# qna_tbl

source: mock_exam_1
src_question: question_4
chapter: Chapter_2
section: Section 2.1.1(iii)
option_1: Outpatient liver treatment charges
option_2: Outpatient kidney treatment charges
option_3: Outpatient Hepatitis B Vaccination
option_4: Outpatient assisted conception procedures
correct_answer: 2
reasoning: Please refer to textbook.
question:
Which of the following is covered under catastrophic outpatient expenses in Medical Expense Insurance Policy?


source: mock_exam_1
src_question: question_5
chapter: Chapter_2
section: Section 2.2.3
question: Miscarriage Benefit in a Medical Expense Policy provides for:
option_1: The reimbursement of expenses in a willful termination to a pregnancy.
option_2: The reimbursement of Assisted Conception Procedure treatments.
option_4: The reimbursement of medical expenses in an ectopic pregnancy
correct_answer: 4
reasoning: Please refer to textbook.
option_3:
The reimbursement of charges incurred for the consultation of a specialist within a number of days before termination.


source: mock_exam_1
src_question: question_6
chapter: Chapter_2
section: Section 3.3
option_1: $512.70
option_2: $584.44
option_3: $615.20
option_4: $487
correct_answer: 2
reasoning: ($182.31 + $227.89 + $102.5 + $102.5 )X 95% (enjoy family discount of 5%) = $584.44
question:
Mr. Lim is buying a policy for himself and his wife and 2 children of the same premium each.\nWhat is the premium payable given the following?\nMr. Ang’s premium $182.31\nMrs. Ang’s premium $227.89\n1 child’s premium $102.50


source: mock_exam_1
src_question: question_8
chapter: Chapter_2
section: Section 3.5.1
question: Which of the following statement is TRUE?
option_3: Per annum deductible includes a variety of covered sickness or injuries within a policy year.
correct_answer: 3
reasoning: Please refer to textbook.
option_1:
Per disability/per year deductible is more restrictive as compared to per disability/per claim deductible.

option_2:
The same sickness or injury within the same policy year applies to “per disability/per claim deductible”.

option_4:
Under per disability/per year deductible, the insured will have to bear the deductible each time he makes a claim regardless of the number claims made within the same year.


source: mock_exam_1
src_question: question_9
chapter: Chapter_2
section: Section 3.5.3
option_1: Deductible
option_2: Co–insurance
option_3: Means Testing
option_4: Pro-ration factor
correct_answer: 4
reasoning: Please refer to textbook.
question:
When the insured person is admitted to a ward higher than what he is entitled to under his existing plan, ___________is applied on the actual charges incurred and covered under the policy. It will cause actual benefits payable to be reduced.


source: mock_exam_1
src_question: question_10
chapter: Chapter_3
section: Section 2
option_1: Minimal underwriting requirement, as employee only need to complete a health declaration form.
option_2: Experience-rating, as it is usually underwritten based on past claims experience.
option_3: Cost effective, as it provides low cost protection.
option_4: Plan is renewable by the employer on a yearly basis.
correct_answer: 2
reasoning: Please refer to textbook.
question:
Which of the following characteristics of group insurance is important to the underwriter in determining the 'feel' of future claim experience?


source: mock_exam_1
src_question: question_11
chapter: Chapter_3
section: Section 2
option_1: The employee to be under a compulsory scheme.
option_2: The employee to be full time employed on the day the insurance coverage takes effect.
option_3: The employee to be at work on the day the insurance coverage takes effect.
correct_answer: 3
reasoning: Please refer to textbook.
question:
Group Polices often have an 'actively at work' clause. In order to be eligible for the cover, this clause requires:

option_4:
The employee to obtain official Medical Certificate if he is unwell on the day the insurance coverage takes effect.


source: mock_exam_1
src_question: question_13
chapter: Chapter_3
section: Section 4.2
option_1: Group Medical Expense Insurance
option_2: Portable Medical Benefit Scheme
option_3: Transferable Medical Insurance Scheme
option_4: Integrated Shield Plans
correct_answer: 3
reasoning: Please refer to textbook.
question:
When an employee leaves his current company, medical benefits provided by his employer will automatically be terminated. Which of the following plans purchased by the employer will solve this problem?


source: mock_exam_1
src_question: question_14
chapter: Chapter_4
section: Section 4.3
option_1: $1,141,809
option_2: $1,712,714
option_3: $2,140,893
option_4: $2,854,524
correct_answer: 3
question:
Compute Disability Income Benefit. Given the following details:\nEscalation Benefit : 3%\nMonthly Income : $5000\nMonthly Expense : $3000\nNo of years : 30 years

reasoning:
$5000 x 75% = $3750\n$3750 X 12 x *47.5754 = $2,140,893\n* 47.5754 (factor from Table A1 – 3%; 30 years)


source: mock_exam_1
src_question: question_15
chapter: Chapter_4
section: Section 5.1.2
option_1: Any Occupation
option_2: Own Occupation
option_3: Specific Occupation
option_4: Modified Own Occupation
correct_answer: 4
reasoning: Please refer to textbook.
question:
\“The insured’s inability to perform any gainful occupation or a similar occupation for which he is reasonably suited by reason of education, training or experience\” refers to: 


source: mock_exam_1
src_question: question_16
chapter: Chapter_4
section: Section 6.2b
option_1: $3,000 per month
option_2: $2,500 per month
option_3: $1,875 per month
option_4: $4,000 per month
correct_answer: 3
reasoning: $4000 - $1500 / $4000 x $3000 = $1875.
question:
Mr Tan, who is an accountant, used to earn $4,000 per month before he was disabled. After partial recovery from his disability, he found a suitable job as a clerk, which pays him $1,500 per month. What would Mr Tan’s disability income benefit be?


source: mock_exam_1
src_question: question_18
chapter: Chapter_5
section: Section 2
question: Which of the following regarding Long Term Care Insurance (LTCI) is true?
option_2: The young and healthy need not buy LTCI.
option_3: It is not governed by the Over Insurance Provision Clause.
option_4: Premiums are based on age band basis.
correct_answer: 3
reasoning: Please refer to textbook.
option_1:
LTCI is meant to meet costs of care to a special group of elderly who is physically impaired and unable to function independently.


source: mock_exam_1
src_question: question_19
chapter: Chapter_5
section: Section 3.1a
option_1: Indemnity Method.
option_2: Pays if meet benefit trigger.
option_3: Pays 100% if unable to perform 4 out of 6 ADLs.
option_4: Level Premium basis.
correct_answer: 1
reasoning: Please refer to textbook.
question:
Which of the following payment method is associated with LTCI benefits issued under \“Service Based\” Policy ?


source: mock_exam_1
src_question: question_22
chapter: Chapter_6
section: Section 2.1g
option_1: from the date of policy issue
option_2: from the date of any reinstatement of the policy
option_3: from the date of inception
option_4: from the occurrence of a dread disease
correct_answer: 4
reasoning: Please refer to textbook.
question:
The insured must survive the survival period before the dread disease benefit becomes payable. The survival period is a period of time:


source: mock_exam_1
src_question: question_24
chapter: Chapter_6
section: Section 2.3.1
option_1: $150,000
option_2: $75,000
option_3: $50,000
option_4: $225,000
correct_answer: 2
reasoning: Please refer to textbook.
question:
Mr. X bought a $150,000 whole life type of Critical Illness Policy with 50% acceleration benefit. How much is payable to him upon diagnosis of cancer?


source: mock_exam_1
src_question: question_25
chapter: Chapter_6
section: Section 3
option_1: $100,000
option_2: $18,500
option_3: $18,000
option_4: $180,000
correct_answer: 1
reasoning: Lifetime limit of 1000 days X $100 per day = $100,000
question:
Calculate the total maximum amount this Hospital Cash Income Insurance Policy will pay based on these policy details:\nDaily Benefit: $100\nMax of 180 days per hospitalization\nLifetime Limit: 1000 days\nHe was hospitalized for 185 days per hospitalization


source: mock_exam_1
src_question: question_31
chapter: Chapter_8
section: Section 2.1/2.2
question: Which of the following regarding Medisave and MediShield is true?
option_2: Both schemes are opt out scheme.
option_3: Both are low cost catastrophic medical insurance schemes.
option_4: Both have high deductibles.
correct_answer: 1
reasoning: Please refer to textbook.
option_1:
Medisave is a saving scheme and MediShield cover is granted automatically to Singaporeans when they became CPF members.


source: mock_exam_1
src_question: question_33
chapter: Chapter_8
section: Section 2.2.3
option_1: S$11,400
option_2: S$12,000
option_3: S$22,400
option_4: S$10,400
correct_answer: 1
reasoning: $22400 - $11000 = $11,400
question:
Miss Ang was hosptialised for 8 days. Her total hospital bill was $22,400. She was able to receive $11,000 from her company group Medical Expense Policy. She is now awaiting for the reimbursement from her own private medical insurance (PMI). Details of her hospital bill & PMI (no deductibles and co insurance) as follows: \n| Description | Hospital Bills | Amount covered under PMI |\n|---|---|---|\n| Room and board | S$300 x 8 = $2,400 | S$250 x 8 = $2,000 |\n| Surgery | S$20,000 | S$10,000 |\n| Total | $22,400 | S$12,000 |\nHow much is she able to claim from her PMI?


source: mock_exam_1
src_question: question_34
chapter: Chapter_8
section: Section 2.2.3
option_1: $3,840
option_2: $3,940
option_3: $3,990
option_4: $4,080
correct_answer: 2
question:
Jenny went to Johor Bahru and while on her way back to Singapore, she met with an accident on March 2008. She incurred a bill of $6,300. Policy came with a deductible of $1500 and a co-insurance as follows:\n$1000 - $3000 : 15%\n$3001 - $6000 : 20%\nHow much would the insurer have paid her?

reasoning:
Total expenses = $6300\nLess deductible = ($1500)\nLess co-insurance = *($860)\nClaimable = $3940\n\n* Computation of Co insurance\n$1000 - $3000: $300 (15% x $2000)\n$3001- $6000 : $560 (20% x $2800)\nTotal : $860


source: mock_exam_1
src_question: question_35
chapter: Chapter_9
section: Section 3
option_1: Policy Schedule
option_2: Insuring Clause
option_3: Entire Contract Clause
option_4: Benefit Provision
correct_answer: 1
reasoning: Please refer to textbook.
question:
Which of the following section in a Health Insurance Contract must the adviser goes through with the client to ensure no typographical error?


source: mock_exam_1
src_question: question_36
chapter: Chapter_9
section: Section 4.1
option_1: Policy Schedule
option_2: General Conditions
option_3: Insuring Clause & Definitions
option_4: Benefits Provisions
correct_answer: 3
reasoning: Please refer to textbook.
question:
Which of the following sections in a Health Insurance Policy contract represents the \“foundation\” of a Health Insurance Policy?


source: mock_exam_1
src_question: question_37
chapter: Chapter_9
section: Section 5.3
option_1: Insuring Clause
option_2: Renewal Provision
option_3: Incontestability Clause
option_4: Premium Warranty Clause
correct_answer: 4
reasoning: Please refer to textbook.
question:
Which clause states that the policy shall not be in-force, unless premium is paid to the company on or before the inception date of the policy?


source: mock_exam_1
src_question: question_39
chapter: Chapter_11
section: Section 2
question: The role of underwriting is important because it enables the underwriter to:
option_2: Ensure that the premium charged corresponds with the risk involved.
option_3: Ensure the re-insurance limits will not be exceeded.
option_4: Ensure that the premium charge is fair to the policyowner.
correct_answer: 2
reasoning: Please refer to textbook.
option_1:
Help to protect the insurer against anti-selection and in the preservation of the insurer’s reserves.


source: mock_exam_1
src_question: question_41
chapter: Chapter_11
section: Section 4.4
option_1: Agent’s Statement
option_2: Supplementary Questionnaires
option_3: Medical Examination/Test
option_4: Attending Physician Statement
correct_answer: 4
reasoning: Please refer to textbook.
question:
To get a better insight to insured’s medical history, not available from medical examinations, underwriter request for:


source: mock_exam_1
src_question: question_42
chapter: Chapter_12
section: Section 5
option_1: In the event of an injury to, or disability of, the insured as a result of accident.
option_2: On the death by accident of the insured.
option_3: All of the above
option_4: None of the above
correct_answer: 3
reasoning: Please refer to textbook.
question:
\“Personal Accident Policy\” means accident and health policy where accident and health benefits are paid out only:-


source: mock_exam_1
src_question: question_43
chapter: Chapter_12
section: Section 30
option_1: Eldershield Policy
option_2: Long Term Care Insurance
option_3: Hospital Cash (Income) Insurance
option_4: Disability Insurance
correct_answer: 1
reasoning: Please refer to textbook.
question:
An A&H Insurance Intermediary shall have a reasonable basis for providing advice to the insured. This shall not apply to:


source: mock_exam_1
src_question: question_44
chapter: Chapter_13
section: App 13A(pg 241)
option_1: \“Know Your Client\” form.
option_2: \“Our Advice & Reasons Why\” form.
option_3: Product Summary
option_4: Your Guide to Health Insurance and Product Summary.
correct_answer: 4
reasoning: Please refer to textbook.
question:
During the Pre-Sale Stage for Individual Business, it is compulsory to provide which document(s) to the client?


source: mock_exam_1
src_question: question_46
chapter: Chapter_13
section: App 13A (pg 263)
option_1: Letter of warning
option_2: Counseling
option_3: Three months suspension
option_4: Retraining on Health Insurance
correct_answer: 1
reasoning: Please refer to textbook.
question:
Under LIA Guidelines, which penalty constitutes the 3rd offence for non compliance by the Representatives for not having submitted the completed and signed Fact Find Form and \“Our Advice and Reason Why Form\”?


source: mock_exam_1
src_question: question_47
chapter: Chapter_14
section: Section 3.1(f)
option_1: Client’s existing Health Insurance Policies
option_2: Client’s pay increase
option_3: Client’s promotion
option_4: Client’s affordability
correct_answer: 1
reasoning: Please refer to textbook.
question:
What serves as a starting or reference point for the advisers to recommend further A & H insurance recommendations to their clients?


source: mock_exam_1
src_question: question_48
chapter: Chapter_14
section: eg 14.3
option_1: $381,060
option_2: $739,920
option_3: $762,118
option_4: $1,417,766
correct_answer: 1
reasoning: $2000 x 12 = $24,000 x 15.8775 (table A2; 3%; 21 years)\n= $381,060
question:
Compute maintenance cost using TPD Method. Given: Monthly Income : $4000; Monthly Expenses :$2000; No of years income needed : 21; Expected rate of return : 5%; Inflation Rate : 2% ; Existing fund : $0


source: mock_exam_1
src_question: question_49
chapter: Chapter_14
section: Section 4.2.4
option_1: Whether the client has the means to pay the premium.
option_3: Obtain the latest attending physician statement as an indication of his current physical condition.
option_4: Occupational risk classification of the client
correct_answer: 2
reasoning: Please refer to textbook.
question:
Calculation of how much Critical Illness Insurance the client needs is more of an art than a science as there are many uncertainties. Which of these factors would be most important?

option_2:
Need to know the client’s family medical history to determine which disease the client is most susceptible.


source: mock_exam_2
src_question: question_4
chapter: Chapter_2
section: Section 1.1(a)
option_1: Accommodation
option_2: Meals
option_3: General Nursing Services
option_4: Medicines and drugs
correct_answer: 4
reasoning: Please refer to textbook.
question:
Which of the following is NOT covered under Daily Room and Board Charges in a Medical Expense Insurance?


source: mock_exam_2
src_question: question_5
chapter: Chapter_2
section: Section 3.3
option_1: $0
option_2: $60
option_3: $75
option_4: $90
correct_answer: 2
reasoning: ($500 + $700) X 5% = $60.
question:
If Mr Tan is enquiring about buying a policy for himself, his wife and 2 sons. Premium is as follows:\nHimself = $500\nHis wife = $700\n1 son = $300\nAfter considering he would like to cover only himself and his wife. How much family discount did he enjoy?


source: mock_exam_2
src_question: question_7
chapter: Chapter_2
section: Section 3.5.1
option_1: $26,280
option_2: $31,680
option_3: $33,630
option_4: $36,630
correct_answer: 1
question:
Mr. Tan and his family were injured while on holiday. They were covered under MEI, with a deductible of $3000 and a co-insurance of 10%. Determine the total amount payable to Mr.Tan, given hospital bills as follows:\nMr. Tan - $15,000\nMrs. Tan - $20,000\nSon - $2,500\nDaughter – $3,200

reasoning:
Mr. Tan : $15,000 - $3000 = $12,000 - $1,200 (coinsurance 10%) = $10,800\nMrs. Tan : $20,000 - $3000 = $17,000 - $1,700 (coinsurance 10%) = $15,300\nSon : cannot claim as expense is below deductible\nDaughter : $3,200 - $3000 = $200 - $20 (coinsurance 10%) = $180\nHence total payable = $10,800 + $15,300 + $180 = $26,280


source: mock_exam_2
src_question: question_10
chapter: Chapter_3
section: Section 3
option_1: Anytime within 30 days after marriage.
option_2: Anytime within 15 days after marriage.
option_3: Anytime within the half year after marriage.
option_4: Anytime as and when Mr. Tan apply for her to be included and cover approved by underwriting.
correct_answer: 1
reasoning: Please refer to textbook.
question:
Mr. Tan would like his wife to be included under his company’s Group Medical Insurance Policy. What would the commencement date of cover for Mrs. Tan be?


source: mock_exam_2
src_question: question_12
chapter: Chapter_3
section: Section 4.4
option_1: 1%
option_2: 2%
option_3: 3%
option_4: 4%
correct_answer: 2
reasoning: Please refer to textbook.
question:
Employers providing their employees with a Shield Plan can claim how many percent of tax deduction on their employees’ total remunerations?


source: mock_exam_2
src_question: question_14
chapter: Chapter_4
section: Eg 4.3
option_1: $4,500
option_2: $6,000
option_3: $4,635
option_4: $4,770
correct_answer: 3
reasoning: $6000 X 75% = $4500\n$4500 + (3% X $4500 ) = $4635
question:
David has a monthly income of $6,000 and has bought a Disability Income policy at 75% of his monthly income with a 3% escalation benefit. He is disabled and made a claim successfully on 1-1-2000. What is the amount that he will receive on the 1-3-2001?


source: mock_exam_2
src_question: question_20
chapter: Chapter_5
section: Section 9
question: The following are exclusions under LTCI policies EXCEPT:
option_2: Alcoholism and drug abuse.
option_4: Self inflicted injury.
correct_answer: 3
reasoning: Please refer to textbook.
option_1:
All pre-existing conditions, which were not fully declared and described by the insured at the time of application.

option_3:
Any form of Acquired Immune Deficiency Syndrome (AIDS) or infection by any Human Immunodeficiency Virus (HIV).


