Page 292 - Ebook health insurance IC27

The Insurance Times

d) Domiciliary hospitalization benefit.
e) Cashless hospitalization procedure
f) Deductible.
g) Co-payment or co-insurance.
h) General waiting period.
i) Pre-existing illness
j) Exclusions
k) Cancellation clause
l) Renew ability clause.

13. What standardization initiatives have been taken in health insurance sector in India?
What is the aim of standardization of treatment, guidelines?

CHAPTER - 6 : Health Insurance Data, Pricing, and Reserving
1. Summarize the importance of data for health insurance industry.
2. Write a note on data warehousing. What are the qualities of a good data warehousing

system?
3. State the various parameters on which analysis of data may be performed.
4. Write a note on IBNR Analysis.
5. Explain the concept of ICO-10coding system. For what purpose it can be analyzed?
6. Write a note on Insurance Information Bureau.
7. Explain the importance of Actuarial function in a healthy insurance company.
8. Write a note on fundamentals of pricing.
9. Explain the concept of claim reserving.
10. Write a note on data and modeling.

296 Guide for Health Insurance