In a keyman’s policy

The premium paid by the employer is treated as an allowable business expense
In a death claim the policy money is payable to the company
Death claim proceeds are treated as taxable income of the employer
All of the above
✅ The correct answer is D.
In a keyman’s policy the premium paid by the employer is treated as an allowable business expense, in a death claim the policy money is payable to the company and death claim proceeds are treated as taxable income of the employer.

By transferring risk to insurer, it becomes possible _________.

To become careless about our assets
To make money from insurance in the event of a loss
To ignore the potential risks facing our assets
To enjoy peace of mind and plan one’s business more effectively
✅ The correct answer is D.
By transferring risk to insurer, it becomes possible to enjoy peace of mind and plan one’s business more effectively.

_________ is the maximum amount an insurance company will pay if an insured asset is deemed a total loss.

Insurance value
Actual value
Replacement value
Guaranteed Replacement Cost
✅ The correct answer is A.
Insurance value is the maximum amount an insurance company will pay if an insured asset is deemed a total loss. It is the maximum amount an insurance company will pay if an insured asset is deemed a total loss. The asset’s insured value can either be its replacement cost or its market value, depending on the insurance policy.

In insurance , need-gap analysis involves_________

Identifying the areas where the prospect needs insurance protection
Indentifying people to work as insurance agents
Identifying how much assets a prospect has
Identifying the poverty level of the prospects
✅ The correct answer is A.
In insurance, need-gap analysis involves identifying the areas where the prospect needs insurance protection. In need gap analysis we engage in a process of gathering detailed information about the prospect’s insurance requirements, to identify and determine the assets and perils for which there is inadequate coverage. The objective here is to collect as much additional information about the prospect as possible.

In which event(s) does availing cashless facility not require a pre-authorisation from the insurer/TPA?

If the hospitalization is to a non-network hospital
Emergency hospitalization
Both A & B
None of the three
✅ The correct answer is C.
A third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity.
Reimbursement of the hospitalization expenses can be claimed where cashless hospitalization facility is not availed or treatment is availed in a non-network hospital. In that case the pre-authorisation is not required. The customer would need to settle the bills at the hospital and submit the documentation in attestation within 30 days from the date of discharge.
In case of emergencies, cashless facility does not require pre-authorisation for the conduct of treatment in a hospital. After the patient is admitted, the hospital fax the pre-authorisation to the TPA.

Which of the following is the most common underwriting decision?

To accept with extra premium
To reject proposal
Lien
To accept at an ordinary rate
✅ The correct answer is D.
The most common underwriting decision is to accept at an ordinary rate.
Acceptance at ordinary rates (OR) is the most common decision. This rating indicates that the risk is accepted at the same rate of premium as would apply to an ordinary or standard life.