IC27 is the Health Insurance paper for the III Associateship exam – 100 MCQs, 2 hours, 60% passing marks, no negative marking. Sarkariexam.center gives you free chapter-wise and full-length IC27 mock tests right now, without login, without payment, and without registration. Start below.
IC27 Health Insurance Exam – Fast Facts
The IC27 exam tests your knowledge of health insurance products, underwriting, policy clauses, IRDAI regulations, fraud detection, and reinsurance. Passing marks for IC27 is 60%, meaning you need at least 60 correct answers out of 100 to clear the exam.
| Parameter | Detail |
|---|---|
| Conducting Body | Insurance Institute of India (III) |
| Exam Level | Associateship (Non-Life / Combined Stream) |
| Total Questions | 100 Multiple Choice Questions (MCQ) |
| Total Marks | 100 |
| Duration | 2 Hours |
| Passing Marks | 60 out of 100 (60%) |
| Negative Marking | None |
| Mode | Online (Proctored or In-Centre) |
| Medium | English |
| Syllabus | 10 Chapters (official III Handbook) |
Why Most Candidates Fail IC27 – and How to Fix It
Most IC27 failures happen not from lack of study but from wrong preparation strategy. Candidates memorise answers without understanding concepts. Then the actual III exam rephrases every question and the memorised answers fail.
The three most common IC27 failure reasons are:
- Skipping Chapters 6 and 7 – Data, Pricing, and Regulatory topics together carry 18–22 marks, yet most candidates underestimate them
- Confusing cashless vs. reimbursement processes – Chapter 5 policy clause questions trip up candidates who never practised application-based MCQs
- Zero mock test practice – Reading without timed practice leaves candidates unable to attempt all 100 questions inside 2 hours
Sarkariexam.center solves all three. Free chapter-wise tests let you target weak areas. Full-length timed mock tests build the speed you need on exam day.
IC27 Mock Test – Sample MCQs with Answers
These sample questions represent the exact type, difficulty, and format of questions you will face in the actual IC27 III Associateship exam.
Sample MCQ Set: IC27 Health Insurance
Q1. Which of the following is a correct definition of a Third Party Administrator (TPA) under IRDAI regulations?
- A) A company registered with IRDAI engaged by an insurer to provide health services for a fee
- B) A hospital that processes cashless claims on behalf of patients
- C) A government body that regulates claim settlement timelines
- D) A reinsurance company that shares health insurance risk
Answer: A – A TPA is a company registered with the Authority and engaged by an insurer, for a fee, to provide health services as per the health services agreement.
Q2. Under the cashless facility in health insurance, payments for treatment are made directly to whom?
- A) The insured
- B) The policyholder’s nominee
- C) The network provider (hospital)
- D) The TPA
Answer: C – Cashless facility means the insurer pays the network provider directly, to the extent pre-authorization is approved.
Q3. What is the grace period in days that IRDAI has mandated from the date of renewal to maintain continuity of benefits?
- A) 15 days
- B) 30 days
- C) 45 days
- D) 60 days
Answer: D – IRDAI mandates a grace period of 60 days from the renewal date during which continuity of benefits must be maintained.
Q4. Within how many days must an insurer settle or reject a health insurance claim after receiving the last required document?
- A) 7 days
- B) 15 days
- C) 30 days
- D) 45 days
Answer: C – As per IRDAI regulations, the insurer must settle or reject a claim within 30 days of receiving the last necessary document.
Q5. In a family floater health insurance policy, which of the following is true regarding the sum insured?
- A) Each member gets a separate sum insured
- B) The sum insured can be shared by elder members of the family
- C) Only the proposer can use the sum insured
- D) The sum insured doubles automatically for critical illness
Answer: B – In a floater policy, the sum insured is shared among family members and can be used by the elder members as needed.
IC27 Syllabus – All 10 Chapters with Exam MCQ Tips
Every IC27 mock test on sarkariexam.center maps each question to one of these 10 official III chapters. Knowing where marks come from helps you prioritise your study time.
Chapter 1: Introduction to Health Insurance and the Health System in India
Key topics: Meaning and purpose of health insurance, health infrastructure in India (primary health centres, district hospitals, tertiary care), public and private sector roles, and development of the Indian insurance industry.
MCQ Tip: Questions focus on health infrastructure levels – Central, State, and Local. Know which government bodies impact the health sector and which do not.
Chapter 2: Health Financing Models and Health Financing in India
Key topics: Bismarck model (payroll-tax-based premiums), Beveridge model (state-funded via taxation), National Health Insurance model, and out-of-pocket payment systems. India’s health expenditure as a percentage of GDP also appears in MCQs.
MCQ Tip: In the USA, employment-based health benefits covered approximately 62% of the non-elderly population in the early 21st century. This specific fact appears repeatedly in IC27 papers.
Chapter 3: Health Insurance Products in India
Key topics: Individual mediclaim, family floater, group health insurance, top-up and super top-up plans, critical illness covers, hospital daily cash, CGHS (Central Government Health Scheme), ESIS (Employees State Insurance Scheme), and Ayushman Bharat PM-JAY.
MCQ Tip: CGHS covers central government employees in civil assignments. ESIS covers industrial sector employees and their families. Know both schemes in detail – 12–15 MCQs come from this chapter alone.
Chapter 4: Health Insurance Underwriting
Key topics: Risk assessment, pre-existing disease (PED) clauses, waiting periods, loading on premiums, exclusions, medical examination process, proposal form evaluation, and moral hazard.
MCQ Tip: Know the difference between initial waiting period (30 days), specific disease waiting period (1–4 years), and pre-existing disease waiting period. Questions on underwriting loading and exclusions are application-based.
Chapter 5: Health Insurance Policy Forms and Clauses
Key topics: Policy wordings, co-payment clauses, deductibles, sub-limits on room rent, cashless facility vs. reimbursement process, day care procedures, pre-authorization requirements, and standard policy conditions.
MCQ Tip: Cost-sharing provisions like sub-limits on hospital costs, co-payments, and deductibles reduce the claim amount payable to the insured. Scenario-based questions test whether the insured gets full indemnity or reduced indemnity.
Chapter 6: Health Insurance Data, Pricing and Reserving
Key topics: Morbidity data, incidence rates, health expenditure trends, premium pricing mechanisms, ERP software for data management, and IBNR (Incurred But Not Reported) reserves.
MCQ Tip: ERP software is the repository of an organisation’s electronically stored data designed to facilitate reporting and analysis. Calculation-based questions on premium pricing appear from this chapter.
Chapter 7: Regulatory and Legal Aspects of Health Insurance
Key topics: IRDAI regulations, TPA (Third Party Administrator) licensing and functions, Ombudsman scheme, PPI (Protection of Policyholders’ Interests) Regulations, Use and File product filing procedure, solvency margin norms, and the Insurance Act.
MCQ Tip: Focus on IRDAI health insurance guidelines, TPA licensing conditions, Ombudsman powers (mediation recommendations and passing awards), and claim settlement TAT of 30 days. Regulatory questions carry 10–12 marks.
Chapter 8: Customer Service in Health Insurance
Key topics: Post-sales cognitive dissonance, grievance redressal mechanisms, SLA (Service Level Agreements), TAT benchmarks, call recording for quality monitoring, hospital network management, and reimbursement claims process.
MCQ Tip: The special payment strategy in Chapter 8 refers to a system where employees pay medical care costs and insurance premiums themselves to control employer health care benefit costs. This exact concept appears in IC27 exam MCQs.
Chapter 9: Health Insurance Fraud
Key topics: Identity fraud, impersonation during medical examination, inflated hospital bills, ghost patients, provider fraud, bogus customer detection, address verification through physical visits, and the IRDAI fraud database initiative.
MCQ Tip: Sending a healthier substitute for a medical examination is classified as impersonation fraud. Address verification by physical visit is the primary method to detect bogus customers. Fraud MCQs frequently use case-study format.
Chapter 10: Reinsurance in Health Insurance
Key topics: Purpose of reinsurance in health insurance, treaty vs. facultative reinsurance, proportional and non-proportional treaties, and risk transfer mechanisms in health portfolios.
MCQ Tip: Know the difference between quota share (proportional) and excess of loss (non-proportional) treaty arrangements. Reinsurance questions in IC27 focus on the role of risk transfer rather than actuarial calculations.
IC27 Mock Test – Chapter-Wise Marks Distribution
| Chapter No. | Chapter Name | Approx. Marks | Priority |
|---|---|---|---|
| 3 | Health Insurance Products in India | 12–15 | Highest |
| 7 | Regulatory and Legal Aspects | 10–12 | Highest |
| 2 | Health Financing Models | 8–10 | High |
| 4 | Health Insurance Underwriting | 8–10 | High |
| 5 | Policy Forms and Clauses | 8–10 | High |
| 8 | Customer Service | 6–8 | Medium |
| 9 | Health Insurance Fraud | 6–8 | Medium |
| 6 | Data, Pricing and Reserving | 6–8 | Medium |
| 1 | Introduction to Health Insurance | 5–7 | Medium |
| 10 | Reinsurance | 4–6 | Lower |
How to Pass IC27 in Your First Attempt
Candidates who pass IC27 in their first attempt follow a structured 4-step method rather than random reading.
Step 1: Attempt a Baseline Full-Length Mock Test First
Start with a complete 100-question IC27 mock test before opening any book. Your baseline score pinpoints exactly which chapters need immediate attention. Most first-timers score between 40 and 55 in this baseline test.
Step 2: Attack Your Weakest 3 Chapters
Re-read the relevant III IC27 Handbook sections for your 3 weakest chapters. Then re-take the chapter-wise mock test for each. Target 75%+ per chapter before moving forward.
Step 3: Practise Chapter-Wise IC27 Tests in Order of Marks
Go chapter by chapter starting from the highest-marks chapters: Chapter 3, then Chapter 7, then Chapter 2 and 4. Build accuracy in high-weightage chapters first.
Step 4: Take 5+ Full-Length Timed IC27 Mock Tests
Attempting 5 or more timed IC27 mock tests trains you to maintain speed and accuracy across all 100 questions within 2 hours. Each full-length test on sarkariexam.center is free and unlimited.
Step 5: Revise These 3 Areas the Day Before Your Exam
- IRDAI regulations: TPA licensing, Ombudsman powers, 30-day claim TAT, 60-day grace period
- Health insurance products: CGHS vs. ESIS eligibility, family floater rules, top-up plan mechanics, Ayushman Bharat PM-JAY coverage
- Policy clauses: Co-payment, deductibles, sub-limits, cashless pre-authorization, waiting period types
IC27 vs Other III Papers – Is IC27 Easy to Pass?
IC27 is considered one of the easier Associateship papers by most III candidates, primarily because it has no negative marking and requires only 60% to pass. However, the regulatory chapter and product knowledge sections are detailed and require focused preparation. Candidates who underestimate IC27 and skip mock test practice often fall in the 50–58 marks range – just short of passing.
With sarkariexam.center free IC27 mock tests, you build the 65–80 mark confidence zone through repeated practice rather than hoping for luck on exam day.
What Sarkariexam.center IC27 Mock Test Gives You (vs Paid Platforms)
Paid platforms like iexamworld, pass4sure, and top4sure charge between ₹399 and ₹999 for IC27 mock tests and require account creation. Here is what you get on sarkariexam.center for free:
- Zero cost – no subscription, no hidden fee, no upsell
- No login or registration – open the test and start in under 10 seconds
- Chapter-wise tests – one dedicated test per chapter for all 10 IC27 chapters
- Full-length mock tests – complete 100-question timed tests matching III exam pattern
- Instant answer explanations – see correct answers and explanations immediately after each question
- Unlimited reattempts – repeat any test as many times as needed until you score 75%+
- Mobile-friendly – practise from any device, anywhere, without app download
Key IC27 Facts Every Candidate Must Know Before the Exam
- Passing marks: 60 out of 100 (60%) – no grace pass, no moderation
- Grace period for renewal: IRDAI mandates 60 days from renewal date with continuity of benefits
- Claim settlement TAT: Insurers must settle or reject within 30 days of the last required document
- TPA definition: A company registered with IRDAI, engaged by an insurer for a fee, to provide health services
- Cashless facility: Available only at network providers with a signed agreement with the insurer
- Reimbursement claims: Allowed at any hospital subject to policy terms and conditions
- CGHS coverage: Central government employees in civil assignments
- ESIS coverage: Industrial sector employees and their families below a notified wage limit
- Family floater sum insured: Shared among all covered family members, including elder members
- Ombudsman powers: Can make mediation recommendations or pass awards considered fair as per facts of the claim
- Impersonation fraud: Sending a healthier person as a substitute for a medical examination
- Bismarck model: Health financing via payroll tax deductions from employee salaries
- Day care procedures: Covered without 24-hour hospitalization requirement
- IBNR reserves: Claims incurred but not yet reported to the insurer at the time of accounting
Frequently Asked Questions – IC27 Health Insurance Mock Test
The passing mark for IC27 is 60 out of 100 (60%). There is no negative marking, so attempt every question. You need 60 correct answers to clear the IC27 Health Insurance Associateship exam conducted by III.
Yes, completely free. No login, no registration, no payment is required at any point on sarkariexam.center. Open the IC27 mock test page and start practising in under 10 seconds. No hidden charges, no subscription, and no account creation needed.
Practise at least 10 chapter-wise tests plus 5 full-length mock tests before your IC27 exam. Candidates who complete chapter-wise practice for all 10 chapters and then take 5 full-length timed tests consistently score 70+ in the actual III exam.
Chapter 3 (Health Insurance Products) and Chapter 7 (Regulatory Aspects) are the most important. Together they carry approximately 22–27 marks out of 100. Chapter 2 (Health Financing Models) and Chapter 4 (Underwriting) follow closely at 8–10 marks each.
Cashless claims are settled directly between the insurer and the network hospital after pre-authorization. Reimbursement claims are paid first by the insured at any hospital and then claimed back from the insurer with documents. Both processes are covered in IC27 Chapter 5 and Chapter 8, and both types of questions appear in the exam.
