Health Insurance — DU B.A. (V.S.) Insurance Management Previous Year Question Papers

(c) Answer any five questions. . Describe the salient features and importance of health insurance in managing healthcare risks financing in the present-day environment. 2. Evaluate the prevalent health insurance products available in India. Also discuss the scope and future prospects of health insurance in the Indian healthcare system. (c) Micro health insurance. (d) Group indemnity plans. 7. Discuss the features of critical illness insurance policies. Also explain the concept and importance of health insurance riders in enhancing insurance coverage. 8. Write short notes on any three of the following: (a) Social security insurance schemes in health insurance. (b) Tackling inflated and fraudulent claims. 3. Critically evaluate the regulations issued by the insurance regulatory and development authority of India (IRDAI) for third-party administrators in health insurance. Examine the impact of preventive healthcare and customer responsiveness in controlling the costs incurred by health insurers. 4. Discuss the various covers provided under health insurance policies. Critically evaluate the major conditions, and exclusions in health insurance policies. 5. Mr. Kanav Sharma, aged 35 years, lives in a metropolitan city with his spouse and two children. He is a non-smoker and does not consume alcohol. The overall Body Mass Index (BMI) of the family members is within the normal range, and none of them is overweight or obese. Although Mr. Sharma has a family history of hypertension, his current blood pressure is normal. The family is health-conscious and regularly participates in recreational and health-promoting activities. (i) Summarize the above case highlighting the key health and lifestyle characteristics of Mr. Kanav Sharma and his family. (ii) Classify the risk profile of Mr. Sharma and his family from the perspective of health insurance underwriting. Estimate a suitable sum insured, and corresponding premium for health insurance. 6. Describe the key players in the health insurance sector in India and explain their roles in the health insurance market. Explain the benefits and significance of long-term care insurance in providing financial protection against prolonged healthcare expenses.