III IC-22 Previous Year Question Papers

What III Publishes Instead

How to Treat "IC-22 Question Paper PDF" Files

• check_circleThey are unofficial. III does not release past IC-22 papers, so no such file is an official one.
• check_circleTheir answers are unchecked. A recalled question with the wrong option marked trains you to get it wrong.
• check_circleMany predate the 2025 edition of the study course, which is the one III's 2026 syllabus names.
• check_circleUse them, if at all, to sense the style of question, never as a list to memorise.

What to Do Instead of Past Papers

1. 1

   Read the 2025 study course once, fully

   It is the closest thing to a source for the questions. One page of notes per chapter.

2. 2

   Learn each medical condition in three lines

   What it is, the test that measures it, and the usual decision. That pattern covers most questions from chapters 7 to 15.

3. 3

   Drill the confusable pairs

   Quota share and surplus, mortality and morbidity, obstruction and restriction, flat extra and table rating.

4. 4

   Sit full timed papers

   2 hours, all fifteen chapters, scored against 60%. This gives you what a past paper would have: an honest read on where you stand.

15 Sample IC-22 Questions With Answers

Written in the exam's style from PrepClever's IC-22 question bank, spread across all four parts of the syllabus. They are not recalled or leaked questions. Pick an answer, then reveal the explanation.

1. Principles and concepts

   1. Which of the following best describes underwriting in life insurance?

   1. A.Evaluating the risk of insuring a life or health and the premium payable
   2. B.Settling claims after the death of a policyholder
   3. C.Selling policies to applicants through licensed intermediaries
   4. D.Investing premiums collected in a common fund for returns
   Show answerexpand_more

   Answer: A. Evaluating the risk of insuring a life or health and the premium payable

   Underwriting is the insurer's process of evaluating the risk of insuring a person's life or health and deciding the premium for it. Claims, selling and investing are other insurer functions.

2. Principles and concepts

   2. What happens to the cost of insurance for all policyholders if too many people with medical conditions join the pool?

   1. A.It stays the same, because premiums are fixed
   2. B.It rises for all policyholders
   3. C.It rises only for those with medical conditions
   4. D.It falls, because more premiums are collected
   Show answerexpand_more

   Answer: B. It rises for all policyholders

   If too many impaired lives join relative to healthy ones, claims rise and the cost of insurance rises for everyone. This is why premiums must be commensurate with each person's risk.

3. Principles and concepts

   3. Why can life and critical illness underwriting decisions differ for the same applicant?

   1. A.Life assesses incidence; critical illness assesses mortality
   2. B.Critical illness uses only financial underwriting, not medical
   3. C.Life assesses mortality; critical illness assesses incidence of covered conditions
   4. D.Life underwriting ignores medical history entirely
   Show answerexpand_more

   Answer: C. Life assesses mortality; critical illness assesses incidence of covered conditions

   Life cover depends on the risk of death, while critical illness cover depends on the chance of developing a covered condition. The two risks differ, so the decisions can differ. One distractor simply reverses the two definitions.

4. Principles and concepts

   4. In financial underwriting, the death benefit applied for should approximate which of the following?

   1. A.The premium the insured can comfortably afford
   2. B.The cash value at policy maturity
   3. C.The insured's total net worth
   4. D.The beneficiary's financial loss from the insured's death
   Show answerexpand_more

   Answer: D. The beneficiary's financial loss from the insured's death

   Financial underwriting checks that insurable interest exists and that the amount is justified. The benefit should reflect the beneficiary's financial loss, not net worth or affordability.

5. Financial underwriting

   5. Affordability in financial underwriting is defined as the ratio of total annual premium to what?

   1. A.Total earned income
   2. B.Total sum assured applied for
   3. C.Total net worth of the applicant
   4. D.Total liquid assets held
   Show answerexpand_more

   Answer: A. Total earned income

   Affordability compares the total annual premium with total earned income. Net worth and sum assured are different bases.

6. Reinsurance

   6. A quota share treaty differs from a surplus treaty because quota share applies which retention ratio?

   1. A.A retention ratio varying with each risk's sum insured
   2. B.The same retention ratio to all risks ceded
   3. C.A retention ratio applied only above a fixed deductible
   4. D.A retention ratio applied only to aggregate losses
   Show answerexpand_more

   Answer: B. The same retention ratio to all risks ceded

   Quota share uses one fixed ratio for every risk in the treaty. Under a surplus treaty the ratio varies by risk, because only the amount above the insurer's retention is ceded.

7. Reinsurance

   7. Which type of non-proportional reinsurance protects an insurer against many claims arising out of one event?

   1. A.Quota share
   2. B.Excess of loss per risk
   3. C.Catastrophe excess of loss
   4. D.Surplus share
   Show answerexpand_more

   Answer: C. Catastrophe excess of loss

   Catastrophe excess of loss, also called per-event cover, pays when retained losses from a single event accumulate above a set amount. Per-risk excess of loss protects against one large claim.

8. Blood disorders

   8. For any case of anaemia, what must the underwriter know about the applicant?

   1. A.Only the date of first diagnosis
   2. B.The family history of leukaemia
   3. C.The platelet count and plasma volume
   4. D.The cause and the current haemoglobin level
   Show answerexpand_more

   Answer: D. The cause and the current haemoglobin level

   The underwriter needs the cause of the anaemia and the current haemoglobin level, which shows its severity. Without the cause, decisions can range from standard to postpone depending on degree.

9. Nervous system

   9. A generalised tonic-clonic seizure typically involves which of the following?

   1. A.Loss of consciousness, muscle stiffening then jerking, and confusion afterwards
   2. B.An aura followed by isolated focal numbness only
   3. C.Sudden brief lapses with immediate full recovery
   4. D.Preserved awareness with brief staring spells
   Show answerexpand_more

   Answer: A. Loss of consciousness, muscle stiffening then jerking, and confusion afterwards

   A tonic-clonic seizure involves loss of consciousness, stiffening followed by jerking, and often confusion on waking. Brief staring spells with quick recovery describe absence seizures.

10. Diabetes mellitus

    10. Which blood test is commonly used to assess how well a diabetic applicant's blood sugar has been controlled?

    1. A.Serum creatinine
    2. B.HbA1c (glycosylated haemoglobin)
    3. C.Urine microalbumin
    4. D.Total cholesterol
    Show answerexpand_more

    Answer: B. HbA1c (glycosylated haemoglobin)

    HbA1c reflects average blood sugar over the preceding weeks and is the standard measure of diabetic control. Creatinine and microalbumin assess the kidneys; cholesterol is a separate risk factor.

11. Thyroid diseases

    11. A thyroid nodule that has not been investigated at all is typically treated how for insurance?

    1. A.Declined permanently
    2. B.Accepted as standard
    3. C.Postponed
    4. D.Accepted with a goitre exclusion
    Show answerexpand_more

    Answer: C. Postponed

    An uninvestigated nodule is postponed until it has been fully investigated, usually by fine needle biopsy. Declines are kept for cases with growth, malignancy or no follow-up.

12. Respiratory system

    12. On spirometry, which pattern is typical of an obstructive lung defect?

    1. A.Reduced FVC with an increased FEV1/FVC ratio
    2. B.FEV1 and FVC reduced in proportion, ratio normal
    3. C.Normal FEV1 with raised FVC
    4. D.Reduced FEV1 with FVC reduced less, so the FEV1/FVC ratio falls
    Show answerexpand_more

    Answer: D. Reduced FEV1 with FVC reduced less, so the FEV1/FVC ratio falls

    In obstruction, FEV1 falls more than FVC, so the FEV1/FVC ratio drops. Proportionate falls in both with a normal or raised ratio point to restriction.

13. Digestive system

    13. Crohn's disease is an inflammatory bowel disease that may affect which part of the digestive tract?

    1. A.Any part of the gastrointestinal tract
    2. B.Only the large intestine
    3. C.Only the rectum
    4. D.Only the small intestine
    Show answerexpand_more

    Answer: A. Any part of the gastrointestinal tract

    Crohn's disease can involve any part of the gastrointestinal tract. Disease limited to the colon and rectum is more typical of ulcerative colitis.

14. Cardiovascular system

    14. What can a complete obstruction of a coronary artery cause?

    1. A.Cardiac hypertrophy only
    2. B.Myocardial infarction
    3. C.Angina pectoris only
    4. D.Congenital septal defect
    Show answerexpand_more

    Answer: B. Myocardial infarction

    Complete blockage of a coronary artery can cause a myocardial infarction (heart attack). Angina is temporary pain from reduced oxygen supply, not death of heart muscle.

15. Special senses

    15. Which condition is the leading cause of blindness among working-age people?

    1. A.Age-related macular degeneration
    2. B.Cataract
    3. C.Diabetic retinopathy
    4. D.Presbyopia
    Show answerexpand_more

    Answer: C. Diabetic retinopathy

    Diabetic retinopathy is the leading cause of blindness in working-age adults. Cataract and macular degeneration mainly affect older people.

FAQs