NISM Certifications · NISM-Series-X-B: Investment Adviser (Level 2) · Non-Life Insurance Products
Meera, 42, a salaried professional, buys a family floater health policy with a sum insured of ₹10,00,000. In the policy year she makes a claim of ₹4,00,000 and is admitted for no further treatment. Which statement is correct about a cumulative bonus (no claim bonus) on this policy at renewal, as commonly structured in Indian health policies?
After a claim year, the cumulative bonus is typically reduced or not added, according to policy terms, while the base sum insured stays as contracted. A claim does not increase cover, double it, or entitle the insurer to cancel the policy.
- AThe bonus is typically reduced or not added in a claim year, depending on policy terms, and the base sum insured stays unchangedCorrect
- BThe sum insured is automatically doubled because of the claim
- CThe policy is cancelled by the insurer after one claim
- DThe claim amount is added to the next year's sum insured
Explanation
Cumulative bonus is a reward for claim-free years; after a claim, many policies reduce or withhold it, while the base sum insured remains as contracted. A claim does not double the cover or add to it, and an insurer cannot simply cancel for a genuine claim.
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