IC38 HEALTH INSURANCE AGENT EXAM - Study Notes

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  • Family Floater - The sum insured floats among the family members. Family floaters usually cover husband, wife and children. Premium will normally be charged based on the age of the oldest member of the family proposed for insurance.
  • Cashless Facility - a facility extended by the insurer to the insured where the payments of the costs of treatment undergone by the insured are directly made to the network provider by the insurer.
  • Group health insurance policy - available to groups/ associations/ institutions/ corporate bodies, provided they have a central administration point and are subject to a minimum number of persons to be covered. The group must belong to a category that is approved
  • Expenses covered under health insurance - Cost of room / bed,Boarding expenses, Nursing expenses, Doctors fees, Diagnostic tests, Operation theatre charges, Expenses related to surgical appliances and the like
  • Portability - It is the right accorded to an individual health insurance policyholder (including family cover), to transfer the credit gained for pre-existing conditions and time bound exclusions, from one insurer to another insurer or from one plan to another plan of the same insurer, provided the previous policy has been maintained without any break

IC38 Health Insurance

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