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NISM Certifications · NISM-Series-X-B: Investment Adviser (Level 2) · Non-Life Insurance Products

Which of the following is a feature of a Personal Accident policy that distinguishes it from a health indemnity policy?

A Personal Accident policy pays a fixed, predetermined benefit on accidental death or disability, rather than reimbursing actual expenses as an indemnity health policy does. It covers accident-caused outcomes, not illness, and can include temporary total disablement benefits.

  1. AIt pays a fixed benefit for death or disability from accidents, not limited to actual expenses incurredCorrect
  2. BIt covers only hospitalisation expenses actually incurred
  3. CIt covers illness arising from pre-existing diseases
  4. DIt cannot include a temporary total disablement benefit

Explanation

Personal accident covers are benefit-based: they pay a predetermined sum for accidental death or permanent disability, and may include temporary disablement benefits. Health indemnity reimburses actual expenses. Pre-existing disease is not an accident cover feature, and temporary total disablement can be included as an optional benefit.

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