axondendriteplus/IC38-Corporate-Agent-Questions huggingface dataset:
Category: Life
Question: What information does the insurer consider when deciding to accept a proposal
1. Details of the insured
2. Details of the subject matter
3. Previous history of insurance and claim experience
4. All of the above
Answer: option 4
Category: Life
Question: What does UIN in Health Insurance Stand for
1. The unique identification number of the policy document
2. The unique identification number of the insurer
3. The unique identification number of the product
4. The unique identification number of the policyholder
Answer: option 3
Category: Life
Question: What is a condition in an insurance contract
1. It is a provision in the contract that can be changed at any time
2. It is a provision in the contract that outlines the rights of the policyholder
3. It is an optional provision that may or may not be included in the agreement. 
4. It is a provision in the contract that forms the basis of the agreement
Answer: option 4
Category: Life
Question: Which of the following statements about conditions in an insurance policy is true
1. A breach of condition makes the policy voidable at the option of the insured
2. A breach of condition makes the policy voidable at the option of the insurer
3. They are not important in determining the basis of the agreement
4. They are optional provisions in an insurance contract
Answer: option 2
Category: Life
Question: What is an endorsement in insurance policy
1. A document attached to the policy that covers all perils and exclusions
2. A document that specifies the standard terms and conditions of the policy
3. A document that sets out changes or amendments to the policy
4. A document that provides additional coverage to the policy
Answer: option 3
Category: Life
Question: Identify the true statement I. Health plus life combi products are jointly designed by the two insurers and marketed through the distribution channels of both insurers II. For health plus life combi products, the claims are handled by the insurers jointly
1. Only I is true
2. Only II is true
3. Both I and II are true
4. Both I and II are false
Answer: option 1
Category: Life
Question: What are the benefit payout provided under 'Critical Illness cover'?
1. Actual medical expenses incurred due to hospitalization
2. A fixed sum per day for the period of hospitalization
3. Payout on occurrence of a pre-defined critical illness like heart attack, stroke, cancer etc
4. All of the above
Answer: option 3
Category: Life
Question: Hospital daily cash policy provides towards benefits: I. Incidental expenses II. Expenses not payable under the indemnity policy III. Expenses non payable under Co-pay
1. Only I
2. I and II
3. II and III
4. I, II and III
Answer: option 2
Category: Life
Question: ABC Insurance Company assumes a high interest rate in their premium calculations. This mean that:
1. Premium charged will be higher
2. Premium charged will be lower
3. Premium charged will remain unchanged
4. Premium charged will fluctuate wildly
Answer: option 2
Category: Life
Question: Which of the following health insurance products is a fixed benefit plan for payout on occurrence of a pre- defined critical illness like heart attack, stroke, cancer etc. ?
1. Indemnity cover
2. Fixed benefits cover
3. Critical Illness cover
4. All of the above
Answer: option 3
Category: Life
Question: What are the two broad categories of health insurance products
1. Home care covers and personal accident covers
2. Indemnity covers and hospital cash (fixed benefit) covers
3. Dental covers and critical illness covers
4. Out-patient covers and travel covers
Answer: option 2
Category: Life
Question: Which category of health insurance products constitutes the bulk of the health insurance
1. Indemnity covers
2. Home care covers
3. Personal accident covers
4. Hospital cash (fixed benefit) covers
Answer: option 1
Category: Life
Question: What is the other name for Fixed benefit covers
1. Out-patient covers
2. Travel covers
3. Dental covers
4. Hospital cash
Answer: option 4
Category: Life
Question: Which of the following is true regarding long term health products offered by Life Insurance Companies
1. Premium for such products shall remain unchanged for at least a period of every block of four years
2. Premium for such products shall remain unchanged for at least a period of every block of two years
3. Premium for such products shall remain unchanged for at least a period of every block of three years
4. Premium for such products shall remain unchanged for at least a period of every block of five years
Answer: option 3
Category: Life
Question: What is the minimum size of a Group for which Group Health Insurance Policy can be issued
1. 3
2. 5
3. 9
4. 7
Answer: option 4
Category: Life
Question: What is the maximum tenure for Credit Linked Group Personal Accident policies offered by General Insurers and Health Insurers
1. 5 years
2. 1 year
3. 2 years
4. 3 years
Answer: option 1
Category: Life
Question: What is the provision in case an insured has taken health policies from multiple insurance companies that provide fixed benefits
1. The insurance companies will split the claim payment evenly
2. Each insurance company will make claim payments independently according to their policy's terms and conditions
3. The insured must choose one policy to use for all claim payments
4. The insured must provide proof of which policy they want to use for each claim
Answer: option 2
Category: Life
Question: What is the purpose of IRDA Guidelines on Standardization in health insurance
1. To provide more confusion among insurers and customers
2. To make it difficult for customers to compare products and take a considered decision
3. To remove the confusion among insurers, service providers, TPAs, and hospitals
4. To limit the number of health insurance providers in the market
Answer: option 3
Category: Life
Question: What types of insurance products do the IRDA guidelines on standardization in Health Insurance apply to
1. All insurance product
2. All health insurance products, including PA and Domestic/Overseas travel
3. All health insurance products, excluding group policies
4. All general and health insurance products, excluding PA and Domestic/Overseas travel - Indemnity based health products Offered by general / health insurers
Answer: option 4
Category: Life
Question: What is the purpose of a Hospitalization indemnity policy
1. To only provide coverage for expenses before and after hospitalization
2. To indemnify the policyholder by covering expenses during hospitalization
3. To provide coverage for all medical expenses
4. To exclude expenses related to hospitalization
Answer: option 2
Category: Life
Question: What is the minimum prescribed period of hospitalization after which the policy provisions come into force
1. 24 hours
2. 12 hours
3. 36 hours
4. 48 hours
Answer: option 1
Category: Life
Question: Which of the following procedures are covered under the policy
1. Dental procedures
2. Eye surgeries
3. Cosmetic surgeries
4. None of the above
Answer: option 2
Category: Life
Question: Which of the following statements is true about the indemnity based Mediclaim policy
1. The policy does not cover infants
2. The policy does not cover Sr. Citizen
3. The policy does not cover expenses related to hospitalization
4. The policy covers only inpatient hospitalization expenses
Answer: option 4
Category: Life
Question: What are Post hospitalization expenses
1. Expenses incurred during hospitalization
2. Expenses incurred after hospitalization
3. Expenses incurred before hospitalization
4. Expenses not covered by insurance
Answer: option 2
Category: Life
Question: What is the duration of cover for Pre and Post hospitalization expenses
1. 60 days pre and 30 days post hospitalization
2. 90 days pre and 30 days post hospitalization
3. 30 days pre and 90 days post hospitalization
4. 30 days pre and 60 days post hospitalization
Answer: option 4
Category: Life
Question: What is a family floater policy
1. Only the individual can be covered under this policy
2. Only the dependent family members can be covered under this policy
3. A policy that offers a single sum insured which floats over the entire family
4. None of the above
Answer: option 3
Category: Life
Question: In a family floater policy, how is the premium calculated
1. Based on the age of the oldest member of the family
2. Based on the age of the youngest member of the family
3. Based on the sum insured chosen for each individual insured
4. None of the above
Answer: option 1
Category: Life
Question: Why do insurance companies collect details of pre- existing diseases
1. To charge improper premiums
2. To exclude coverage for any future diseases
3. To provide free treatment for such diseases
4. To decide on accepting the proposal for insurance
Answer: option 4
Category: Life
Question: What is a pre-existing disease
1. Any disease suffered by an insured person within 12 months prior to commencement of the policy
2. Any disease suffered by an insured person within 48 months prior to commencement of the policy
3. Any disease suffered by an insured person within 24 months prior to commencement of the policy
4. Any disease suffered by an insured person within 36 months prior to commencement of the policy
Answer: option 2
Category: Life
Question: What is disease-specific capping in health insurance
1. A limit on the premium charged for policies covering certain diseases
2. A limit on the number of claims that can be made for a particular disease
3. A limit on the amount of coverage provided for specific diseases
4. A limit on the number of diseases that can be covered under a policy
Answer: option 3
Category: Life
Question: What is co-payment in health insurance
1. The portion of the claim amount that the policyholder/insured has to bear
2. A separate policy taken by the policyholder to cover specific diseases
3. The percentage of the premium paid by the policyholder/insured
4. The amount deducted from the Sum Insured after every claim
Answer: option 1
Category: Life
Question: Which of the following is a cost-sharing provision in a health insurance policy
1. Waiting period
2. Coverage for Day care procedure
3. Deductible/ Excess
4. Pre-policy check-up cost
Answer: option 3
Category: Life
Question: Who bears the cost of a pre-policy medical check-up in a health insurance policy
1. Prospective client
2. Insurer
3. Government
4. Healthcare provider
Answer: option 2
Category: Life
Question: What is a top-up cover in health insurance
1. A policy that covers only pre-existing conditions
2. A policy that covers only day-care procedures
3. A policy that provides cover for high sums insured over and above a specified amount
4. A policy that covers only accidents
Answer: option 3
Category: Life
Question: What is the entry age for Elderly health insurance plans
1. 50 years
2. 55 years
3. 60 years
4. 65 years
Answer: option 3
Category: Life
Question: What is the claim amount in a fixed benefit insurance plan
1. A fixed sum irrespective of the amount spent by the insured for the named treatment
2. The amount spent by the insured for the named treatment
3. A variable amount based on the severity of the ailment
4. No claim amount is given
Answer: option 1
Category: Life
Question: What is the proof required to process a claim in a fixed benefit insurance plan
1. Detailed bills and invoices of the treatment
2. Proof of Hospitalization and coverage of ailment under the policy
3. Doctor's prescriptions and medical reports
4. None of the above
Answer: option 2
Category: Life
Question: What is a critical illness policy
1. A policy that provides daily cash benefit to the insured person during hospitalization
2. A policy that provides a fixed sum on diagnosis of certain named critical illness
3. A policy that covers treatment costs for minor illnesses
4. A policy that covers only pre-existing conditions
Answer: option 2
Category: Life
Question: What is the waiting period for Corona Kavach and Corona Rakshak
1. 90 days
2. 30 days
3. 15 days
4. 60 days
Answer: option 3
Category: Life
Question: What is the maximum sum insured option available under Corona Rakshak
1. Rs. 1 lakh
2. Rs. 2. 5 lakh
3. Rs. 2 lakh
4. Rs. 1. 5 lakh
Answer: option 2
Category: Life
Question: What is the lump sum benefit payable under the standard policy for vector-borne diseases on positive diagnosis requiring hospitalization for a minimum of 72 hours
1. 50% of the sum insured
2. 75% of the sum insured
3. 100% of the sum insured
4. 125% of the sum insured
Answer: option 3
Category: Life
Question: What do Health plus Life Combo Products offer
1. Life insurance cover only
2. Health insurance cover only
3. Both life and health insurance covers
4. None of the above
Answer: option 3
Category: Life
Question: What is the aim of Micro-insurance products?
1. To aim for the protection of high- income people from urban sectors. 
2. To aim for the protection of low- income people from rural and informal sectors. 
3. To aim for the protection of middle- income people from semi-urban sectors. 
4. To aim for the protection of people from developed sectors. 
Answer: option 2
Category: Life
Question: Which of the following policies was launched by the Government to provide health insurance coverage for the below poverty line (BPL) families in association with insurance companies?
1. Ayushman Bharat Scheme
2. Rashtriya Swasthya Bima Yojana (RSBY)
3. Jan Arogya Bima Policy
4. Bima Kavach Yojana
Answer: option 2
Category: Life
Question: What is the Sum Insured amount for Rashtriya Swasthya Bima Yojana (RSBY)?
1. Rs. 5, 00, 000
2. Rs. 1, 00, 000
3. Rs. 50, 000
4. Rs. 30, 000
Answer: option 4
Category: Life
Question: Which of the following schemes was launched to achieve the vision of Universal Health Coverage (UHC)?
1. Ayushman Bharat Scheme
2. Money Back Scheme
3. Endowment Scheme
4. Bima Kavach Yojana
Answer: option 1
Category: Life
Question: What is the premium amount for Pradhan Mantri Suraksha Bima Yojana (PMSBY)
1. Rs. 10/- per annum per member
2. Rs. 12/- per annum per member
3. Rs. 15/- per annum per member
4. Rs. 20/- per annum per member
Answer: option 2
Category: Life
Question: What is the maximum sum insured provided for death under Pradhan Mantri Suraksha Bima Yojana (PMSBY)
1. Rs. 1 Lakh
2. Rs. 3 Lakh
3. Rs. 5 Lakh
4. Rs. 2 Lakh
Answer: option 4
Category: Life
Question: Who can avail an Overseas Travel Insurance policy
1. Only Indian citizens travelling abroad for holiday
2. Only Indian citizens travelling abroad for business
3. Indian citizens travelling abroad for business, holiday or studies and employees of Indian employers sent on contracts abroad
4. Only employees of Indian employers sent on contracts abroad
Answer: option 3
Category: Life
Question: What is the most common form of group health insurance
1. Individual policy
2. Group policy taken by employers covering employees
3. Personal policy
4. Family policy
Answer: option 2
Category: Life
Question: From the below given age proof documents, identify the one which is classified as non-standard by insurance companies. 
1. School certificate
2. Identity card in case of defence personnel
3. Ration card
4. Certificate of baptism
Answer: option 3
Category: Life
Question: Out of following underwriting methods the process of underwriting is speedy but the premiums may be relatively higher except
1. Medical underwriting
2. Non medical underwriting
3. Numerical rating method
4. Group insurance
Answer: option 1
Category: Life
Question: Group insurance is underwritten mainly on _________________. 
1. Law of Uberrima fides
2. Law of Insurable interest
3. Law of averages
4. Law of mutual benefit
Answer: option 3
Category: Life
Question: Which One of the Following Statements, isIn-Correct, with Regard to Critical Illness (C. I. ) Rider? Choose the Most Appropriate Option. 
1. A Specified Amount is Paid, as per the Policy- Terms, in the Event of Diagnosis of a Critical Illness. 
2. The Illness should have been covered in the List of Critical Illnesses, specified by the Insurance Company. 
3. Critical Illness (C. I. ) Rider is an Example of the Claims, that may occur, during the Policy- Term. 
4. The Life Assurance Policy Contract Terminates, After the Rider-Payments are Made. 
Answer: option 4
Category: Life
Question: Third-Party Administrators (T. P. A. s) are Regulated, by Which of the Following Bodies?
1. Life Insurance Council and General Insurance Council, Jointly. 
2. Insurance Regulatory and Development Authority of India (I. R. D. A. I. )
3. Insurance Brokers Association of India
4. Finance Ministry
Answer: option 2
Category: Life
Question: Why is underwriting necessary
1. To create a large pool of risks for the insurance company
2. To prevent the insurance company from becoming insolvent
3. To accept all risks, regardless of premiums
4. To offer insurance at the lowest possible premium
Answer: option 2
Category: Life
Question: Which factor affects morbidity rates in health insurance
1. Financial status
2. Gender
3. Marital status
4. Educational qualification
Answer: option 2
Category: Life
Question: What is moral hazard in health insurance
1. The physical hazards associated with a health risk
2. The cost associated with a health risk
3. The deliberate intention of taking insurance just to collect a claim
4. The risk assessment and pricing done by the underwriter
Answer: option 3
Category: Life
Question: Which of the following statements is true about moral hazard in health insurance
1. It can prove costly to the insurance company
2. It refers to the physical hazards of a health risk
3. It has no impact on the insurance company
4. It can be beneficial to the insurance company
Answer: option 1
Category: Life
Question: Insurers charge lower premiums for which of the following risk types
1. Standard risks
2. Substandard risks
3. Preferred risks
4. Declined risks
Answer: option 3
Category: Life
Question: Who plays a critical role in primary underwriting
1. Underwriter
2. Agent or Company representative
3. Policyholder
4. Insurance broker
Answer: option 2
Category: Life
Question: Before issuing a policy, the specific consent of the policyholder for any underwriting loading charged over and above the premium must be obtained. This regulation is for the benefit of
1. The insurance company
2. The regulator
3. The policyholder
4. The insurance agent
Answer: option 3
Category: Life
Question: When can porting be done
1. Anytime during the policy period
2. Only at the time of policy issuance
3. Only after a break in the policy
4. Only at the time of policy renewal
Answer: option 4
Category: Life
Question: Who should the insured make a request for porting to
1. The new insurer
2. The old insurer
3. IRDAI
4. Any insurance agent
Answer: option 2
Category: Life
Question: What is the consequence of breach or concealment of information by the insured in insurance
1. Increase in premium
2. Policy becomes void
3. Decrease in premium
4. Policy remains unaffected
Answer: option 2
Category: Life
Question: When are financial documents usually asked for in insurance
1. Only in high sum assured coverage
2. When there is a mismatch between stated income/occupation and coverage sought
3. Both (B) and (C)
4. None of the above
Answer: option 4
Category: Life
Question: What is the purpose of medical underwriting in health insurance
1. To determine the premium amount
2. To determine whether to offer coverage or not
3. To determine the number of family members to be covered
4. To determine the type of hospital where the insured can be admitted
Answer: option 2
Category: Life
Question: What are the different categories of risk into which the underwriter can classify a proposal
1. Accept risk at standard rates, extra premium, or decline the cover
2. Accept risk at an extra premium
3. Postpone the cover for a stipulated period/ term
4. All of the above
Answer: option 4
Category: Life
Question: In which cities are the premiums for certain products higher due to higher claims cost
1. Small towns and villages
2. Tourist destinations
3. Metros and 'A Class' cities
4. Industrial hubs
Answer: option 3
Category: Life
Question: Which of the following non-employer groups can be offered group health insurance
1. Employer welfare associations
2. Customers of a particular business where insurance is offered as an add- on benefit
3. Borrowers of a bank
4. All of the above
Answer: option 4
Category: Life
Question: What is the main cover under Overseas Travel Insurance policies
1. Life cover
2. Home insurance
3. Health cover
4. Vehicle insurance
Answer: option 3
Category: Life
Question: Which risk group does a person working in underground mines belong to
1. Risk group I
2. Risk group II
3. Risk group III
4. None of the above
Answer: option 3
Category: Life
Question: What is the general age limit for the working population in employer-employee groups
1. 5-70
2. 18-70
3. 30-70
4. 50-70
Answer: option 2
Category: Life
Question: For a claim to be processed, which of the following are most important documents? I. Documentary evidence of illness II. Payment made to the hospital III. Further advice for treatment IV. Payment proofs for implants
1. Only I and II
2. Only I and IV
3. I, II and III
4. I, II, III and IV
Answer: option 3
Category: Life
Question: Which of the following statement/s is / are correct with regards to 'claim processing and payment services' provided by a TPA? I. TPAs normally receive advance money from the insurer for claim settlement. The TPA is expected to keep an account of the monies and provide periodic reconciliation of the amounts received from the insurance company II. The money can be used for purposes of payment of approved claims and providing other services to the customers
1. Only I
2. Only II
3. Both I and II
4. Neither I nor II
Answer: option 1
Category: Life
Question: Hospital-Admission-Intimation can be made to an Insurance Company, through, Which of the Following Channels?
1. Fax
2. Calling the Call-Centre
3. E-Mail
4. Any of the Above. 
Answer: option 4
Category: Life
Question: For a Health Insurance Claim to be Processed, Which of the Following, are the Most Important Documents? I. Documentary Evidence of Illness. II. Treatment-Provided. III. In-Patient Duration. IV. Investigation-Reports. 
1. Only, I and II. 
2. Only, I and IV. 
3. I, II, and IV. 
4. I, II, III, and IV. 
Answer: option 4
Category: Life
Question: Identify the True Statement: I. Morbidity increases due to Various Adverse Factors, such as, Being Over-Weight or Under-Weight, Personal History of Certain Past and Present Diseases or Ailments. II. Morbidity decreases due to Certain Favourable Factors, like, Lower Age, a Healthy Life-Style, etc. 
1. Only Statement-I is True. 
2. Only Statement-II is True. 
3. Both: Statement-I and Statement-II, are True. 
4. Both: Statement-I and Statement-II, are False. 
Answer: option 3
Category: Life
Question: What is the true test of an insurer's performance in insurance?
1. The colour of the insurance company's logo
2. The number of employees the insurance company has
3. The claims paying ability of the insurance company
4. Location of Company office premises
Answer: option 3
Category: Life
Question: Who is the first stakeholder and receiver of the claim?
1. The insurance agent who sold the policy
2. The person who processes the insurance claim
3. The insurance company's shareholders
4. The customer who buys the insurance policy
Answer: option 4
Category: Life
Question: Which of the following statements is true regarding Health insurance claim servicing?
1. Claims can only be serviced by the insurance company itself. 
2. Claims can only be serviced by Third Party Administrators (TPAs). 
3. Claims can be serviced by either the insurance company or TPAs authorized by the insurance company. 
4. Claims can only be serviced by providers/hospitals. 
Answer: option 3
Category: Life
Question: What happens from the time a health claim is made known to the insurer/TPA to the time the payment is made as per the policy terms?
1. The claim is rejected immediately
2. The payment is made without any verification
3. The claim goes through a set of well- defined steps
4. The insurer/TPA ignores the claim
Answer: option 3