause
24. Adam was killed while robbing a goldsmith shop. When his nominee filed a claim for
death benefit under a personal accident policy, the insurer declined the claim because
A. There was no consideration
B. There was no intention to create a legal relationship
C. He died while committing an illegal act
D. There was no offer and acceptance
25. For personal accident policy, the doctrine of __________ is important, as more than one
condition can operate leading to a claim.
A. Utmost good faith
B. Proximate cause
C. Contribution
D. Subrogration
26. If the agent is authorised to collect monies in accordance with the terms of his agency
appointment, the agent shall NOT
A. Keep a proper account of all financial transactions with his policy owners
B. Remit any such monies so collected to the insurer in strict conformity with his
agency appointment
C. Use the money collected for agency use until such time the premiums are due for
payment
D. Acknowledge receipt of all money received in connection with an insurance policy
and distinguish the premium from any other payment
27. The following are the underlying princeiples of the code of ethics and conduct:
I. To avoid conflict of interest
II. To avoid misuse of position
III. To prevent misuse of information
IV. To prevent competition between agents
A. I, II and III
B. I, III and IV
C. I, II and IV
D. I, II, III and IV
29. The law of agency, an agent is a person who acts on behalf of another person whom he
represents and the person whom he represents is called as the
A. Broker
B. Principle
C. Intermediary
D. Insured
30. “Agents must not conceal any relevant information, must maintain confidentiality, not
accept secret commissions, and generally act in the principal’s best interest.”
This statement refers to agents’ duty
A. To obey the principal’s instructions
B. To account for monies received on behalf of the principal
C. To act in good faith towards the principal
D. To exercise proper care and skill
31. The type of policies that provide for a lump sum payment upon the claimant being
diagnosed as having any one of the specified critical illness are known as
A. Critical illness policies
B. Investment-linked policies
C. Permanent health insurance policies
D. Permanent disability insurance policies
32. Group health premium rates may be influenced by which of the following factors?
I. Age
II. Financial situation
III. Occupation
A. III only
B. I and II
C. I and III
D. I, II and III
33. When an agent invites any person or individual to make an offer or proposal to enter into
a contract of insurance, the agent is NOT required to disclose
A. The amount of premium charged by the licensed insurer
B. The name of the licensed insurer
C. His relationship with the insurer
D. Any discount offered by the licensed insurer
36. Which one of the following would NOT require for the settlement of a maturity claim?
A. Proof of death
B. Proof of ownership
C. Proof of survivorship
D. Proof of age
37. Upon survival of the life assured at the end of the policy term the payment of policy
proceeds is known as a _______________ claim.
A. Death
B. Revival
C. Disability
D. Maturity
39. Health insurers are very careful not to accept unhealthy persons at standard premium
rates as these results in a less favorable underwriting result. This occurs when an
applicant who knows that he has a very high probability of loss submits a proposal for
health insurance. This situation is known as
A. Poor selection
B. Anti-selection
C. Averse selection
D. Risk selection
41. The minimum paid-up capital or surplus of assets over liabilities prescribed by law for
local/foreign direct insurers shall not be less than
A. RM50 million
B. RM75 million
C. RM100 million
D. RM120 million
44. Which part of the insurance policy sets out the perils insured against and circumstances
in which the insurer will be liable?
A. The recital clause
B. The operative clause
C. The schedule
D. Conditions
45. Exclusions are inserted into policies for the following reasons, EXCEPT:
A. Cover can be provided under more appropriate policies
B. The insurer requires additional premium for such cover
C. The cover is not demanded by the insured
D. The risks are uninsurable
47. The person works for an insurance company and his primary responsibility is to assess
all applications to determine the risk they present to the company and to decide whether
to accept these applicants.
A. Underwriter
B. Medical examiner
C. Claims executive
D. Accountant
48. The contribution condition in the policy requires the insured to claim _______________
from each insurer involved.
A. Proportionately
B. In installments
C. Periodically
D. The total loss
49. Which of the following comprise prohibited business conduct for insurers as well as
insurance agents?
I. Persuading or attempting to persuade a financial consumer to dishonestly conceal,
omit or provide material facts ambiguously
II. Offering or assuming to act on behalf of an insurer in negotiating a policy
III. Making any statement, illustration, promise, forecast or comparison which is
misleading
IV. Carrying out any other act on behalf of an insurer in relation to the issuance,
renewal or continuance of policy
A. I and II
B. I and III
C. I and IV
D. II, III and IV
50. The expenses of running an insurance business can be categorized as the following
EXCEPT
A. Initial expenses
B. Renewal expenses
C. Management expenses
D. Termination expenses
52. The chance of dying in a year at a specified ages is commonly termed as rate of
A. Morbidity
B. Mortality
C. Interest
D. Surviving
53. The charge for covering the cost of mortality and interest is called _________ premium.
A. Gross
B. Net
C. Risk
D. Written
58. In life insurance, the duty of utmost good faith is to be observed by?
A. Insurer only
B. Insured only
C. Both insured and insurers
D. Life insurance agent only
59. This policy pays a pre-agreed amount for each day the insured person hospitalized?
A. Disability income insurance
B. Medical expense insurance
C. Hospital income insurance
D. Clinical insurance
60. Murugan had overstated his age in his application for a life policy. Five year later, he
died in a car accident. How much should the company pay the beneficiary?
A. The sum assured
B. The sum assured together with the excess premium paid
C. The company need not to pay anything as Murugan breached the principle of good
faith
D. The surrender value on the date of death
67. Which one of the following documents is the evidence of premium payment by the
policyholder?
A. The signed proposal form
B. The letter of the acceptance
C. The official receipt
D. The premium notice
68. Medical underwriting seeks to assess the extent of ______ hazard in connection with the
applicant when providing insurance coverage
A. Moral
B. Physical
C. Financial
D. Medical
70. The following documents are essential to process a total and permanent disability (TPD)
claim
I. The original policy document
II. The discharge disability form
III. A duly completed TPD claim form
IV. A total and permanent disability medical report
A. I, II and III
B. I, III and IV
C. II, III and IV
D. I, II, III and IV
71. Upon survival of the life assured at the end of the policy term the payment of policy
proceeds is known as a _____ claim
A. Death
B. Revival
C. Disability
D. Maturity
72. The details of the insured and the subject matter of insurance are normally found in the
following section of the policy
A. Attestation
B. Schedule
C. Exclusion and condition
D. Heading
73. Which one of the following would NOT require for the settlement of the maturity
A. Proof of death
B. Proof of ownership
C. Proof of survivorship
D. Proof of age
74. Which type of health insurance policy is designed to pay for treatment costs when an
insured person is hospitalized or surgically treated?
A. Major medical expense
B. Hospitalization and surgical insurance
C. Clinical insurance
D. Hospitalization cash benefit insurance
75. Under a group medical and health insurance scheme, the parties to the contract are
A. The employees and employer
B. The employees, the employer and the insurance company
C. The employer and the insurer
D. The beneficiary, the employees, the employer and the insurance company
77. How does Perbadanan insurance deposit Malaysia (PIDM) complement the role of the
central bank of Malaysia?
A. By providing a safety net for depositors and insurance policy owner in the event of
insolvency
B. By protecting financial consumers against unscrupulous agents
C. By providing immediate resolution to customer complaints
D. By protecting insurance companies against financial losses
79. Regulations pertaining to disclosures requirement state that no person shall invite any
person to make an offer or proposal to enter into a contract insurance without disclosing
I. The terms, conditions and exclusions of the policy
II. His relationship with the insurer
III. The name of the licensed insurer
IV. The premium charged by the licensed insurer
A. I and II
B. II and III
C. II, III and IV
D. I, II, III and IV
80. Under the common law, insurers can exercise their subrogation rights
A. At any time
B. After having settled the insured’s claim
C. At no time
D. Before setting the insured’s claim
81. Premiums for participating policies are higher due to the right share in the profits of the
operation of a life insurance company, the addition premium is known as.
A. Profit premium
B. Risk premium
C. Bonus risk
D. Bonus loading
82. Which one of the following is a special feature of reducing term insurance?
A. The death benefit is constant throughout the policy year except the last year
B. The death benefit decrease each year until there is no amount left at the end of the
term
C. The cash value of the policy decrease as the net amount of risk decrease
D. The premium decreases each year until there is no premium left to pay
83. If the insurer proposes to reduce the premium amount and refund as over-payments to
the policy owner because of misstatement of age that the
A. True age as shown by the proof is less than that stated in the proposal form
B. True age as shown by the proof is greater than that stated in the proposal form
C. True age as shown by the proof is equivalent to the age is stated in the proposal
form
D. True age as shown by the proof is commensurate with the premium paid
85. Using a broad definition, which of the following is NOT health insurance
A. A critical illness insurance plan
B. A workers compensation insurance plan
C. A disability income insurance plan
D. A major medical expense insurance plan
86. Which of the following are appointed by insurance companies to represent them?
A. Reinsurers
B. insurers
C. insurance brokers
D. insurance agents
88. The role of the agents is to explain the main provisions of the insurance contract by
drawing the clients attention to
I. Any extra charges imposed and purpose of such changes
II. Other insurance policies with the lowest premium available in the market
III. Policy retention, limitations and exclusions applicable
IV. Scope of coverage, term and condition of the policy
A. III and IV
B. I, II and III
C. II, III, and IV
D. I, III and IV
89. The guidelines on medical and health insurance business (revised) which came into
effect on 1 January 2006, aim to:
A. Enhance consumer awareness and enable consumers to make informed decisions
B. Promote more equitable and consistent treatment of consumers covered under MHI
policies
C. To complement employees health benefit compensation package
D. Provide specified benefits against risk of persons becoming totally or partially
incapacitated
90. In which of the following situations does insurable interest NOT exist?
A. A husband insuring the life of his wife
B. A creditor insuring the life of his debtor
C. A brother insuring the life of his sister
D. A father insuring the life of his child
92. Perils which are expressly exempted from a policy called _____ perils
A. Insured
B. Excluded
C. Uninsured
D. Unknown
93. Which of the following statement is NOT true about an insurance agent?
A. An agent sets the amount of premium to be paid
B. An agent solicits a contract of insurance for the purpose of the formation of the
contract
C. Statements made by the agent shall be deemed to be statements made by the
insurer
D. Agents should obtain specialist advice (from experts or underwriter) to explain the
scope of coverage
95. The agent can act within the authority granted to him by the principal, where such
authority may be
A. Expressed
B. Implied
C. Apparent
D. All of the above
96. Under the guidelines on medical and health insurance business, cost sharing provisions
shall be limited to the lower _______(excluding deductibles) or ______(inclusive
deductibles) and shall not be mandatory
A. 20% or RM 3000
B. 20% or RM 5000
C. 30% or RM 3000
D. 30% or RM 5000
98. Which of the following does NOT form part of the recital clause of an insurance policy?
A. That the insured has proposed to the company
B. That the insured has paid or agreed to pay the premium
C. The company’s name, address and place of incorporation
D. A reference to the written proposal, declaration and any other statements made by
the insured
99. The following statements relating to selection of lives are true EXCEPT
A. Adverse selection leads to an increase in death claims
B. All applications have to undergo medical examination
C. Some substandard risks may be accepted while some may be deferred or rejected
D. The agents report is a useful source of information in the selection of lives
100. To ensure that professional ethics prevail among agents, the life insurance association
of Malaysia (LIAM) has drawn up the
I. Code of ethics for agents
II. Code of professional selling for agents
III. Code of conduct for agents
A. I and II
B. II and III
C. I and III
D. I, II and III
101. With regard to the principle of indemnity, payment for loss or damage is
A. Limited to the actual amount of the loss or damage, subject to the adequacy of the
sum assured
B. The sum assured
C. Limited to the actual amount of the loss or damage, irrespective of the sum insured
D. Subject to negotiation between parties to the contract
103.In life insurance, there are essentially three kinds of claims that can arise. They are
I. Claims against supplementary contract
II. Performance claims
III. Death claims
IV. Maturity claims
A. I, II and III
B. I, III and IV
C. II, III and IV
D. I, II and IV
105. A 20 year endowment policy was issued to Encik Ahmad on 1 April 1981. If the
premium has been regularly paid and Encik Ahmad is alive 2001, the policy
A. Will become paid up and the proceeds will be held by the insurance company to be
paid at the time of Encik aAhmad death
B. Proceeds will become payable on that date to Encik Ahmad
C. Will automatically be converted to a whole life insurance on Encik Ahmad ‘s life
D. Will continue till Encik Ahmad’s death
106. Which of the following is a common requirement for the processing of both death and
maturity claims?
A. Proof of age
B. Proof of tittle and ownership
C. Proof of death
D. Proof of age, tittle and ownership
108. What must all registered agents sign to ensure they conduct business with utmost good
faith?
A. The agency agreement
B. A health declaration
C. The code of practice
D. The statutory declaration
111. The option that allows the insured of a term assurance to convert the policy into
permanent assurance like whole life or endowment evidence of insurability but subject
only to proper adjustment in the premium changed is known as the guaranteed
_____________ option.
A. Insurability
B. Permanent
C. Suitability
D. Convertibility
113. There is a specific form of bonus which is payable when the policy results into a claim.
This bonus is called ___________ bonus.
A. Terminal
B. Interim
C. Special
D. Simple
116. Which of the following is the key feature of a term assurance policy?
A. Payment of the sum assured is at the end of the said term if the life assured is living,
paid up value is applicable, and premiums are not normally reviewable.
B. Payment of the sum assured is only in the event of death, there is no surrender or
maturity value and it provides cheap guaranteed protection.
C. Payment of the sum assured is at the end of the said term if the life assured is living,
surrender or maturity value is applicable, and premiums are reviewable.
D. Payment of the sum assured is only in the event of death, the suicide exclusion is
uncommon and premiums are reviewable.
117. If death occurs accidentally or suddenly without a known cause or prior medical
attention which of the following is among the documents that can be used to show
proof of death?
A. Medical certificate
B. Certificate of death
C. Post mortem report
D. Statutory declaration
118. A regular premium policy acquires surrender value after the policyholder has paid the
premiums continuously for _______________ years.
A. 2
B. 3
C. 4
D. 5
119. What is the system applied in charging a uniform premium throughout the duration of a
life insurance policy despite increased mortality with age?
A. Level payment system
B. Level premium system
C. Constant premium system
D. Uniform payment system
121. Many policies contain a provision that the policy shall not immediately lapse for non-
payment of premium if it has acquired a
A. Cash value
B. Policy loan
C. Non lapse value
D. Letter of non- lapse provision
124. As evidence of a group insurance cover provided for the employees of a corporation
the insurance issues
A. Only a certificate listing the names of all insured employees.
B. A master policy to be retained by the employer
C. An undertaking to all insured employees of future privileges of the policy
D. Policies to individual employees who join the scheme.
125. When an insurance company encounters an applicant with substandard risk, the
company can
A. Report the applicant to the health authorities.
B. Accept the applicant with additional premium.
C. Impose quarantine on the applicant
D. Suspend the agent who brought in the application.
126. Insurance brokers, financial advisers and registered adjusters are required to be
incorporated as
A. Public companies
B. Unlimited companies
C. Registered companies
D. Private companies
127. Where the group owner has no insurable interest in the lives of the persons insured by
the group policy the insurer shall pay the monies under the policy directly to the
A. Employer
B. Administrator
C. Insured persons
D. Nomine
132. A contribution condition stipulates that where two or more policies cover the same risk,
the insured
A. Can claim from one policy only
B. Cannot make any claim at all
C. Can claim from all policies recovering a rateable proportion from each insurer
D. Can claim from all the policies twice for the same cost.
134. The following information is extracted from a proposal form and the agents report
identify the features suggesting the presence of physical hazard
i. The life proposed smokes two packs of cigarettes a day
ii. The life proposed is overweight
iii. The life proposed has a criminal record.
A. I only
B. II only
C. I and II
D. I,II and II
135. After taking delivery of the life policy, what remedy is available for a policy owner who
has any objections to the policy terms and conditions?
A. Return the policy to the insurer within 30 days and request cancellation of the policy.
B. Return the policy to the insurer within 30 days and demand a premium refund.
C. Return the policy within 15 days and expect a refund of premium minus all
expenses incurred by the insurer for issuing the policy.
D. Return the policy within 15 days and expect a full refund less expenses incurred for
medical examination.
Answer
1C 26 C 51 B 76 C 101 A 126 A
2D 27 A 52 B 77 A 102 B 127 D
3C 28 B 53 B 78 D 103 B 128 A
4C 29 B 54 C 79 D 104 C 129 C
5C 30 C 55 A 80 D 105 B 130 A
6A 31 A 56 C 81 A 106 D 131 D
7C 32 C 57 C 82 B 107 D 132 C
8C 33 D 58 C 83 A 108 A 133 A
9B 34 B 59 C 84 B 109 B 134 C
10 B 35 B 60 B 85 B 110 A 135 D
11 B 36 A 61 D 86 D 111 D 136 C
12 B 37 D 62 B 87 C 112 B
13 B 38 B 63 B 88 D 113 A
14 B 39 B 64 C 89 B 114 C
15 A 40 C 65 B 90 C 115 D
16 D 41 C 66 D 91 C 116 B
17 D 42 D 67 C 92 B 117 C
18 A 43 D 68 B 93 A 118 B
19 A 44 B 69 D 94 B 119 B
20 B 45 C 70 B 95 D 120 B
21 C 46 D 71 D 96 A 121 A
22 C 47 A 72 B 97 D 122 D
23 B 48 A 73 A 98 D 123 B
24 C 49 B 74 B 99 A 124 B
25 B 50 C 75 C 100 C 125 B