Banking Financial Awareness · General Awareness
Insurance Policies and Claims
1,514 Questions
Insurance policies provide financial protection against specific perils, involving concepts like deductibles, premiums, and claim settlements. Banking and insurance aspirants need a solid grasp of policy types, coverage limits, and claim procedures. Practice these questions to understand how different insurance principles apply in real scenarios.
Deductible clausesInsurance perilsTravel insurance coveragePolicy conversion rightsClaim dispute avoidanceSubrogation principles
Insurance Policies and Claims Questions
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Asset
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Risk
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Principle of mutuality
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Subsidy
D
Correct answer
Explanation
Subsidy is not an element of the life insurance business.
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Insurer
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Insured
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State
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Risk pool
A
Correct answer
Explanation
A fixed benefit annuity is where the insurer guarantees a defined amount of monthly annuity benefit for each rupee applied to purchase an annuity. The guarantee implies that the insurer bears the investment risk.
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Life insurance policies are contracts of indemnity, while general insurance policies are contracts of assurance.
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Life insurance policies are contracts of assurance, while general insurance policies are contracts of indemnity.
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In case of general insurance, the risk event protected against is certain.
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The certainty of risk event in case of general insurance increases with time.
B
Correct answer
Explanation
Life insurance policies are contracts of assurance, while general insurance policies are contracts of indemnity.
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In a policy document, it is now compulsory to indicate the address of the local Ombudsman.
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Address of the insured is optional in the policy document.
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The address of the IRDA is also necessarily shown in the policy document.
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Either the local Ombudsman’s address or that of the IRDA needs to be shown in the policy.
A
Correct answer
Explanation
In a policy document, it is now compulsory to indicate the address of the local Ombudsman.
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IRDA (Licensing of Agents) Regulations, 2000
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IRDA (Protection of Policyholders’ Interests) Regulations, 2002
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IRDA (Standard Proposal Form for Insurance) Regulations, 2013
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All of the above
C
Correct answer
Explanation
IRDA has prescribed the design and content of a proposal form through IRDA (Standard Proposal Form for Insurance) Regulations, 2013.
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Absolute assignment
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Conditional assignment
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Loan assignment
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Collateral assignment
B
Correct answer
Explanation
Conditional assignment would suit the intended purpose because conditional assignment provides that the policy shall revert back to the life assured on his or her surviving the date of maturity or on death of the assignee.
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Insurable interest
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Indemnity
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Proximity
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Uberrima fides
D
Correct answer
Explanation
Uberrima fides means "utmost good faith", which means every party to an insurance contract must disclose all material information.
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Insurance agent should indicate the scale of commission if asked by the customer.
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Insurance agent should share the commission by way of rebate.
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Insurance agent should disclose his licence on demand.
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Insurance agent should indicate the premium to be charged.
B
Correct answer
Explanation
All the options are correct, except option 3. Sharing commission with a client is illegal.
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Cash value is not guaranteed.
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Minimum death benefit is guaranteed in variable insurance plans.
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Where to keep the money invested is the decision of the policyholder.
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Flexible premium payments are allowed in such policies.
B
Correct answer
Explanation
This policy is quite risky because your cash value and death benefit can fluctuate according to the performance of your investment portfolio. Therefore, if your underlying investments perform well, then your cash value and death benefit may increase accordingly. If your investments perform worse than you expected, your cash value and death benefit may decrease.
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Premium
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Proposal
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Understanding
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Acceptance
A
Correct answer
Explanation
Insured - The person who obtains or is otherwise covered by insurance on his or her health, life, or property is called "insured". In consideration of this, the insured provides premium to the insurer (The Insurance Company).
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A complaint can be launched against public insurer only.
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A complaint can be launched against a private insurer.
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A complaint can be launched against a private insurer only in the life sector.
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A complaint can be launched against a private insurer only in the non-life sector.
B
Correct answer
Explanation
Yes, a complaint can be launched against a private insurer. There are 17 Insurance Ombudsmen in different locations and you can approach the one having jurisdiction over the location of the insurance company office that you have a complaint against.
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Policy is an evidence of contract between the life assured and the insurer.
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FPR signifies the commencement of the contract.
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A life insurance policy is subject to Indian Stamp Act.
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All of the above
D
Correct answer
Explanation
All the above statements are correct.
According to Indian Stamp Act, "Policy of insurance" includes
(a) any instrument by which one person, in consideration of a premium, engages to indemnify another against loss, damage or liability arising from an unknown or contingent event
(b) a life policy and any policy insuring any person against accident or sickness, and any other personal insurance
Life insurance is a contract for payment of a sum of money to the person assured (or failing him/her, to the person entitled to receive the same) on the happening of the event insured against. Usually, the insurance contract provides for the payment of an amount on the date of maturity or at specified dates at periodic intervals or at unfortunate death if it occurs earlier. Obviously, there is a price to be paid for this benefit. Among other things, the contract also provides for the payment of premiums by the assured.
First Premium Receipt marks the beginning of the contract.
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The typical loading to net premium would have 3 parts: (a) a constant amount for premiums, (b) a constant amount for each ‘1000 sum assured’ and (c) a constant amount per policy.
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The typical loading to a net premium would have 3 parts: (a) a percentage of premiums, (b) a constant amount for each ‘1000 sum assured’ and (c) a constant amount per policy.
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The typical loading to a net premium would have 3 parts: (a) a percentage of premiums, (b) a constant percentage for each ‘1000 sum assured’ and (c) a constant amount per policy.
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The typical loading to a net premium would have 3 parts: (a) percentage of premiums, (b) a constant amount for each ‘1000 sum assured’ and (c) a percentage amount per policy.
B
Correct answer
Explanation
The calculated difference between net premium and gross premium equals the expected present value of expense loadings less the expected present value of future expenses. The typical loading to a net premium would have 3 parts: (a) a percentage of premiums, (b) a constant amount for each ‘1000 sum assured’ and (c) a constant amount per policy.
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The insurance company will issue a duplicate policy without making any changes to the contract.
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The insurance contract will come to an end.
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The insurance company will issue a duplicate policy with renewed terms and conditions based on the current health declarations of the life insured.
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The insurance company will issue a duplicate policy without making any changes to the contract, but only after a court order.
A
Correct answer
Explanation
If the insured person loses the original life insurance policy document, the insurance company will issue a duplicate policy without making any changes to the contract.
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Savings benefit
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Death benefit
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Maturity benefit
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Bonus benefit
B
Correct answer
Explanation
Term insurance plan is pure risk cover which pays out the sum assured in case of death and does not have any maturity benefits. You do not get any maturity benefits in a pure term plan because it is a pure protection insurance plan.