Health insurance — products, underwriting, claims, third-party administrators and the regulatory framework for health cover in India.
These are 5 of the 455 IC-27 questions in Certena, taken from across the paper. Every answer key has been checked against a source — a printed answer key, a textbook extract, or arithmetic — not guessed. Reveal the answer and the explanation below each question. No sign-up needed.
Answer: E. Marketing Department
Data are the tools of insurance. Under health insurance industry, data is used at various sectors at various levels. Marketing and sales department use data to benchmark the performance of underwriting offices and staff members.
Answer: D. Group insurance
Individual plans usually have standard terms and conditions and Group insurance policies are usually customized or tailor made. Premium is also negotiable in group insurance.
Answer: D. Expenses on vitamin & tonics forming the part of treatment
Expenses on vitamin & tonics forming the part of treatment is covered under the policy but the rest of the options are excluded.
Answer: B. As the reinsurer has withdrawn from a treaty, it will automatically lose other profitable
The main disadvantage is that it by withdrawing from a treaty, the reinsurer will automatically lose other profitable business.
Answer: A. Information on claims made by the members covered
IRDA requires TPA’s/ Insurers to report data in specified format in tabular form. Table ‘C’ contains information on claims made by the members covered.
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