IC38 HEALTH INSURANCE AGENT EXAM - Study Notes

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  • Reserving - This refers to the amount of provision made for all claims in the books of the insurer based on the status of the claim
  • Bail bond cases and financial emergency cases are paid upfront by Assistance Company and later claimed from insurance company
  • Current Procedure Terminology (CPT) codes capture the procedures performed to treat the illness.
  • Rashtriya Swasthya Bima Yojana - Total sum insured of Rs. 30,000 per BPL family on a family floater basis. Pre-existing diseases to be covered. Beneficiary to pay Rs. 30/- per annum as registration fee/ renewal fee.
  • Employees State Insurance Scheme benefits - Free comprehensive healthcare at ESIS facilities , Maternity benefit, Disability benefit, Cash compensation for loss of wages due to sickness and survivorship, Funeral expenses in case of death of worker

IC38 Health Insurance

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