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Insurance Advisor IC38 ENGLISH

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A great practising tool to crack forthcoming IC38 exam.

Exam mottled Tester IC38 has been extensively used by hundreds of DOs in LIC and other insurance companies to save time and help their prospective candidates to crack IC-38 exam.

As per the latest syllabus.Contains 2000+ questions and answers.

The software will run on windows Desktop / laptop for 30 days from the date of activation.

VALID FOR A SINGLE PC/LAPTOP.

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A great practising tool to crack forthcoming IC38 exam.

Exam mottled Tester IC38 has been extensively used by hundreds of DOs in LIC and other insurance companies to save time and help their prospective candidates to crack IC-38 exam.

Covers Life Insurance+Health Insurance+General Insurance.

As per the latest syllabus.Contains 2000+ questions and answers.

The software will run on windows Desktop / laptop for 30 days from the date of activation. We will provide the activation key after installation of the software.

VALID FOR A SINGLE PC/LAPTOP.

 

SYLLABUS OF HEALTH INSURANCE

SYLLABUS
IC38 INSURANCE AGENTS (HEALTH INSURANCE)
SECTION I
CHAPTER 1: INTRODUCTION TO INSURANCE: Life insurance – History and
evolution – History of insurance – Insurance through the ages – Modern concepts of
insurance – History of insurance in India – Life insurance industry – How
insurance works – Risk management techniques – Risk avoidance – Risk retention –
Risk reduction and control – Risk financing – Insurance vs Assurance – Insurance
as a tool for managing risk – Considerations before opting for Insurance – Role of
insurance in society – Insurance and Social Security.
CHAPTER 2: CUSTOMER SERVICE: General concepts – Why Customer Service –
Quality of service – Customer service and insurance – Insurance agent’s role in
providing great customer service – The Point of Sale – Best advice – The proposal
stage – Acceptance stage – The claim stage – Grievance redressal – Integrated
Grievance Management System (IGMS) – The Consumer Protection Act, 1986 – The
Insurance Ombudsman – Communication process – Non-verbal communication –
Ethical behavior.
CHAPTER 3: GRIEVANCE REDRESSAL MECHANISM: Consumer courts,
Ombudsman – Integrated Grievance Management System (IGMS) – The Consumer
Protection Act, 1986 – The Insurance Ombudsman.
CHAPTER 4: REGULATORY ASPECTS OF INSURANCE AGENT: DefinitionsAppointment
of Insurance Agent by the Insurer- Appointment of Composite
Insurance Agent by the insurer- Insurance Agency Examination- Disqualification
to act as an Insurance Agent- Code of Conduct- Suspension of Appointment of an
Agent- Procedure for Cancellation of Agency- Effect of suspension/cancellation of
Agency appointment- Procedure to be followed in respect of resignation/surrender
of appointment by an insurance agent- General conditions for appointment of
Agents by the insurerCHAPTER
5: LEGAL PRINCIPLES OF AN INSURANCE CONTRACT: Insurance
contracts – Legal aspects and special features – Legal aspects of an insurance
contract – Elements of a valid contract – Insurance contracts – Special features –
Uberrima Fides or Utmost Good Faith – Measures implemented to reduce the risk –
Breach of Utmost Good Faith – Insurable interest – Gambling and insurance –
Proximate Cause – Contract of Adhesion – Indemnity – Subrogation.
SECTION 2
CHAPTER 6: INTRODUCTION TO HEALTH INSURANCE: What is health care –
Definition of Health Determinants of Health – Levels of Healthcare – Levels of
health care – Types of health care – Factors affecting the health systems in India –
Evaluation of health insurance in India – Employees State Insurance Scheme –
Central Government health scheme – Commercial health insurance – Health
Insurance Market – Infrastructure Public health sector – Private sector providers –
Pharmaceutical industry – Insurance Providers – Intermediaries – Insurance
selling activities – Insurance Servicing activities – financial product distribution –
Other important organizations which form part of the health insurance market.
CHAPTER 7: INSURANCE DOCUMENTATION: Proposal forms – Standard form of
Declaration – Nature of questions in a proposal form – Elements of Proposal –
Medical Questionnaire – Role of intermediary – Duty of an intermediary towards
prospect (client) – Acceptance of the Proposal –(Underwriting) – Note on
underwriting and processing of proposals – Premium receipts – Definition –
Payment of premium in advance – Method of payment of premium – Policy
Document – Conditions and warranties – Endorsements – Specimen Endorsements
– Interpretation of policies – Renewal Notice – Anti –Money laundering and know
your customer guidelines .
CHAPTER 8: HEALTH INSURANCE PRODUCTS: Classification of health
insurance product – Introduction – Definition – Features of health policies – Broad
classification of health insurance products – IRDA guidelines on standardization in
health insurance – Hospitalization indemnity product – Top up covers or high
deductible insurance plans – Senior citizen policy – fixed benefit covers – hospital
cash – critical illness – hospital daily cash policy – critical illness policy – long term
care insurance – combi-products – Package policies – Micro insurance and health
insurance for poor sections – Rashtriya Swasthya Bima Yojana – Pradhan Mantri
Suraksha Bima Yojana – Pradhan Mantri Jan-Dhan Yojana – Personal accident
and disability cover- overseas travel insurance – Group health cover – Special
products – Key terns in health policies.
CHAPTER 9: HEALTH INSURANCE UNDERWRITING: What is Underwriting –
Definition –need – Underwriting basic concepts – File and use guidelines – Other
health insurance regulations of IRDAI – Basic Principles of Insurance and tools for
underwriting -Underwriting process – Group health insurance – Underwriting of
overseas travel insurance – Underwriting of personal accident insurance
CHAPTER 10: HEALTH INSURANCE CLAIMS: Claims management in insurance
– stakeholders in claim process – Role of claims management in insurance
company – Management of health insurance claims – Challenges in health
insurance – claims process in health insurance – Documentation of health
insurance claims – Claims reserving – Role of third party administrators – Claims
management –personal accident – overseas travel insurance

ABOUT EXAM

In order to become an agent which exam is to be taken?

To become Life Insurance Agent in India a candidate should pass IRDA IC 38 Pre recruitment qualification exam. To become General Insurance Agent in India a candidate should pass IRDA IC 38 Exam.

Who conducts Agent Pre recruitment exam?

On behalf of IRDA (Insurance Regulatory and development Authority), Agent pre recruitment exam is conducted by Insurance Institute of India.

I want to become Insurance Agent. Which exam I should write?

To become Life Insurance Agent in India a candidate should pass IRDA IC 38 Pre recruitment qualification exam. To become General Insurance Agent in India a candidate should pass IRDA IC 38 Exam.

What is the eligibility Criteria for becoming Insurance Advisor?

Regulation 4 of the IRDA (licensing of Insurance Agents) Regulations, 2000 requires a Minimum qualification of a pass in 12th standard in case of urban areas and 10th Standard in case of rural areas if the population is less than 5000.

Can I work as Insurance agent for more than One Insurance Company?

NO. At present regulation stipulates that a person should work as Insurance Advisor and solicit Insurance business only for One Life Insurance Company and One General Insurance Company.

Can I write IRDA Exam directly?

NO. You have to enroll yourself with the Insurance Company you like to be associated with. It is only through that Insurer you will be able to write exam.

Do I have to attend training?

Candidates should complete 50 hours of training from an IRDA approved training institution to act as Life or General Insurance agent. In case of Candidates who are seeking license for the first time to act as composite (i.e. Life & General) insurance agent has to complete 75 hours of training.

How to enroll with IRDA approved training providers?

Insurance Company will have tie up with training providers and they will arrange training.

What is the type of Exam (written or Online) ?

Exam is ONLINE. No off line exam is available. Once you submit the question paper you will immediately get the result.

What is the examination pattern for IC 38?

  • The Test contains 50 Multiple Choice Questions.
  • Time is ONE Hour.
  • Each question carries one mark.
  • There is NO NEGATIVE MARK for wrong answers.
  • To qualify a person should get 35% marks.

What is the validity of my certificate?

Insurance License is valid for a period of three years.

Do I have to write IRDA exam again after expiry of the certificate?

No. Candidates need not write exam for Certificate Renewal. They have to undergo 25 hours of practical training in order to renew the certificate for another block of 3 years.

Is IRDA Exam (IC 38) difficult to pass?

With the help of Exam Mottled Tester, you will be able to crack it in less time and with minimal efforts.

GENERAL INSURANCE SYLLABUS

Introduction to Insurance

Principles of Insurance

Marketing and Selling Insurance

Legal and Regulatory Aspects of Insurance Agency

Documentation

Theory and Practice of Premium Rating

Personal and Retail Insurance

Commercial Insurance

Claims Procedure

Customer Service

Insurance Career Prospects

SYLLABUS LIFE INSURANCE

SECTION 1 COMMON CHAPTERS

1 Introduction to Insurance
2 Customer Service
3 Grievance Redressal Mechanism
4 Regulatory aspects of Corporate Agency
5 Legal Principle of an Insurance Contract

SECTION 2 LIFE INSURANCE

6. What Life Insurance Involves
7. Financial Planning
8. Life Insurance Products – I
9. Life Insurance Products – II
10. Application of Life Insurance
11. Pricing and Valuation in Life Insurance
12. Documentation – Proposal Stage
13. Documentation – Policy Condition- I
14. Documentation – Policy Condition- II
15. Underwriting
16. Payments Under a Life Insurance Policy