Evaluation of Module I 'GENERAL ASPECTS'

RISK THEORY

1.- Choose the ways in which risk is classified by its nature:

Pure, Personal and Catastrophic

b) Pure and Speculative
c) Personal, Catastrophic and Speculative
d) Personal and Catastrophic

2.- What is the name of the entity that manages risks and has the
following characteristics: it is made up of the association of people, it will be able to
to establish a fixed or indefinite duration and the operations it carries out will not produce
utilities to the members.

Public Limited Company

Mutualist Society
c) Insurance Institution
cooperative

3.- What is the name of the contract under which an insurance company takes on its
Is the cargo totally or partially covered by another risk?

a) Co-Insurance Contract
b) Insurance Contract
c) Reinsurance Contract
d) Social Contract

4.- When the Company has reinsured part or all of the risk with another
Company and an accident occurs, which party or parties are fully obligated with
the insured?

The Reinsurer
b) The Insurer
c) The legal representative of the Reinsurance
d) The Insurer and the Reinsurer

5.- What characteristics must a risk have to be insurable?

a) Uncertain, Fortuitous, Lawful, Possible, Concrete and with Economic Content

b) Uncertain, Fortuitous, Lawful, Possible, and with Economic Content
c) Uncertain, Lawful, Possible, Concrete and with Economic Content
d) Uncertain, Fortuitous, Lawful, Concrete and with Economic Content

6.- It is the mechanism by which an Insurance Company reduces its risk by

transfer a part of it to one or more Companies:

a) Concurrent insurances
b) Reinsurance
c) Coinsurance
d) Deducible

1
7.- Relate the risks according to their number with the corresponding letters.
characteristics.

RISKS CHARACTERISTICS
Cigars It is typical of casinos
Speculative Possibility of loss
It can be insurable
There is a possibility of gain or loss

c and d
a and c
c) 1: b y c 2: a y d
a and b

8.- The risk must arise from an act or event outside of human will, due to
it is so much:

Uncertain
b) Random
c) Casual
d) Fortuitous

9.- The risk, in order to be insurable, must not go against the laws, moral rules, or
public order, nor to the detriment of third parties, so it must be:

a) Legal
b) Just
c) Fortuitous
d) Licit

10.- The realization of the risk must generate an economic necessity, therefore
has:

Insured Sum
b) Compensable Value
c) Total loss
d) Economic Content

11.- There must be a relative uncertainty regarding risk, as the knowledge of it

real existence would eliminate the basic principle of:

a) Casual
b) Randomness
c) Fortuitous
d) Probability

12.- To the subject's attitude of accepting their risk and its consequences, without doing anything about it.
regarding, it is known as:

a) Remove
b) Reduce
c) Transfer
d) Retain or assume

2
13.- When a person acquires an insurance, what attitude are they showing towards it?
risk?

a) Delete
b) Reduce
c) Prevent
d) Transfer

14.- What attitudes can be taken towards risk:

a) Assume, Eliminate, Decrease, Prevent, Transfer, and Distribute

b) Assume, Eliminate, Prevent, Transfer and Distribute
c) Eliminate, Reduce, Prevent, Transfer and Distribute
d) Assume, Eliminate, Reduce, Transfer, and Distribute

15.- Reduce the factors that can cause a loss to a person or organization
it is a way of:

a) Decrease
b) To prevent
c) Transfer
d) Distribute

16.- The attitude of distributing or dividing the risk among several entities is known as:

a) Decrease
b) Prevent
c) Transfer
d) Distribute

17.- To the attitude of setting aside all variables that may cause the risk to
present, it is known as:

a) Remove
b) Prevent
c) Transfer
d) Distribute

18.- The act of taking out an insurance policy is known as:

a) Decrease
b) Prevent
c) Transfer
d) Distribute

19.- What are the objectives pursued with the application of the deductible in a
sure?

a) Avoid accidents
b) Reduce the cost of the premium
c) Share the risk between insurer and insured
d) Compensate for the policy issuance expenses

3
20.- It is the amount that must be exceeded for a claim to be paid:

co-insurance
b) Insured Sum
c) First
d) Deductible

21.-It is when an insurance company commits under certain conditions to

to return the premium, instead of paying a sum of money:

co-insurance
b) Reinsurance
c) Co-insurance
Franchise

22.- They are forms that are applied to share the risk between the insured and the insurer.

a) Deducible, Coaseguro, Franquicia y Contraseguro

b) Deductible, Coinsurance, and Coinsurance
c) Deductible and Coinsurance
d) Deductible, Co-insurance and Franchise

23.- It is defined as the participation of two or more insurers in the same risk and
each of them has a direct contract with the insured:

a) Co-insurance
b) Concurrent insurance
c) Reinsurance
d) Coinsurance

24.- Before what organization will an individual have to prove their technical capacity?
who requested the authorization as an agent?

a) Before the SHyCP

b) Before the SAT
c) Before the CEI
d) Before the CNSyF

25. - How is the surcharge for partial payment defined?

a) It is a fixed surcharge to generate profit

b) It is a surcharge for settling the premium in periods shorter than annual
c) It is a surcharge for acquisition
d) It is a surcharge for extra risk premium

26.- What branch does the insurance belong to that is aimed at preventing or restoring health?
through the provision of services?

a) Life
b) Invalidity
c) Medical Expenses
d) Health

4
27.- They are concepts that insurers use to determine the technical or premium rate.
pure risk

a) Statistics, Probability, and the Law of Large Numbers

b) Statistics, Probability, and Mortality Rate
c) Statistics and the Law of Large Numbers
d) Probability and Mortality Rate

28.- To whom and how far in advance must the agents inform?
Are you sure about your change of location?

a) To CNSyF, to its insured and to the Insurer, 10 days in advance

b) To his family, 3 days before
c) To the CNSyF and to the Insurer, 10 days in advance
d) To the CNSyF, 3 days before

29.- Relevant operations are considered when the premium, fee or contribution is equal
or higher than the equivalent of:

100,000 pesos
100,000 dollars
10,000 pesos
10,000 dollars

30.- Indicate the period in which the individual insurance agent must renew their
authorization to carry out intermediation activities:

Each time I file taxes

b) When he/she does not pass his/her authorization exam
every 3 years
d) Every six years

31.- In life insurance, when the expected claims for the calculation of premiums
is less than the one that actually occurred, the profit can be distributed to the policyholders through

a) Dividends
b) Yields
c) Interests
d) Technical Reserves

32.- Agents with a definitive license may intermediate in the contracting of insurance.
for various institutions EXCEPT insurance:

a) Medical Expenses
b) Of cars
c) Of pensions
of Life

33.- The penalties that an insurance agent receives when committing an infringement
Regulation of Insurance and Surety Agents, what is its criterion of application?

They are applied successively

They are applied from the mildest to the strictest.
They are applied independently according to the offense.
They are forgiven if a fine is paid.

5
34.- Reasons for the revocation of the authorization as an insurance agent:

a) Insulting other agents

b) Omit your address to the customer
c) Deliver a wrong policy
d) Fraud, bad faith, and profit motive

35.- From the following elements, mention which one should not be included in the form.
definitive as an insurance agent:

a) Name and photograph

b) Securities and operations for which he was authorized to mediate
c) Blood type
Validity

36.- Who should cover the expenses that the insured incurs to avoid or reduce the
damage and which are not considered inadmissible?

a) The Reinsurer
b) Whoever is found liable through civil court
c) The insured
d) The insurer

37.- What happens with the commissions of life insurance that remain in force,
even after the relationship that the agent had with the insurer has ended?

a) They remain the right of the agent

They stay at the Insurance Company
c) They are transferred to another agent

His payment is frozen.

38.- According to the General Law of Mutual Insurance Institutions and Societies,
the operation that is based on the injury or disability that affects integrity
personal, health or vital vigor of the insured is considered included within the
operation of:

a) Life
Withdrawal
c) Accidents and Diseases
d) Damages

39.- A Mexican company, to protect itself in the United Mexican States, hired a
damages policy with a German insurance company without representation in our country
territory. According to the LGISMS, this insurance operation is considered:

Complicated
b) Legal
c) Prohibited
d) Relevant

6
40.- What law establishes that the proponent is obliged to declare in writing to the
insurer all the important facts for the assessment of risk, such as the
What should you know and be aware of at the time of the contract signing?

a) The law of the mount

b) The CONDUSEF Law
c) The Law on Insurance Contracts
d) The Income Tax Law

41.- What is the deadline for the arbitrator (CONDUSEF) to issue an award, once it has been
closed the probationary period?

30 days
b) 360 days, a commercial year
60 days
15 days

42.- The procedure for arbitration against insurance institutions will be subject to
in accordance with the:

CNSyF
b) SHyCP
c) CONDUSEF
LGIySMS

43.- How should the legal entities that seek to obtain the authorization be constituted?
as insurance agents?

a) As a Fixed Capital Company

b) As S.A. of Variable Capital
c) As a Fixed or Variable Capital Company, followed by the term 'Agent of
Insurance
d) As S.A. with Fixed or Variable Capital, followed by the designation 'Agent Person
Moral

44.- It is the average cost of claims incurred in a year.

a) Relative severity
b) Absolute severity
c) Global severity
d) Global Frequency

45.- Who should cover the shipping costs and/or the taxes generated by the policy?

a) The Insurer
b) The one who caused the damage
c) The Contractor
d) The Insured

46.- What are the reasons why an institution should establish reserves for
pending obligations to fulfill?

a) Facing the payment of claims that may occur

b) To face the payment of claims that will never occur
c) To face the payment of claims that have already occurred
d) Face the payment of claims for total losses or deaths

7
47.- What are the places where a user can file a complaint in case
Is there controversy regarding an insurance contract?

a) The Profeco
b) The Insurer
c) The CONDUSEF and the Insurance Company
d) The CNSyF

48.- It is the economic interest that a person has in preventing an incident from occurring?

a) Interest on property
b) Natural interest
c) Insurable Interest
d) Simple interest

49.- What is the proposer obligated to when requesting insurance?

a) To pay the premiums

b) To get an HIV test
c) To fill it out in his own handwriting
d) To declare all facts for the assessment of your risk

50. - It is the maximum liability limit for the Insurer in the event of a claim.

a) His responsibility has no limit

b) Within the Mexican Republic
c) The Insured Sum
d) Up to the contracted deductible

It is a percentage that is charged for making payments other than annually.

a) Fixed Surcharge
b) Dividend
Extraprima
d) Surcharge for partial payment

52.- Objectives pursued with the application of Co-insurance in an insurance:

a) Reduce the cost of the premium

b) Share the risk with the insured
c) To be able to pay the reinsurance premiums
d) Contribute to avoiding insurance claims

53.- They are contracts unilaterally drawn up by an insurance institution, in

where the terms and conditions applicable to the insurance in question are established:

a) Non-adhesion Contract
b) Commercial Contract
c) Adhesion Contract
d) Collective Labor Agreement

8
54.- Which body must submit the request for legal action to be taken in case
to detect an operation related to money laundering?

a) The National Human Rights Commission

b) The CNSyF
c) The CONDUSEF
d) The SHyCP

55.- Surely you understand all the risks that may affect the person of
insured, in its existence, personal integrity and vital vigor.

a) Personal Accident Insurance

b) Health Insurance
c) Medical Expenses Insurance
Life Insurance

56.- The objective of requiring agents to have an insurance policy

civil liability for errors and omissions is:

a) Pay your traffic fines

b) Pay if they cause a collision or run over
c) Pay a bail in case of imprisonment
d) Face the responsibilities incurred towards your clients

57.- Are they reasons for a fine?

a) Drag racing on public roads

b) Not sell a single policy in a month
c) Commit any of the acts or omissions sanctioned by the Agents' Regulations
Insurance and the LGIySMS
d) Sell insurance outside the agent's city of residence

58.- A person with insured car causes the death of another person in a traffic accident.
this is classified as intentional homicide with aggravating factors Will it be covered by your
sure?

Always
b) Yes, only if it has Civil Liability coverage
c) No, for being a serious crime
d) Yes, but only if they are granted forgiveness.

59.- Which body is responsible for disputes between the client and the agent?
insurance?

a) To Human Rights
b) To Profeco
c) To the Insurer
d) To the CONDUSEF

60.- Name given to the resolution issued by an arbitrator

a) Sentence
b) Verdict
c) Opinion
d) Report

9
61.- Name given to the resolution issued by a Judge

a) Sentence
b) Conclusion
c) Opinion
d) Report

62.- Name of the trial held by the parties before the CONDUSEF

a) Arbitration in friendly composition

b) Reconciliation
c) Really
d) Oral trial

TIME TABLE:

63.- Time to request a duplicate of the ID card in case of loss - Art. 14 RASF

Deadline of 30 to 60 natural days

30 business days
30 calendar days
60 business days

64.- Maximum Duration of validity for the Provisional authorization as an agent - Art. 15
RASF.

6 months
12 months
18 months
3 years

65.- Maximum validity period for the Definitive Authorization for Individuals - Art. 15
RASF.

6 months
b) 12 months
18 months
d) 3 years

66.- Deadline to carry out the renewal process as a definitive agent Individual -Art.
15 RASF.

Every 3 years
b) Every 3 years within the last 60 days of validity
Every 18 months
there is no deadline

67.- Maximum validity period for the Definitive Authorization for Legal Entities - Art. 15
RASF.

3 years
b) 18 months
6 years
d) Undefined

10
68.- Deadline that the agent has for the contracting of RC Errors and Omissions -Art. 23
RASF.

30 calendar days after receiving your authorization certificate

15 days
30 business days
d) Immediately, a maximum of 3 business days

69.- Deadlines for the payment of premiums paid and for the return of documents in
case of unpaid policies - Art. 24 RASF.

10 business days and 3 business days respectively

10 business days and immediately
c) 10 working days and 30 working days respectively
3 business days

70.- Time in which the Institutions can exercise the right of preference in the
assignment of portfolio -Art. 26 RASF.

3 business days
15 business days
30 natural days
15 calendar days

71.- Deadline to pay the fines imposed by the CNSF. -Art. 29 RASF.

15 calendar days from the date of notification

b) 3 calendar days from its notification
15 business days from its notification
30 calendar days from their notification

72.- In the event of a complaint against the agent before the CNSF, what is the time frame that the
Does the agent have time to respond to the complaint and not lose their rights? -Art. 34 RASF

30 calendar days
10 business days
c) 15 calendar days
30 business days

73.- Deadline for the agent to notify the change of address to the CNSyF and its
insured - Art. 23 LGISMS

3 days before
15 days before
10 days before
30 days later

74.- Maximum time for the rectification of the policy for its correction - Art. 25 LSCS.

a) Within 10 days after receipt

b) Within 3 days of its receipt
c) Within 30 days of receipt
d) Within 15 days of its receipt

75.- Time to give notice of the Claim - Art. 66 LSCS.

5 days
24 hours
3 days
2 years

11
76.- Time established by law for the Grace Period - Art. 40 LSCS.

from 3 to 30 calendar days

30 business days
10 calendar days
3 calendar days

77.- Time that the insurer has to rescind the contract due to omission or inaccuracy
declaration -Art. 48 LSCS.

a) Within 15 calendar days from the time the facts are known
b) Within 3 calendar days of becoming aware of the facts
c) Within 30 calendar days from the date the facts are known
d) Within 10 calendar days of becoming aware of the facts

78.- Time to notify the aggravations of the risk - Art. 52 LSCS.

a) Within 3 days following its knowledge

b) Within 24 hours following its acknowledgment
c) Within 48 hours following their knowledge
d) Within 12 hours following their knowledge

79.- Deadline for the insurer to pay the claim - Art. 56 LSCS.

30 calendar days from when he received all the necessary documentation

30 calendar days from the incident
c) 30 business days from the date you received all the necessary documentation
3 calendar days from when he/she received all the necessary documentation

80.- Time in which insurance claims prescribe - Art. 81 LSCS.

30 calendar days from the event that gave rise to them

b) 2 years from the event that gave rise to them
3 years from the event that gave rise to them
24 hours from the event that gave rise to them

12
 Evaluation Module II. Individual Risks of Personal Insurance

INDIVIDUAL LIFE

1.- What does the mortality table contain that serves as the basis for calculating the cost?
of the insurance?

a) The probability of death

b) The number of living people
c) Life expectancy
d) Recurrent diseases

2.- The basis for charging the Life Insurance is past experience, which is found
contained in:

the yellow section

b) Local newspapers
c) The statistical mortality tables
d) The government report

3.- The cost per death obtained directly from a mortality table is
denomination

a) Cost of insurance
b) Pure risk premium
c) Value of death
d) Level rate

4.- What is the name of the table that contains statistical information about the relationship
what exists between a specific group of people and the probability of death
different ages?

a) Mortality table
Multiplication table
c) Arithmetic table
d) Table of Surgical Fees

5.- What is the term for the quotient of the number of deaths at the end of the year divided by the
number of lives at the beginning of the year?

hope of death
b) Mortality rate
c) Probable life
d) Accident risk

6.- What are the main factors that intervene in the calculation of an insurance premium?
Life Insurance?

a) Age, gender, and habits

b) Sex, age and sports
c) Age, occupation and travel
d) Age, sex, and profession

13
7.- To the payment made by the contractor to an insurer, in order to compensate for a damage or
pay an insured amount upon verification of the event provided for in the contract,
it is called:

a) Fertilizer
b) Surcharge
c) Fixed Surcharge
First

8.- In a 10-year Life insurance, what type of premium does an insured person pay to cover the
risk within a maximum period of 12 months?

a) Primed leveled
b) Growing primacy
Annual premium
d) First decreasing

9.- In which type of insurance do we find the Single Premium, which is settled within a shorter period?
shorter than the insurance?

ordinary life
b) Lifetime with limited payments
c) Temporal
d) Dotal

10. What is the most appropriate premium for Mortgage Credit Insurance?

a) First leveled
b) Rising tide
Annual premium
d) Decreasing prime

11.- The premium that has a successive annual decrease and applies to the entire
The validity of the insurance or for a determined period is referred to as:

a) First leveled
b) First increasing
Annual premium
d) First decreasing

12.- What is the premium obtained from the Mortality table and covers only the
cost of it?

a) Pure risk premium

Increasing first
c) Annual bonus
d) First decreasing

13.- Advantages of hiring a leveled premium insurance for more than 10 years:

a) Have guaranteed values

Lower cost
c) Single premium
d) To be able to redeem the policy

14
14.- What is the premium that results from averaging the pure risk premiums that the
Does the insured have to pay during the years they participate in the Insurance?

a) First leveled
b) First rising
Annual premium
d) Decreasing prime

15.- What type of premium is generally applied to the collection of the following insurances:
Dotals, Lifelong and Temporary?

a) Level premium
b) Increasing prime
Annual premium
d) Decreasing prime

16.- What is the premium that includes the pure risk premium, acquisition costs, expenses
of management and the expected utility by the Insurer?

Rate Premium
b) Level rate
c) First total
d) First decreasing

17.- A policyholder took out a Life Insurance while being a flight attendant and when renewing it...
Acts as a secretary in a hotel, what happens with that insurance?

a) It is canceled
b) The contract is terminated
c) It remains valid and its cost can be reduced
d) Its cost increases due to extra premium

18.- Indicate which concept applies when the insured or contractor does not cover the premium.
in an annual form, but in shorter periods:

a) First fractional
b) First accrued
c) Unaccrued premium
d) Extraprima

19.- To the cousin that over time and in relation to the age of the insured
increased, due to a higher probability of death, is referred to as:

a) Levelled floor
b) Growing prime
Annual premium
decreasing prime

20.- If an insured person contracts a Whole Life Insurance and it will be paid for a period of time
What type of premium is generally applied for a younger age?

a) Level one
b) Growing prime
c) Only premium
d) First decreasing

21. - When an insurer accepts substandard risks (poor health, or occupations

(of risk) How does it compensate for the additional claims?

15
a) Applying deductible
b) Applying deductible and coinsurance
c) Applying extraprime
d) Applying fixed surcharge

22.- The extra premium is a surcharge applied by the Insurer due to:

a) Inflation
b) Subnormal risks (poor health, or risky occupations)
c) Omissions and inaccurate statements
d) Taxes

23.- It is the additional amount to the basic premium covered by the insured or contractor for
cover an aggravated risk in a Life Insurance:

a) Deductible
b) Deductible and coinsurance
c) Extraprima
d) Fixed surcharge

24.- What are the cash benefits for the insured in a life insurance policy?

a) Extended Insurance and Loans

b) Paid-up Insurance and Loans
c) Loans and Rescue
d) Partial and total rescue

25.- What is the name of the reserve where they accumulate along with the returns?
obtained from the investment, the surpluses paid during the first years of
validity of the Insurance through the level premium?

a) Reserve for outstanding obligations

b) Mathematical reserve
c) Reserve for ongoing risks
national reserve

26.- The reserve that comprises the accumulated amount generated in the first
years of Life Insurance, it is thanks to the premium:

a) Prime leveled
b) Ascending prime
Annual premium
d) Decreasing prime

27.- What is the name given to the capital amount accrued in favor of the insured when the
The accident rate has been lower than expected, and the insurance institution has had savings.
in your administration?

a) Dividends
b) Net utility
c) Actions
mathematical reserve

28.- When the insured opts for a Settled Insurance, the Insurer respects:

16
a) The deadline
b) The insured sum
c) Antiquity
d) The payment method

29.- When the insured in their individual life policy opts for an extended insurance,
the insurer respects you:

a) The deadline
The Insured Sum
c) The antiquity
d) The method of payment

30.- What are guaranteed values?

a) The uses that can be given to the Mathematical Reserve

b) The balance of the investment funds of the insurance
c) The inverted values in the stock market
d) The payments made to the insurance

31.- According to the Law on Insurance Contracts, in the plans to which one is entitled to
guaranteed values, the insured can exercise them once they have covered 2
conditions:

a) Being insured and contracting party

b) 3 annuities paid and a minimum contracted term of 10 years
c) To be Mexican and to have paid for 3 years
d) 3 paid annuities and a minimum contracted term of 5 years

32.- When the company has the mathematical reserve to cover the payment of
some premiums that the insured has stopped covering are known as:

a) Automatic loan
b) Ordinary loan
c) Autoloan
d) Proration

33.- When the insured cannot continue with the payment of premiums, but wishes
to remain insured for the same period, it is known as:

a) Cynicism
b) Additional service
c) Extended Insurance
d) Settled insurance

34.- When the insured withdraws the guaranteed values in a single payment, it is referred to
de:

a) Personal emergency
b) Policy redemption
c) Automatic loan
Partial withdrawal

17
35.- How is the insured amount distributed when the beneficiaries include the spouse and
the descendants of the insured and the participation of each one is not specified.
them?

50% spouse and 50% descendants

b) In equal parts
100% is received by the spouse
100% is received by the children

36.- Who should collect the insured amount when the insured person dies?

the (the) beneficiary(ies)

b) The spouse
c) One of the beneficiaries
At least two beneficiaries

37.- Why is it not advisable to designate a minor as a beneficiary?

a) Because they can be assaulted

b) Because I would waste it
c) For not having the legal capacity to collect the sum
d) For his/her fondness for video games

38.-In a life insurance policy, who should the insured designate as the beneficiary?

a) Exclusively to direct relatives

to anyone who wants
c) To economic dependents
to their spouse

39.- If the insured passes away, who is the amount insured paid to?
would correspond to a missing beneficiary?

a) To the legal succession (successor) of the insured

b) To his heirs according to the will
c) To the children of the missing beneficiary
d) To the legal succession (successor) of the disappeared beneficiary

40.- When the insured person passes away and there is no designated beneficiary in their policy.
Who is the insured amount paid to?

a) To the legal succession (heir) of the insured

b) To his heirs according to the will
c) To the children of the missing beneficiary
d) To the legal succession (successor) of the missing beneficiary

41.- Who should be designated as the beneficiary in the life insurance so that they cannot
is it embargable?

a) Exclusively to direct relatives

to whoever wants
c) Economic dependents
d) To your spouse and/or children

18
42.- How often can a policyholder change their beneficiaries in their policy?
of life?

All the time

Every time you renew your insurance
Every 3 years
every six years

43.- How is the insured amount paid in the event of death, if the insured designates
as a beneficiary to people who are not affected as heirs and forget to indicate the
portion that would correspond to each of them?

a) It is paid in rents to each one in order to yield the money

b) A succession trial is carried out and it is paid in equal parts
c) In equal parts
They are not paid anything

44.- If an insured person and their irrevocable beneficiary die simultaneously, who
Do you receive the compensation?

a) To the legal succession (successor) of the insured

to his heirs according to the will
c) To the children of the missing beneficiary
d) To the legal succession (heir) of the missing irrevocable beneficiary

45. - When the insured waives their right to change the beneficiaries,
consider:

a) Designation of beneficiaries
b) Designation of irrevocable beneficiaries
stubborn
d) Designation of trust

46.- How are financial dividends generated?

b) With the savings in the management of the company, its financial surpluses and the
lower accident rates
c) With the savings in the company's administration
d) Stopping to pay claims
expected.

47.- What is the term for the cash that the company returns to the insured for the
excess of returns obtained from the investment of your general reserve?

a) Dividends
Mathematical Reserve
c) Redemption Value
d) Corporate bond

19
 BASIC LIFE PLANS

1.- What are the characteristics of a term insurance?

a) Low cost, temporary protection, covers only death

b) Low cost, temporary protection, only covers survival
c) High cost, covers death and survival
d) High cost, only covers survival

2.- When the insured does not die within the contracted period of a temporary plan, the
Insurer is required to:

nothing
b) Return the mathematical reservation
c) Pay the insured amount
d) Rescind the contract

3.- What life insurance plan offers solely protection for death in
a contracted term?

a) Temporal
lifetime
dotal
d) Universal

4.- In life insurance, what is the plan that guarantees the payment of the insured amount to
moment of the insured's death, but in case of surviving the period
The contracted insurer has no liability at all?
Temporary insurance
a) Temporal
Lifetime
dotal
d) Universal

5.- It is the insurance whose objective is to protect the insured solely against death:

a) Temporal
lifetime
c) Dotal
Universal

6.- What is the name of the insurance that can have terms of 1, 5, 10, 15, and even 20 years, or
ages reached of 60 or 65?

a) Temporal
lifetime
c) Dotal
Universal

7.- From the following list, choose which are the 2 policies of life plans:

1.- Ordinary life

2.- Universal life
3.- Dotal
4.- Limited life payments
5.- Temporal

2, 4, and 5
b) 1, 4, and 5

20
c) 3, 4 and 5
1 and 4

8.- From the following list, select 3 life insurance plans that guarantee the policyholder
from the policy collect the insured amount at the end of the agreed term:

1.- Ordinary life

2.- Universal life
3.- Dowry
4.- Limited life payments
5.- Temporal

a) 1, 2 and 4
b) 1, 5 and 2
c) 1, 2 and 3
d) 1, 3 and 4

9.- If an insured person has a life insurance policy that guarantees to pay the sum
ensured when they pass away at any time regardless of age or number of years
paid, we say that the contracted plan is?

a) Temporal
lifetime
c) Dotal
d) Universal

10.- Within life insurance, it is the plan in which, after having paid the
corresponding cousins in a stipulated time, no other action is needed
payment and the insurance remains valid until the insured dies:

a) Temporal
b) Limited Lifelong Payments
c) Dotal
d) Universal

11.- In which life insurance plan is it stipulated that the payment term of premiums is
less than the duration of the insurance?

a) Temporal
b) Lifetime Limited Payments
c) Dotal
d) Universal

12.- What are the characteristics of a endowment insurance?

a) High cost, covers death and survival

b) Contains investment in funds
c) It is low cost
It is familiar

13.- Type of plan that always guarantees the payment of a certain sum if the insured
dies during the validity of the policy or in case of survival:

a) Temporal
b) Limited Lifetime Payments
c) Dowry
d) Universal

14.- It is the life insurance contract that pays the insured only the covered amount.
if the policyholder survives the agreed term in the insurance...

21
a) Temporal
b) Limited Lifetime Payments
c) Mixed dowry
Dotal pure

15.- What are the two contingencies covered by the basic coverage of a savings plan?
mixed?

a) Accidents and disability

b) Death and Survival
c) Death and accidents
d) Natural death (diseases) and accidental

16.- Can the trustee change the terms under which the trust was created?

Always
b) Yes, as long as you are of legal age
c) No, this is exclusive to the trustor
Yes, up to 2 years of validity

17.- Can an insurance institution be a trustee?

a) Never
b) After 2 years of validity
c) Yes, by legal provision
d) No, until the insured reaches 65 years

18.- Do the trusts of the insurance companies contain an individual account number?
for each policy-certificate that participates in this?

Yes
b) No

19.- It is one of the reasons to name a trust as a beneficiary:

a) Minor beneficiaries
b) Divorces
c) Poor management of funds
d) Distrust in the insurer

20.- The definition of trustor is:

a) Who hires the trust

b) Who receives the trust
c) Who provides the fiduciary service
d) Executor

20.- The definition of trust is:

a) A rent payment system

b) A management of insured amounts
c) A business that allocates certain goods to a lawful purpose
d) An employment contract

21 - What is the definition of trustee?

Who hires the trust

trustee d) Executor

22
 ADDITIONAL BENEFITS

1.- What condition is required for the death of ... to be considered a collective accident?
an insured?

a) Let it be on a full transport

b) That it is in a fire and there are many deaths
c) Whether it is in a fire in a public place, transport or public elevator
d) Let it be in a stadium

2.- Percentage according to the type of organic loss for the following cases:
Loss of vision in both eyes
hand or a foot:____

3.- From the following list of organic losses, identify the one that gives the right to the
100% compensation of the contracted amount for accident benefits:

a) The loss of all the fingers from the hands

b) The loss of sight in both eyes
c) The loss of a hand or a foot

4.- The loss of hands due to surgical or traumatic amputation is covered by the
coverage that is called:

Accidental death
b) Organic Losses
c) Collective death
d) Invalidity

5.- From the following relationship, indicate 2 circumstances for a bodily injury to be
considered an accident:

a) Due to the negligence of the bus driver

b) In a premeditated manner
c) Suddenly
Voluntary
e) Due to internal reasons of the organism

6.- What are the additional benefits that are added to life insurance?

a) Benefits of accidents and disability, funeral expenses, and intentional homicide

b) Funeral expenses and intentional homicide
c) Accident and disability benefits
d) Accident benefits

7.- According to the definition of an accident, it must meet certain requirements:

a) Death or injuries suffered as a result of an event caused by external factors,

violent, fortuitous, and sudden.
b) Having lost a lot of blood
c) Caused by a traffic accident
d) That it occurs in national territory

8.- They are exceptions to the benefit of accidental death

a) Self-inflicted injuries, military service

b) Injuries in ravines
c) Death by distraction
d) Lack of skill while driving

23
9.- What is the maximum period that must elapse for the insurance company
Did you pay the indemnity for the accidental death benefit?

a) that death occurs within 180 days following the accident

b) that death occurs immediately
c) that death occurs within 90 days following the accident
that death occurs within 10 days following the accident

10.- In order for death resulting from an accident to be compensated, it must occur
within a period that does not exceed:

90 days
30 days
c) 60 days
7 days

11.- Indicate which benefits correspond to Accident coverage:

a.- Collective accident

b.- Advance of insured amount
c.- Exemption from premium payments
d.- Accidental death
e.- Organic losses
f.- Life annuity

12.- In the life insurance policy, indicate the clause through which indemnity is granted.
a previously agreed insured amount in case of death by accident beforehand
of 90 days

a) Accidental Death
b) Organic Losses
c) Collective Death at concerts
d) Unprovoked death

13.- In what type of accident is the compensation payment to the beneficiaries doubled?
of life insurance?

a) Accidental collective death

b) Organic Losses
c) Accidental death
d) Unprovoked death

14.- An insured person has a life insurance policy with an accidental death benefit,
dies in a car accident and before the accident the policy was converted to
Extended coverage, how is the accidental death benefit paid in this case?

a) It is paid only up to 6 months

b) It is not paid
c) It is paid normally, as the sum is not affected
d) The mathematical reservation is canceled and returned.

15.- Requirements for the waiting period for total and permanent disability

a) Wait until the next renewal

b) Wait 1 year
c) 6 uninterrupted months without generating income
rehabilitate for six months and another six months waiting for payment

24
16.- From the following list, choose 3 exclusions in disability benefits:

Mental illness
2.- Fight when the insured has been the provocateur
3.- Car accidents
4.- Motorcycle accidents
5.- Accidents due to alcoholism
6.- Accidents as a passenger in a car.

25
 PERSONAL ACCIDENTS

1.-In the personal accident insurance, the minimum ages to be able to contract it
death and disability coverages respectively are:

12 and 16 years old

b) 12 and 24 years
c) 0 to 12 years
12 and 65 years

2.- In the coverage of accidental death of personal accident insurance, the

the company pays when the insured loses their life due to:

a) Disease
b) Accident
c) Intentional homicide
d) Infarction

3.- In personal accident insurance, if as a result of an accident, the

if the insured must undergo urgent medical attention, the company will reimburse the
expenses for coverage of:

a) Organic losses
b) Inability
c) Reimbursement of Medical Expenses
d) Accidental death

4.- The company does not accept the entry to the personal accident policy of any
person over a____years

5.- What is the maximum period to make the coverage of organic losses effective, in
personal accident insurance?

24 hours after the accident

b) Immediately after the accident occurs
c) Within 90 days following the accident
2 years maximum from the accident

6.- In personal accident insurance, indicate which of the following concepts

they are elements that are NOT taken into account to charge the appropriate premium:

1.- Occupation
2.- Profession
3.- Sex
6.- Hobbies
7.- Sports

7.- In personal accident insurance, the premium does not depend on the age of the insured.
but only until he fulfills this:

70 years
50 years
60 years
55 years

26
8.- Based on what type of risks (there are 2), does the insurance company determine the cost of the insurance?
of personal accidents?

Personal and Family

Pure and speculative
c) Normals and subnormals
d) Personal and catastrophic

9.- In the personal accident policy, what risks can be covered by agreement?
espresso?

a) Physical or mental illness and hernias

b) Motorcycling and mountaineering
c) Effects of atomic nuclear energy
bacterial infections

10.- They are coverages of personal accident insurance

a) Accidental death, organic losses, and reimbursement of medical expenses

b) Accidental death, organic losses and disability
c) Accidental death, organic losses, disability, and reimbursement of medical expenses
d) Accidental death and organic losses

11.- Mention some risks that cannot be covered even under agreement.
expressed in the personal accident policy

a) Bacterial infections
Motorcycling
c) Participate in security contests
d) Skydiving

12.- What are the surcharges applied to personal accident insurance?

to cover individuals over 60 years of age?

a) 25% from 60 to 64 years, 50% from 65 to 69 years

50% from 60 years old
c) 25% from the age of 60
d) 55% starting at 65 years old

13.- In the personal accident policy, there are reimbursable medical expenses,
EXCEPT:

a) Body disease
b) Traffic accident
c) Air transportation accident
d) Accident due to negligence

14- If at the time of the accident or at most 90 days later, the injuries result in
any of the specific losses in scales 'A' or 'B' of the accident insurance
personal, what section or coverage would come into operation?

a) Accidental death
b) Organic losses
c) Invalidity
d) Incapacity

27
15.- Under what concept does the company grant to the beneficiary of the accident policy?
a daily compensation?

a) Invalidity
b) Incapacity
c) Accident
collective accident

16.- Mention the maximum profit periods regarding the coverage of

Total incapacity due to accident and reimbursement of medical expenses respectively:

a) 1460 days and 365 days

182 and 1460 days
c) 1460 days and 182 days
d) 1460 days and 360 days

17.- Within the Personal Accident insurance in the coverage for accident, what
indicate the limit of the first 10 days?

a) That no other accident should occur during that time

b) That from that deadline the incapacity is paid
c) The first 10 days of incapacity are paid
d) Must be healthy starting on the tenth day to receive your payment

18.- For what reason can the premium of the personal accident insurance be modified?
while the policy is in effect?

a) Due to change of occupation

b) Due to inflation
c) For debts of the insured
d) For commission of crimes

19. From the following list of coverages, identify 4 that are covered by the insurance of
personal accidents

1.- Partial disability due to accident

2.- Medical expenses reimbursement
3.- Life annuity for disability
4.- Total disability due to accident
5.- Organic losses
6.- Reimbursement of medical expenses due to accident
7.- Monthly Rent for Disability
8.- Accidental death.

20.- From the following organic losses, identify 2 that are only covered in the scale.
of compensation 'B' in the personal accident insurance:

1.- The view of both eyes

2.- The deafness of both ears
3.- Detachment of both hands
4.- Shortening of a lower limb.

28
21.- Please indicate which of the following concepts are definitive exclusions from the insurance.
of personal accidents?

a) Induced abortion
b) Parachuting
c) Intentional poisoning
d) Aircraft pilot

22.- Please indicate which of the following concepts are covered exclusions only.
under express agreement in personal accident insurance?

a) Injuries suffered by the insured due to participation in fights

b) Injuries suffered by the insured as a result of parachute use.
c) Injuries suffered as a professional athlete
Injuries sustained in civil war

23.- Sudden is understood as:

a) Unexpected, unforeseen
b) Alien to the will
c) Random
d) Legal

24.- For compensation for an accidental death, it is required that the conditions are met.
following requirements, except:

a) Policy
b) Minutes from the Public Ministry or any authority that has intervened in the event or
has testified to the same (accidents)
c) Death certificate and Birth certificate
Military Card

25.- Ankylosis is understood as:

a) Severe indigestion
b) Loss of organic function
c) Ingestion of decomposing eels
d) Separation of a vital member for the organism

26.- For the purposes of disability coverage, this can be of two types:

a) Total or partial
b) Legal and technical
c) Medical and labor
d) Legal and partial

27.- If the disability is total, the compensation is paid for a period of _______ days.
maximum and it will be up to __% of your salary at most

28.- If the disability is partial, the amount of the compensation is paid for a period.
up to _____ days at a maximum and it will be up to __% of your salary at most

29
 Major Medical Expenses

1.- What is the traditional period of compensation for a claim within the
major medical expense insurance?

a) When the insured makes the first expense and up to 2 years after it occurs.
payment
up to 365 days
c) From the 2nd year onward, compensation is provided.

d) From the first expense and up to 365 days later

2.- Within major medical expense insurance, the waiting period exempts the
insurance company to pay a claim if during this period occurs:

an accident
a payment
c) A contribution to the insurance
d) An overpayment

3.- In major medical expense insurance, COINSURANCE applies AFTER

to apply

the cousin
b) The reinsurance
c) The deductible
d) The extra premium

4.- In the major medical expenses policy, treatments that are not medically
essential for health recovery, such as aesthetic, dietary,
Obesity and baldness are:

a) Covered with waiting period

b) No cutlery
c) Covered by explicit agreement
d) Covered with extra material

5.-Does the major medical insurance cover the injuries suffered by the insured when
to be under the influence of stimulants prescribed by a doctor?

if
b) No

6.- What are the forms of compensation that the insurance company uses to
to file a complaint that yes, it applies in a medical expense insurance
older?

a) Direct payment and settlement

b) Incapacity
c) For reimbursement and direct payment
d) Refund and electronic transfer

7.- In case an insured amount is exhausted in a single illness, what happens if

an accident occurs during the same validity that has no relation to the
disease?

a) Enjoy 100% of the insured amount again through automatic reinstatement.

b) The insurance benefit for that year is canceled
It is covered only if the premium is paid again.
d) The contract is terminated

30
8.- From the following sentences, choose 2 that make up the definition of DISEASE.
described in the major medical expenses insurance:

a) That had its origin during the gestation period

b) That requires medical or surgical treatment
c) Abnormal causes due to poor nutrition
d) Caused by internal or external morbidity in relation to the organism

9.- In health insurance, in the case of complementary expenses of any

illness, what happens with the coinsurance and deductible, how many times do they apply?

They apply ONLY ONCE for being the same illness or accident
They are applied as many times as necessary.
c) Not applicable
It can be applied a maximum of 2 times.

10.- According to the following data, how much is an insured person compensated for
concept of medical expenses?

Insured sum $1,000,000.00

Deductible $10,000.00
Co-insurance 10%
Total amount of expenditure incurred $500,000.00

11.- In a major medical expenses policy with an unlimited insured amount, there
file a complaint where the total expenses amount to 50,000. How much?
It will be the total expenses covered after subtracting the deductible of $3,000.00 and the coinsurance.
of 10%?

12.- From the following list, choose 2 characteristics that correspond to the deductible:

a) It is a fixed amount established in the policy cover.

b) It is a percentage established on the policy's cover page.
c) It applies to each claim and additional expenses
It is the first expense with which a claim begins.

13.- A HIGH deductible is established in health insurance when it is desired:

a) That the cost of the premium decreases

b) That the company pays less
c) That insurance becomes more expensive
d) That no accident ever occurs

14.- What is the purpose of the insurance company in setting a deductible?

major medical expenses insurance?

a) That the insured takes care of their health

b) That the insurance is never claimed
c) That less premium is paid
d) That the insured participates in the initial expenses

31
15.- The disease that one is born with or acquires in the womb is classified
like:

Congenital disease
Intrauterine disease
c) Hereditary disease
d) Chronic illness

13.- When a claim for major medical expenses is analyzed and it is discovered that
At the time of the celebration of the contract, the age of the insured was outside of the
admission limits, how does the company proceed?

a) It is grounds for contract termination and is not covered

b) That incident is covered for the last time
c) That occasion is not covered, and it remains insured.
d) He is forgiven and compensated.

14.- The age limits in the major medical expense policy are reviewed,
continuously.

15.- The minimum and maximum age for hiring economic dependents in the
major medical expense insurance is:

a) From birth to 24 years old (as long as they continue studying)

b) From birth until the age of 21 (as long as they continue studying)
c) From birth to 69 years
d) From birth to 18 years old (as long as they continue studying)

16.- The maximum period of coverage for major medical expense insurance is:

up to 69 years old
b) Until the age of 24
c) Until the age of 70
d) Up to 65 years

17.- How are treatments considered under the medical expenses policy?
doctors for rehabilitation in cases of alcoholism or drug addiction?

a) Uncovered medical expenses

b) Covered by express agreement
c) Covered with extra material
d) Covered with waiting period

18.- Indicate how the practice is considered within health expenses insurance.
professional in any sport and its risks

a) High risk and uncovered

b) Covered by express agreement
c) Covered with extra material
d) Covered with waiting period

19.- Does the health insurance cover the injuries suffered by the insured due to
being under the influence of non-prescribed stimulants?

Yes
b) No

32
20.- In major medical expense insurance, what is the name of the system that
consist of the expenses incurred due to an accident or covered illness must
to be settled by the insured and the insurance company the reintegrates
afterwards?

a) Refund
b) Direct payment
c) Compensation
d) Scheduled payment

21.- What is the name of the benefit through which the insurance company pays the
hospital and/or doctor with which it has an agreement?

a) Refund
b) Direct payment
c) Compensation
d) Scheduled payment

22.- What are the forms of compensation used by the insurance company when
How to file a claim that is applicable in a major medical expenses insurance?

a) Refund
b) Direct payment
c) Compensation
d) Scheduled payment

23.- If a major medical expense insurance policy began its validity on January 1
from 2002 and was renewed annually until its validity ended on December 31, 2005.
What is the age of this policy?

4 years
3 years
5 years
6 years

24.- In major medical expense insurance, to maintain seniority in a

insurance company, it must:

to renovate
b) Request a loan
c) Claim a loss per year
d) Pay extra premium

25.- If seniority is recognized in a major medical expense insurance

renewal with a plan change, what happens to new conditions that arise
present from the date on which the plan change was made?

a) It is not guaranteed that they will be covered

They are covered mandatorily.
c) They are covered with a waiting period
They are never covered.
d
26.- Is it mandatory for an insured individual to receive care from the network of medical providers?
the insurance company when contracting a major medical expense insurance?

a) The insured is free and will receive the same service

Yes, it is mandatory
c) It is ideal, but not mandatory
d) it is mandatory, otherwise nothing will be reimbursed

33
27.- What benefit can the insured have by using provider networks?
doctors proposed by the insurance company in a major medical expenses insurance?

a) Direct payment and surgery scheduling

b) Discount on life insurance
c) To be a distinguished client
d) Discounts on the premium

28.- If a health insurance policy for major medical expenses states that it will cover
amygdalitis with a waiting period of 1 year means that:

It is covered that year

It is covered starting from the 3rd year
c) It is covered starting from the 2nd year
d) Not covered

29.- Define the waiting period in a major medical expenses insurance:

a) Period during which the premium has not been paid

b) Waiting period
c) Period during which they have not been sick
d) Period during which it is cold

30.- Define Usual and Customary Expense:

a) It is the expense that is usually incurred for each procedure.

b) It is the fee table
c) It is what we pay for insurance
d) it is what the insurer pays for reinsurance

31.- In the event that in the major medical expenses insurance a policyholder has made
use of medical service providers with whom the institution does not have an agreement
direct payment, the amount that the insurer will pay will be through the following:

Bearer cheque
b) Direct payment
c) It will only be by reimbursement based on the GUA
d) Transfer

32.- Indicate from the following list a disease not covered by an expense insurance.
senior doctors

HIV
b) Cancer
c) Renal Insufficiency
d) Any undeclared pre-existing condition

33.- What type of coverage (by number of members) and scope (territorial) is
What can they obtain in major medical expense insurance?

a) Individual and collective, National

b) Individual, Family and Collective, National and International
c) Individual and Family, National and International
d) Individual, Familiar and Collective, National

34.- Definition of waiting period in major medical expense insurance:

a) Time of validity in the policy to proceed with covering any condition

specific, in accordance with the conditions of the contract.
b) Period to pay the premium

34
c) Uncovered period
d) Time since the last incident occurred

35.- What is understood by a network of medical providers in health insurance?

senior doctors?

a) Group of doctors, hospitals, laboratories, offices, and pharmacies that have carried out
agreement with the insurer.
b) Hospitals and pharmacies under agreement
c) Doctors and nurses in agreement
The network of Hospitals "Ángeles" and "Médica Sur" exclusively

36.-Mrs. Susana contracted a major medical expenses policy on 04/15/1998,

she kept her policy paid for only 2 years, during this time she made the following
claim:

10/15/1998 Dental treatment resulting from a treated illness Does the period apply to
benefit?

Yes
b) No

37.- Define pre-existing condition in major medical expense insurance:

a) Caused by virus
b) That this disease arises shortly after the insurance is contracted.
c) When its existence has been verified or diagnosed prior to hiring.
of the insurance
d) Mental illness

38.- With the following data, solve the question:

Insured sum $10,000.00
Deductible $3,000.00
Fixed coinsurance 20%
$7,000.00

39.- In major medical expense insurance, when does the participation change?
of deductible and coinsurance, regarding the coverages and limits of the contracted plan?

When the client does not pay the premium

b) In the case of additional expenses for an illness or accident that has already been compensated
c) For greater risk
d) When the insured changes residence

40.- Regarding the amount of reimbursement in major medical expense insurance, the
deductible and coinsurance are applied as follows:

a) Every time a payment is claimed

b) One time only per condition or event
c) Not applicable
d) Every sinister year

41.- According to the General Law of Mutual Insurance Institutions and Societies, it
define co-insurance with respect to Major Medical Expense Insurance as:

a) The payment of the fixed surcharge

b) The payment of an additional premium for Medical Expenses

35
c) The first expense covered by the insured
d) A percentage previously agreed upon in the insurance contract that is applied thereafter
deductible to be borne by the insured in each claim.

42.- In the family major medical expense insurance, in case of an accident occurring and
several insured parties are affected, what would be the participation of the insured with
reference to the deductible?

Each one pays a deductible, enjoying each one of the insured amount.
The deductible is applied only once.
Only the deductibles of the spouses are paid.
d) Deductible does not apply

43.- Are congenital diseases covered by medical expense insurance?

older?

Yes, after 2 years

b) They are not covered
c) Yes, as long as they were born during the validity of the policy
No, until reaching the first year of seniority

44.- Generally in major medical expense insurance, dental treatments,

alveolar or gingival are:

a) Uncovered Medical Expenses

b) Medical expenses covered with waiting
c) Medical expenses not covered, except for accidents
d) Covered Medical Expenses

45.- In major medical expense insurance, coverage for urgent or emergency care in
the foreigner ends when:

The holidays are ending.

b) The patient is stabilized.
The patient is recovered 100%
d) The patient's Visa expires

46.- When a medical emergency occurs abroad and the patient's care
ends, in the major medical expenses insurance, the subsequent expenses incurred in the
foreigner Who pays for them?

a) The insurer
b) The consulate
c) The hospital
d) The insured

47.- What happens in major medical expense insurance if the insured requests a
reimbursement for a covered illness, but conceals evidential elements
Does it hinder the investigations or verifications that the insurer requires?

The payment proceeds at 50%

b) Proceed with the payment at 25%
A double deductible is applied.
d) Payment does not proceed

48.- If an insured person makes a payment for a condition covered by the

major medical expense insurance with medical providers that do not belong to the
company network, will the insurer pay directly?

36
a) Yes
No

49.- Acceptance and renewal ages for medical expense policies.

a) Acceptance up to 64 years, Renewal up to 69 years

b) Acceptance up to 65 years, Renewal up to 69 years
c) Acceptance up to 69 years, Renewal up to 70 years
d) Acceptance up to 55 years, Renewal up to 69 years

50.- It is the uninterrupted period of time that must pass since the discharge date of the
insured so that an ailment can be covered, according to the specifications
of the policy.

a) Waiting period
b) Validity
c) Grace period
d) Insurance term

51.- What are the doctors and hospitals called that aim to provide for the
insured the direct payment service for covered medical expenses (through
agreement with the insurers):

Warsaw Convention
b) Metro network
c) Network of medical providers
d) Medical staff

52.- What happens if 100% of the insured amount is consumed in an illness?

family group member?

a) The coverage of all is canceled

b) The coverage of the other members is not affected.
c) The coverage of everyone is canceled, and it will be reinstated until the following year
d) No insured sum is affected

53.- It is the reason that insurers apply deductibles on medical expenses.

greater.

a) To avoid paying so many claims

b) So that the insured takes care
c) To share the risk with the insured
d) To make the insurance cheaper

54.- Why do insurance companies eliminate the deductible when the insured enters?
to any affiliated hospital?

a) By accidents
b) For good behavior
c) For advertising strategy
d) For special promotion

55.- In addition to the deductible and coinsurance, what other mechanism does the insurer use?
to defer the claim for typical illnesses for several years?

Franchise
b) Co-insurance
c) Waiting periods
Reinsurance

37
56.- Does a normal childbirth meet the requirements to be covered by a policy?
traditional?

Yes
No

57.- If the amount of the fees for a claim exceeds the limit set in the
fee schedule or the usual customary expense, the insurer proceeds to:

a) Pay up to the limit of the table or the GUA, the rest is the responsibility of the insured
b) Cancel the insurance
c) Extraprim
d) Rescind the contract

58.- Some treatments are excluded from the medical expenses insurance.

a) Psychiatric, behavioral, alcoholism, aesthetic, etc.

b) Appendicitis
c) Hysterectomy
d) Lithotripsy

59.- These are illnesses that require a waiting period of one year:

Breast tumor and hysterectomy, hernias

b) Rectal fissures or prolapses
c) Hemorrhoids, tonsillitis, and adenoiditis
d) Accidents

60.- If two or more incisions are performed in the same surgical session, what is paid?

a) Only the first

b) The surgical intervention is fully paid.
c) There is no payment for negligence
The deductible is forgiven

61.- Define what THQ is

a) Table of Surgical Fees, the maximum limit for compensation according to the condition
and operation
b) Usual and Customary Expense
c) Table of medical risks
d) Table of Surgical Wounds

63.- Minimum documents required for a refund

a) The policy and the IFE

b) The policy, identification, and the corresponding receipts and invoices for the expense
c) The policy, identification, and the prescription
d) The policy and the premium payment receipt.

38
 HEALTH

1.- The insurance institutions specialized in health are authorized to

additionally market the branch of:

Medical Expenses
b) Life
c) Accidents
d) Damages

2.- The objectives of health insurance

a) Avoid claims for Major Medical Expenses

b) Provide services for promotion, encouragement, prevention, diagnosis, treatment and
rehabilitation of people's health
c) Grant the popular insurance
d) Promote vaccination campaigns

In the health field, preventing refers to the actions that...

a) They are taken for the early detection of diseases

b) They are taken to vaccinate the population
They are taken so that the insured pays on time.
Measures are taken to avoid the cancellation of the policy

4.- What is one objective of health insurance?

a) Pay for major medical expenses

b) Grant a popular insurance
c) Stop the progression of pathological processes
d) Offer contact lenses to insured individuals who require them

5.- What role does CONAMED play?

a) He is a financial supervisor
b) It is the body that the user of the ISES services can turn to in order to
inquiries or complaints regarding the services you have purchased
c) Fiscal regulator of doctors
It is an organization for Patient Rights

6.- What organization, apart from CONDUSEF, must the Institutions comply with?
Specialized Health Insurance?

a) SHyCP
b) CONAMED
c) CNSyF
d) PROFECO

7.- It is a main difference between health insurance and medical expense insurance.

It is cheaper than Medical Expenses

b) The health one, prevents and stops diseases, and the medical expenses one, covers what is
has diagnosed
c) It is international, and Medical Expenses No
d) It is a popular insurance, and Medical Expenses is Private

8.- In what ways can copayment be stipulated?

a) After applying deductible and coinsurance

b) As part of a deductible

39
as an extra raw material
d) At the beginning of the policy term and may be stipulated as a percentage of
cost of the service or a fixed amount

9.- How is copayment defined?

a) It is the economic participation by the insured when using any service.

b) It is a risk premium.
c) It is a coinsurance payment
It is a charge for acquiring the policy.

10.- For the insured, the cost of health insurance is determined by:

a) His/her occupation
b) Your nationality
c) Clinical history of the person and the state of health
Your age

11.- The ISES, upon detecting an aggravated risk, may act in the following ways,

a) Extend or terminate the contract

b) Continue charging the same, and increase the copayment
c) Not to cover the insured during that year
d) Increase the copayment and terminate the following year

12.- What requirement must be met to ensure a group?

a) Let this be homogeneous

b) Let them play different instruments
that they travel together
that they be thin

13.- At what age is medical attention granted in the specialty of gynecology?

obstetrics?

a) From the age of 12

b) From the age of 18
c) There is no minimum age
d) From the age of 14

14.- What are all the specialties that are part of the basic coverage or
first contact?

a) Pediatrics, Gynecology-Obstetrics, Internal Medicine, General Surgery

b) Dentistry, Pediatrics, and General Surgery
c) Pediatrics, Gynecology-Obstetrics, Internal Medicine, Neurology
d) Pediatrics, Gynecology-Obstetrics, Internal Medicine, Psychiatry

15.- What is the responsibility of a Health Specialized Insurance Institution?

when the beneficiary sees doctors who are not part of the network?

a) None
b) Cover only the deductible
c) Cover the expense according to the scales used by the ISES
d) Terminate the contract

40
16.- What deadline do Specialized Health Insurance Institutions have to
informing the insured about changes in the hospital structure?

24 hours
30 days
15 business days
48 hours

17.- What are the additional coverages of health insurance?

a) Second level consultations, Diagnostic support, Physiotherapy, Supply of

prosthetics and orthopedics devices, specialized surgery and dental service.
b) Accidental death and organic losses
c) Civil liability and damages to third parties
d) Intensive therapy and check-ups

18.- What is the main objective of first-level or primary care medicine?

a) Generate profits for doctors

b) Avoid claims for Major Medical Expenses
c) Prevent people from consulting with secondary contact specialists
d) The maintenance of health and the prevention of diseases through
early detection of the symptoms or signs presented by individuals.

19.- What instances, apart from CONAMED, support the guidance process and
medical arbitration?

a) THE PROFECO and the CNSyF

b) The Mexican Official Standard and the Ministry of Health
c) The CONDUSEF
d) The National Bar Association

20.- Mention some second level specialties

Gynecology and Obstetrics

Pediatrics
c) General Medicine, Internists
d) Cardiology, Gastroenterology, Neurology, Immunology, etc.

21.- It is the therapeutic action and rehabilitation to recover the individual's health.
they grant the Ises and it is called Service…

a) Doctor
b) Social
c) Military
d) Comprehensive Physician

22.- To accept health insurance applicants, the insurer will require them to
first requirement:

a) Fill out an application and a medical questionnaire

b) Get a medical examination
c) Pay an additional premium
d) Quit smoking

41
 Evaluation Module III. Financial Systems and Markets

THEORY OF FINANCE

It is the set of LAWS, REGULATIONS, ORGANISMS, AND INSTITUTIONS

whose objective is to efficiently channel monetary resources of the
economy...

a) Payment System
b) Tax Administration System (SAT)
c) Banking System
Mexican Financial System

It is the competent body to interpret, apply, and resolve, for purposes

administrative matters related to the sector and generally for everything
as it refers to the Mexican Financial System...

National Banking and Securities Commission

National Commission of Insurance and Bonds
c) National Commission of the Retirement Savings System
d) Secretariat of Finance and Public Credit

3. Match the columns with an arrow, identifying each entity with its
main functions:

Supervises, regulates, and sanctions the

Bank of Mexico financial entities of the sectors
banking, non-banking, and stock market.
Protect the savings of the customers of the
IPAB Bank and seek the cleansing of these
institutions.
Supervises, regulates, and sanctions the
CONDUSEF participants in the savings systems
for retirement.
It provides the economy of the country with currency.
national, serves as a central reserve for
SHCP
the credit institutions and regulates the
payment systems.
Supervises, regulates, and sanctions the
CNBV
insurance and bond institutions.
Maximum regulator, who interprets, applies and
CONSAR resolve everything for administrative purposes
related to the sector
Protect and defend the rights of the
CNSF users in front a the institutions
financial.

4. Who legally sets the interest rates in Mexico?

a) CNBV
b) CONDUSEF
c) BANK OF MEXICO
d) SHCP

42
 5. What sectors are under the supervision and oversight of the Commission?
National Banking and Securities Commission?

a) Banking sector, non-banking (auxiliary) and securities

b) Banking, development, and stock market sector
c) Banking, non-banking (ancillary) and stock market
d) Banking, securities, and bond sector

6. What is the difference between a Financial Group and an Intermediary?

Financial?

a) The Financial Group brings together various types of Financial Intermediaries in the market
b) The Financial Group combines banking and insurance, while the Financial Intermediary
operates individually in the market
c) The Financial Group is of foreign origin (HSBC) while the Intermediary
Financial institutions are of national origin
d) The Financial Group brings together several intermediaries, such as Banking, Insurance, and Afore, and
They all share a common investment fund.

Company that operates as a Credit Assistant within the non-sector

banking...

General Warehouse of Deposit

Brokerage House
c) Financial Society
d) Mexder

It is a deposit and credit institution...

a) Insurer
b) Guarantor
c) Multiple Bank
Investment Society

9. Indicate the common rating scale that societies receive.

Investment

a) AAA, AA, A, BBB, BB, B

b) AAA, BBB, B, A, BB
c) A, B, BB, AAA, BBA
d) AAAA, AAA, A, B, BB, BBB

10. What is the profit called that a person earns when they deposit
an amount of money and within a specified period receives an amount
additional?

Good luck
b) Investment
c) Savings
d) Provision

43
 BASIC FINANCE CONCEPTS

11. Connect the columns with an arrow, identifying each concept with its
definition:

a) Liabilities Percentage increase experienced in one year by the INPC according to

to the basic basket.

b) Risk of Sacrificed value when making an economic decision, such as not

Market spend what has been earned.

c) Risk of Current cash is income minus expenses.

Credit

Risk of Reduction of the quotation of the local currency

Liquidity

e) Cost of Possibility of an investor losing due to prices

Opportunity in the market interest rates drop or are modified

( ) Obligations arising from operations or transactions such as the

Liquidity
debt acquisition.

It is the rate that a lender charges to finance money to a

g) Legal entity
third.

h) Assets Purchasing power of goods and services

Possibility of loss due to non-payment compliance of a

Purchasing Power
credit

( ) It is carried out when a financial service or product is contracted, it is

Cash Flow
different from commercial operations

k) Inflation rate It is the rate paid to an investor who places their money.

Measure of a company's or person's ability to comply with

devaluation
his short-term obligations

It is the possibility of generating a profit or recording a loss

Active rate
who participates in financial markets

It is the impossibility of converting an asset into cash, such as

n)Passive rate example of selling an asset and converting it into money

o)Risk It is the rate that is charged or obtained as a result of applying

Financial interest on interest

It is the union of two or more individuals for a common purpose, it refers to

p)Nominal rate
the companies or societies

( ) It is the rate printed on the documents, it is agreed upon in

Natural person
contracts and is published in the media

It is the result of subtracting the inflation rate from a nominal rate.

real rate
closer to reality.

Operation Total resources available to a company, all assets

financial materials, rights and services.

( ) Every individual subject to a tax burden, known as

Effective rate
causative.

44
 Financial Mathematics

12. Write in the box the decimal notation for the following values:

2%= 3%= 13%= 23% = 120%= 250%=

13. Write in the box the percentage notation for the following values:

0.025= 0.045= 0.12= .0029 0.45= 1.29=

14. What is the final debt amount of a loan of $180,000.00 with a

18% annual interest, after 3 years?

15. How much should a person invest to accumulate at the end of 3 years
$300,000.00 with a nominal rate of 12% compounded every 15 days?

16. A person invests $16,000 at a nominal interest rate of 36%, but

This is capitalized bimonthly, how much will this person receive in a year?

17. Taking the previous example, what is the Effective Rate?

Effective rate

18. Laura inherited a capital to her children, but according to her dictated instructions.
in the will, he distributed it in the following way: to the eldest son, Jorge,
you are to receive $1,240,000.00, but from this amount you must give to
his brother Fernando 3/8 parts, how much will Fernando receive?

19. Dulcinela López buys bulk candy and pays $234.00 for 2.5 kilos of
sugary gummies. This day did not go very well for him. He only has $121.50
How many kilos will he/she be able to buy to satisfy his/her craving?

45
 FINANCIAL INSTRUMENTS

20. What type of instruments DO private companies ISSUE?

a) PAPER CURRENCY, BONDS, ETC.

b) CETES, BONDES, CEDES, ETC.
c) BONDS, SHARES AND SECURITIES CERTIFICATES.
d) SHARES, COMMERCIAL PAPER, ETC.

21. Here are some features of Universal Life Insurance:

IT IS FOR THE GENERAL PUBLIC

b) IT HAS GUARANTEED VALUES
NO SURCHARGES
d) IT IS FLEXIBLE IN ITS MANAGEMENT AND OFFERS RETURNS FOR THE
INVESTMENT

22. What financial instruments does the government ISSUE?

a) CHECKING ACCOUNTS, MUTUAL FUNDS, ETC.

b) CREDIT CARDS, CHECKS, ETC.
c) INFONAVIT CREDIT, UDIS, ETC.
d) CETES, BONDES, UDIBONOS, ETC.

23. When investing, it is about spreading the capital among several alternatives in order to dilute the
risk

to take a risk
b) BUILD A STRATEGY
c) TO PACKAGE
d) DIVERSIFY

24. It is a general use debt instrument, SHORT TERM

a) COMMERCIAL PAPERS
b) BANK ACCEPTANCE
c) CERTIFICATE
d) TO PAY

25. For a troubled company, what is the reason (using logic) that
determine the leverage of a debt?

a) BORROWING TO USE THIRD-PARTY RESOURCES vs. DEBT

b) SELL YOUR ASSETS vs. DEBT
c) BUYING STOCKS AND SELLING THEM vs. DEBT
d) EQUITY vs. ITS LIABILITIES (DEBT)

26. Which of the following instruments IS NOT CONSIDERED A VALUE?

a) GOVERNMENT BONDS
b) ACTIONS
c) SECURITIES CERTIFICATES
$500.00 BILLS

46