IRDA Exam

IRDA Exam  Eligibility, Syllabus, Pattern, Registration,

Exam Date, Mock Test, Exam Fees, Admit Card,

Centres, Result

What is IRDA full form ?

IRDA full form is – Insurance Regulatory and Development Authority of India

What is the IRDA Exam SYLLABUS – IC38 Life

IC38 INSURANCE AGENTS (LIFE BRANCH)

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:WHAT LIFE INSURANCE INVOLVES:

Life insurance business –
Components, human life value, mutuality – The Asset – Human Life Value(HLV) –
The Risk – Level premiums – The Principle of Risk Pooling – Mutuality – The Life
Insurance Contract.

CHAPTER 7:FINANCIAL PLANNING:

Financial planning and the individual life
cycle – Definition – Types of Goals – Individual’s life cycle – Individual needs –
Financial products – Risk profile and investments – Role of financial planning –
Financial planning – When is the right time to start financial planning – Financial
planning – Types – Cash planning – Insurance planning – Investment planning –
Investment parameters – Retirement planning.

CHAPTER 8:LIFE INSURANCE PRODUCT I:

Overview of life insurance products
– What is a product – Purpose of life insurance products and needs covered –
Riders in Life Insurance Products – Traditional life insurance products – Term
insurance plans – Variants of Term Assurance – Whole life insurance – Endowment
assurance – Dividend method of profit participation.

CHAPTER 9: LIFE INSURANCE PRODUCT II:

Overview of non-traditional life
insurance products – Limitations of traditional products – The shifts – The appeal –
Needs met – Non-traditional life insurance products – Types.

CHAPTER 10: APPLICATION OF LIFE INSURANCE:

Married Women’s Property
Act – Beneficiaries under MWP Act & its features – Key man Insurance – Insurable
Losses – Mortgage Redemption Insurance (MRI).

CHAPTER 11: PRICING AND VALUATION OF LIFE INSURANCE:

Insurance
pricing – Basic elements – Premium – Rebates – Determining the premium –
Components of Premium – Mortality and Interest – Guiding Principles for
determining Amount of Loading – Expenses and reserves – Determination of
Surplus and bonus – Ways of Valuing Assets – Allocating the surplus – Bonus –
Types of reversionary bonuses.

CHAPTER 12: DOCUMENTATION – PROPOSAL STAGE:

Life insurance –
Proposal stage documentation – Prospectus – Proposal form – Different Reports –
Anti-Money Laundering (AML) – Know Your Customer (KYC) – Free-look period.

CHAPTER 13: DOCUMENTATION – POLICY CONDITION – I:

Policy stage
documentation – First Premium Receipt – Policy Document – Policy Document –
Standard Provisions – Specific Policy Provisions.

CHAPTER 14: DOCUMENTATION – POLICY CONDITION – II:

Policy conditions
and privileges – Grace period – Policy revival measures – Non-forfeiture provisions –
Special policy provisions and endorsements – Provisions related to nomination –
Assignment – Types of Assignment – Conditions for valid assignment – Nomination
Vs. Assignment – Duplicate Policy – Alteration.

CHAPTER 15: UNDERWRITING:

Underwriting purpose – Equity among risks –
Risk classification – Selection process – Fraud monitoring and role of agent as
primary underwriter – Methods of underwriting – Non-medical underwriting –
Conditions for non-medical underwriting – Rating factors in underwriting – Sources
of Occupational Hazards – Medical underwriting – Medical Factors that influence
an Underwriter’s Decision.

CHAPTER 16: PAYMENTS UNDER A LIFE INSURANCE POLICY:

Types of claims
and claims procedure – Concept of claims – Risk event and claim – Ascertaining
whether a claim event has occurred – Survival Benefit Payments – Surrender of
Policy – Rider Benefit – Death Claim – Forms to be submitted for Death Claim –
Claim Procedure for Life Insurance Policy – Role of an agent

SECTION 3

CHAPTER 17: 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 18: 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 19: 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 20: 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 21: 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

 

What is the IRDA Exam SYLLABUS – IC38 Non-Life

SYLLABUS

IC38 INSURANCE AGENTS (GENERAL BRANCH)

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: PRINCIPLES OF INSURANCE:

Elements of Insurance: – Definition
– Exposure to risk – Degree of risk exposure – Basis of risk classification- Hazard –
Types of hazards – Mathematical principle of insurance (Risk pooling) – Conditions
for insuring a risk – The Insurance Contract – Insurance Contract legal aspects –
Special Features –Indemnity – Uberrima Fides or Utmost Good Faith – Insurable
interest – Proximate cause

CHAPTER 7: DOCUMENTATION:

Proposal forms – Roe of Role of intermediary –
Duty of an intermediary towards prospect – Acceptance of the proposal – Premium
receipt – Cover notes-Certificate of Insurance – Policy Document – Warranties –
Endorsements – Interpretation of policies – Renewal notice

CHAPTER 8: THEORY AND PRACTICE OF PREMIUM RATING:

– Underwriting
basics – Definition – Rate making basics – Rating factors – Hazard – Moral Hazard
– Physical hazard – Addressing physical hazards – Short Period scales – Minimum
Premium – Sum Insured – Deciding the sum insured

CHAPTER 9: PERSONAL AND RETAIL INSURANCE:

HOUSEHOLDER’S
INSURANCE: – Retail Insurance Products – Sum Insured and Premium –
Shopkeeper’s Insurance – Sum Insured and Premium – Motor Insurance – Its
coverages – ‘Third-Party Insurance’ – Exclusions – Sum Insured and Premium.

CHAPTER 10: COMMERCIAL INSURANCE: PROPERTY / FIRE INSURANCE: –

Variants of fire policy – Market Value or Reinstatement Value Policies – Declaration
Policy – Floater Policies – Business Interruption Insurance – Coverages – Burglary
Insurance – Risks covered under burglary insurance – Cash cover – Money
Insurance – Coverage of Money Insurance – Important exclusions – Fidelity
Guarantee Insurance – Bankers Indemnity Insurance – Jewelers’ Block Policy –
Engineering Insurance – Types of engineering insurance policies – Marine
Insurance – Marine Cargo Insurance – Different types of marine policies – Liability
Policies – Statutory liability – Types of Liability Policies.

CHAPTER 11: CLAIMS PROCEDURE:

Claims Settlement process – Importance of
settling claims – -limitations or notice of loss – Investigation and assessment –
Surveyors and loss assessors – Claim forms – Loss assessment and claim
settlement – Important Aspects in an insurance claims – categories of claim –
Discharge vouchers – Post settlement action – Selvage – Recoveries – Disputes
related to claims – Other disputes resolution mechanisms

SECTION 3

CHAPTER 12: 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 13: 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 14: 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 15: 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 16: 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

IC38 INSURANCE AGENTS (HEALTH INSURANCE)

What is the IRDA Exam 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

 

 

admin2602

Share
Published by
admin2602

Recent Posts

Essential Methods for Satta Tricks 2021

What are the straightforward essential thoughts regarding satta Tricks? https://www.youtube.com/watch?v=-5z3vV6amKA Satta trick Matka is a…

2 days ago

Satta Weekly Jodi- Kalyan Weekly Jodi 2021

KALYAN/SATTA WEEKLY JODI MATKA https://www.youtube.com/watch?v=78zwfdFBMzk Get 100% fixed Kalyan Jodi Numbers on Koragora.com Live. Our…

3 days ago

Sattamataka143 Mobi Fix Chart

Sattamataka143 Mobi Today:- https://www.youtube.com/watch?v=fpBKq8t2-ko Sattamataka143 Mobi App Download - Only Fix sm Matka game play,…

1 week ago

How to download IRDA Certificate

How to download IRDA Certificate ? Here you will learn How to download IRDA Certificate…

2 weeks ago

Top rated gaming wireless keyboard and mouse in UK

Gaming wireless keyboard and mouse 1 KLIM™ Chroma Wireless Keyboard UK Layout + Slim, Durable,…

2 weeks ago

5 Best wireless keyboard and mouse in UK

5 Best wireless keyboard and mouse in UK 1 Logitech MK540 Wireless Keyboard and Mouse…

2 weeks ago