Banking Financial Awareness · General Awareness
Insurance Policies and Claims
1,580 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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Policy Allocation Charge
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Mortality charge
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Both 1 and 2
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Neither 1 nor 2
C
Correct answer
Explanation
The premium of ULIP is divided into three parts:
a) Firstly, there is a policy allocation charge (PAC) which is comprised of agents’ commission, policy setup costs, administrative costs and statutory levies.
b) The second component is the mortality charge which is the cost of providing risk cover.
c) The balance of premiums after meeting the above two are allocated for the purchase of units.
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True
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False
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Partly true
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Partly false
A
Correct answer
Explanation
In group insurance, risk of individuals is assessed in a group. Hence, the given statement is true.
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Statement A is correct.
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Statement B is correct.
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Both statements are correct.
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None of these
A
Correct answer
Explanation
If a person's proposal is declined under individual scheme, he cannot get insured even under the group policy. Hence, only statement A is correct.
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Only I
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Only I and II
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Only I, II and III
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Only II and III
A
Correct answer
Explanation
Mortality is taken into account while fixing the premium.
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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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Surrender
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Loan
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Assignment
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Free look period
D
Correct answer
Explanation
A free look period is a period where a new insurance policy owner is able to terminate the contract without penalties such as surrender charges.
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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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Ombudsman is appointed by the Central Government under powers of the Insurance Act 38 and under Redressal of Public Grievance Rules 1998.
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The recommendations of the Ombudsman are always binding on the insured.
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The Ombudsman can act as a mediator by mutual agreement between the insurer and the insured.
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If mediated, the decision of the Ombudsman is final whether to accept or reject the complaint.
B
Correct answer
Explanation
The recommendations of the Ombudsman are not binding on the insured. Hence, option (2) is the incorrect statement.
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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.