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Ic 27 Health Insurance.pdf


What is Ic 27 Health Insurance?




Ic 27 Health Insurance is a course based on the new syllabus of the Insurance Institute of India (III) for the subject of health insurance. The course covers the meaning, purpose, development, and growth of health insurance in India, as well as the health system, products, underwriting, claims, and regulations related to health insurance. The course also provides an overview of the global health insurance scenario and the emerging trends and challenges in the field.


The course is designed for students who want to pursue a career in health insurance or enhance their knowledge and skills in this domain. The course is also useful for professionals who are already working in the health insurance industry or related sectors, such as insurance companies, third party administrators (TPAs), hospitals, brokers, agents, consultants, regulators, etc.


Download File: https://cinurl.com/2w2YWS


What are the objectives of Ic 27 Health Insurance?




The main objectives of Ic 27 Health Insurance are:


  • To provide a comprehensive understanding of the concept and principles of health insurance and its evolution in India and globally.



  • To explain the various types of health insurance products and their features, benefits, and limitations.



  • To describe the process and factors involved in health insurance underwriting and rating.



  • To illustrate the procedure and best practices for health insurance claims management and settlement.



  • To discuss the legal and regulatory aspects of health insurance business in India and their implications for stakeholders.



  • To highlight the current issues and future prospects of health insurance industry in India and abroad.



What are the contents of Ic 27 Health Insurance?




The course consists of 10 chapters, each covering a specific topic related to health insurance. The chapters are as follows:


  • Meaning of Health Insurance: This chapter defines health insurance and its importance, explains the role of third parties in health insurance, and distinguishes between indemnity and managed care plans.



  • Purpose of Health Insurance: This chapter discusses the need and benefits of health insurance for individuals and society, analyzes the demand and supply factors for health insurance, and compares the public and private sources of health financing.



  • Indian Insurance Industry - Development and Growth: This chapter traces the history and evolution of the Indian insurance industry, especially the health insurance segment, reviews the performance and growth trends of the industry, and identifies the key drivers and challenges for the industry.



  • Health System in India: This chapter describes the constitutional provisions and government policies for health care in India, examines the structure and functioning of the public and private health sectors, and evaluates the quality and accessibility of health services in India.



  • Health Insurance Products: This chapter classifies the various types of health insurance products available in India, such as individual, group, family floater, senior citizen, critical illness, hospital cash, etc., and explains their salient features, advantages, disadvantages, exclusions, etc.



  • Health Insurance Underwriting: This chapter outlines the principles and process of health insurance underwriting, discusses the factors affecting health risk assessment and premium determination, and illustrates the use of underwriting tools such as proposal forms, medical reports, etc.



  • Health Insurance Claims: This chapter elaborates on the steps and documents involved in health insurance claims submission and processing, highlights the role and responsibilities of TPAs in claims administration, and suggests ways to prevent and detect frauds and abuses in claims.



  • Health Insurance Regulations: This chapter summarizes the main provisions and amendments of the Insurance Act 1938, IRDA Act 1999, and other relevant laws governing health insurance business in India. It also covers the role and functions of IRDAI as a regulator of health insurance industry, and its various regulations pertaining to licensing, product design, disclosure, grievance redressal, etc.



  • Global Health Insurance Scenario: This chapter provides an overview of the global health insurance market, its size, structure, and segmentation. It also compares the different models and systems of health financing and delivery adopted by various countries, such as USA, UK, Germany, France, Canada, Japan, China, etc.



  • Emerging Trends and Challenges in Health Insurance: This chapter identifies the emerging trends and challenges in health insurance industry, such as increasing competition, customer awareness, technological innovation, product innovation, distribution innovation, etc. It also discusses the possible solutions and strategies to overcome the challenges and leverage the opportunities.



How to access Ic 27 Health Insurance?




Ic 27 Health Insurance is available as a PDF file that can be downloaded from the III website. The PDF file contains the original text of the course, along with the learning objectives, key terms, self-test questions, and references for each chapter. The PDF file also has an annexure that contains the question bank for the examination.


The course can also be accessed online through the III e-learning portal, where the students can enroll and study the course at their own pace and convenience. The e-learning portal also provides interactive features such as audio-visual lectures, quizzes, case studies, etc.


How to prepare for Ic 27 Health Insurance examination?




The examination for Ic 27 Health Insurance is conducted by III as a part of its professional examination syllabus. The examination is held twice a year, in May and November, along with other subjects. The examination is of three hours duration and consists of 100 multiple choice questions, each carrying one mark. The passing marks are 50 out of 100.


To prepare for the examination, the students should thoroughly read and understand the course material, and revise the key concepts and terms. They should also practice the self-test questions and the question bank given in the PDF file, and attempt the mock tests and previous year papers available on the III website. They should also keep themselves updated with the latest developments and trends in health insurance industry by reading newspapers, magazines, journals, websites, etc.


What are the benefits of Ic 27 Health Insurance?




Ic 27 Health Insurance is a valuable course for anyone who wants to learn about health insurance or enhance their career prospects in this field. By completing this course, the students will be able to:



  • Gain a comprehensive knowledge and understanding of health insurance and its various aspects.



  • Develop the skills and competencies required for working in health insurance industry or related sectors.



  • Acquire a professional qualification recognized by III and other insurance bodies.



  • Improve their employability and career opportunities in health insurance industry or related sectors.



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