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Health Insurance Course Overview

The document outlines a Health Insurance course with objectives to understand various aspects of health insurance products, regulations, and marketing. It includes five units covering history, classification, regulation, marketing, and actuarial principles related to health insurance. The course aims to equip students with knowledge and skills in health insurance policies, operations, and distribution channels.

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l.lakshmanan24
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94 views2 pages

Health Insurance Course Overview

The document outlines a Health Insurance course with objectives to understand various aspects of health insurance products, regulations, and marketing. It includes five units covering history, classification, regulation, marketing, and actuarial principles related to health insurance. The course aims to equip students with knowledge and skills in health insurance policies, operations, and distribution channels.

Uploaded by

l.lakshmanan24
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

L T P C

P24BAHC03 HEALTH INSURANCE


3 0 0 3
COURSE OBJECTIVE:
 To understand about Health Insurance Products, Designing, Types, Insurance Act, IRDA,
Marketing and Servicing, Insurance Models

UNIT I: INTRODUCTION 9
History of Health Insurance, Principles of Health Insurance, Health Insurance Products, Product
design, Development and Evaluation, current trends in Health Insurance - International and Indian
scenario.

UNIT II: CLASSIFICATION OF HEALTH INSURANCE 9


Concepts of insurance, life and nonlife, Public & private health insurance, Individual medi claim
policy, domiciliary hospitalization, proposal questionnaire, Bhavishya Arogya policy, Jan Arogya
Bima Policy, Cancer Insurance, Group Mediclaim Policy

UNIT III: REGULATION AND OPERATIONS IN HEALTH INSURANCE 9


The Insurance Act1938, IRDA- 1999, Introduction to Claims management, significance of claims
settlement, nature of claims from various classes of insurance, role of Third Party Administrators.

UNIT IV: MARKETING AND SERVICING OF HEALTH INSURANCE 9


Different elements of insurance marketing, uniqueness of insurance markets, distribution, Channels
for selling insurance, agents, insurance broker, consultants, Banking outlets, Role of IRDA in
supervising promotional activities.

UNIT V: ACTUARIAL PRINCIPLES AND PREMIUM SETTING 9


Actuarial Principles – Demography – Survival distributions and life tables – Interest and life
contingencies – Loss distribution – Principles of Ratemaking - Data required for Ratemaking –
Insurance Models – Application of Models – Current Developments. (Salient Features of above
topics)
TOTAL: 45 PERIODS
Text Books:
1. Kenneth Black, Jr. Ilarold [Link], Jr, Life and Health Insurance, Pearson Education Pvt. Ltd.,
Delhi, thirteenth edition, 2003.
2. Board of editors, Group and Health Insurance vol. I -Ill, the ICFAI University Press, Hyderabad,
2004.
Reference Books:
1. U. Jawaharlal (editor), Insurance Industry, the current scenario, the ICFAI University Press,
Hyderabad.
2. Insurance Products, Taxman Publications
3. Insurance Management - Dave
4. National Insurance - Monographs on Insurance Management
5. IRDA Guidelines on Health Insurance - Govt. of India

Course Outcomes: At the end of the course, the students will be able to
CO Course Outcome Statement Knowledge Level
CO1 Describe the Health insurance policies and procedures Understanding
CO2 Understanding the classifications of health insurance Understanding
CO3 Determine the regulations and operations in health insurance Applying
CO4 Develop the different distribution channels in selling insurance Applying
CO5 Estimate the actuarial principles and ratemaking Understanding

CO-PO Mapping
CO PO1 PO2 PO3 PO4 PO5
CO1 2 3 1 1 2
CO2 3 3 1 1 3
CO3 2 3 1 1 1
CO4 2 2 1 1 2
CO5 3 2 1 1 3
Average 2.4 2.6 1 1 2.2

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