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Question 1 of 30
1. Question
An individual has a Valuable Articles Insurance policy for his antique watch collection. The policy schedule mandates that a ‘Central Station’ alarm system be installed and operational. The policyholder leaves his home for a short trip to a nearby store, but neglects to activate the alarm system. While he is away, a burglar breaks in and steals the entire insured collection. In a situation where policy compliance is under review, what is the most likely outcome of the claim submitted for the stolen watches?
Correct
The correct answer is based on the application of Condition (iv) ‘Alarm and Protections’ in the provided Valuable Articles Insurance policy. This clause is stated as a ‘condition precedent to the liability of the Company as regards burglary, housebreaking and theft’. A condition precedent is a fundamental term of the contract that must be strictly complied with for the insurer’s liability to attach for a specific peril. In the scenario, the insured left the premises unattended without ensuring the specified alarm system was in ‘full and effective operation’. This failure constitutes a breach of the condition precedent. Consequently, the insurer is entitled to repudiate the claim entirely, as the coverage for burglary was suspended at the time of the loss due to the breach. The insurer is not merely entitled to reduce the payout; the breach voids the cover for that specific event. The existence of a maintenance contract or the prompt filing of a police report does not override the strict requirement to operate the alarm as stipulated.
Incorrect
The correct answer is based on the application of Condition (iv) ‘Alarm and Protections’ in the provided Valuable Articles Insurance policy. This clause is stated as a ‘condition precedent to the liability of the Company as regards burglary, housebreaking and theft’. A condition precedent is a fundamental term of the contract that must be strictly complied with for the insurer’s liability to attach for a specific peril. In the scenario, the insured left the premises unattended without ensuring the specified alarm system was in ‘full and effective operation’. This failure constitutes a breach of the condition precedent. Consequently, the insurer is entitled to repudiate the claim entirely, as the coverage for burglary was suspended at the time of the loss due to the breach. The insurer is not merely entitled to reduce the payout; the breach voids the cover for that specific event. The existence of a maintenance contract or the prompt filing of a police report does not override the strict requirement to operate the alarm as stipulated.
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Question 2 of 30
2. Question
Mr. Lim recently purchased a condominium unit and undertook extensive renovations, installing custom-built kitchen cabinets and a sophisticated air-conditioning system. He is aware that the Management Corporation Strata Title (MCST) has a master Fire Insurance policy for the building. When advising Mr. Lim, what is the most accurate assessment of his insurance needs for these new installations?
Correct
The core issue revolves around the scope of coverage provided by different types of property insurance. The Management Corporation Strata Title (MCST) is legally required to maintain a Fire Insurance policy for the building structure and common property. However, as outlined in the principles of personal property insurance, this mandatory policy typically does not extend to cover renovations, improvements, or additions made by the owner within their individual unit. These items, such as custom-built cabinets, wardrobes, and air-conditioning systems, fall outside the standard definition of ‘building’ in an MCST policy. Therefore, the owner has a significant coverage gap. A standard Contents Insurance policy primarily covers movable household goods and may not adequately cover fixtures or have sufficient limits for extensive renovations. Valuable Articles Insurance is a specialized policy for items like art and antiques, not for home improvements. The most appropriate solution is a Packaged Household Insurance policy. This type of policy is specifically designed to be comprehensive, and its ‘Building’ section can be structured to explicitly include renovations, additions, and built-in fixtures and fittings, thereby providing the necessary protection for the owner’s investment.
Incorrect
The core issue revolves around the scope of coverage provided by different types of property insurance. The Management Corporation Strata Title (MCST) is legally required to maintain a Fire Insurance policy for the building structure and common property. However, as outlined in the principles of personal property insurance, this mandatory policy typically does not extend to cover renovations, improvements, or additions made by the owner within their individual unit. These items, such as custom-built cabinets, wardrobes, and air-conditioning systems, fall outside the standard definition of ‘building’ in an MCST policy. Therefore, the owner has a significant coverage gap. A standard Contents Insurance policy primarily covers movable household goods and may not adequately cover fixtures or have sufficient limits for extensive renovations. Valuable Articles Insurance is a specialized policy for items like art and antiques, not for home improvements. The most appropriate solution is a Packaged Household Insurance policy. This type of policy is specifically designed to be comprehensive, and its ‘Building’ section can be structured to explicitly include renovations, additions, and built-in fixtures and fittings, thereby providing the necessary protection for the owner’s investment.
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Question 3 of 30
3. Question
In a scenario where a policyholder, Mr. Chen, is involved in a traffic incident, he feels it was his mistake and immediately tells the other party, ‘I’m sorry, this was my fault, I will cover your repair costs.’ He later submits a claim to his motor insurer. According to the standard terms and conditions found in private motor insurance policies in Singapore, what is the most probable consequence of Mr. Chen’s admission of liability?
Correct
A fundamental condition in a standard private motor insurance policy is that the insured must not admit liability, make an offer, or promise any payment to a third party without the insurer’s prior written consent. This clause is crucial because it protects the insurer’s right to investigate the accident, negotiate a settlement, or defend a claim in court on its own terms. When a policyholder admits fault, they prejudice the insurer’s position, making it difficult or impossible for the insurer to contest the liability or negotiate a lower settlement. This breach of a policy condition gives the insurer the right to repudiate (reject) the claim, even if the policyholder was genuinely at fault. The insurer’s obligation is not merely to pay for damages but to manage the entire claim process, and the policyholder’s admission interferes with this right. The form of the admission (verbal or written) is often irrelevant; the act of admitting fault itself constitutes the breach. The consequence is typically more severe than just a premium increase or a partial payment, as it undermines a core principle of the insurance contract.
Incorrect
A fundamental condition in a standard private motor insurance policy is that the insured must not admit liability, make an offer, or promise any payment to a third party without the insurer’s prior written consent. This clause is crucial because it protects the insurer’s right to investigate the accident, negotiate a settlement, or defend a claim in court on its own terms. When a policyholder admits fault, they prejudice the insurer’s position, making it difficult or impossible for the insurer to contest the liability or negotiate a lower settlement. This breach of a policy condition gives the insurer the right to repudiate (reject) the claim, even if the policyholder was genuinely at fault. The insurer’s obligation is not merely to pay for damages but to manage the entire claim process, and the policyholder’s admission interferes with this right. The form of the admission (verbal or written) is often irrelevant; the act of admitting fault itself constitutes the breach. The consequence is typically more severe than just a premium increase or a partial payment, as it undermines a core principle of the insurance contract.
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Question 4 of 30
4. Question
Mr. Lim has a Valuable Articles Insurance policy for his collection of antique watches. The policy schedule specifies that a ‘Central Station’ monitored alarm must be put into ‘full and effective operation’ whenever the premises are left unattended. One evening, Mr. Lim rushes out for a short errand and forgets to activate the alarm. During his absence, a burglar breaks in and steals the entire watch collection. When Mr. Lim files a claim, what is the most likely action the insurer will take based on the policy terms?
Correct
The correct answer is based on the ‘Alarm and Protections’ condition (Condition iv) within the provided Valuable Articles Insurance policy. This clause is explicitly stated as a ‘condition precedent to the liability of the Company as regards burglary, housebreaking and theft’. A condition precedent is a fundamental term of the contract that must be fulfilled by the insured for the insurer’s liability to arise for a specific peril. In this scenario, the policy schedule required a specific alarm system to be in ‘full and effective operation’ when the premises are unattended. By forgetting to activate the alarm, Mr. Lim breached this condition precedent. This breach gives the insurer the right to repudiate the claim entirely for the loss arising from the theft, regardless of the value of the stolen item or other circumstances. The other options are incorrect because the policy does not provide for partial payment or the application of a higher excess in this specific situation; the breach of a condition precedent allows the insurer to deny liability for the claim altogether.
Incorrect
The correct answer is based on the ‘Alarm and Protections’ condition (Condition iv) within the provided Valuable Articles Insurance policy. This clause is explicitly stated as a ‘condition precedent to the liability of the Company as regards burglary, housebreaking and theft’. A condition precedent is a fundamental term of the contract that must be fulfilled by the insured for the insurer’s liability to arise for a specific peril. In this scenario, the policy schedule required a specific alarm system to be in ‘full and effective operation’ when the premises are unattended. By forgetting to activate the alarm, Mr. Lim breached this condition precedent. This breach gives the insurer the right to repudiate the claim entirely for the loss arising from the theft, regardless of the value of the stolen item or other circumstances. The other options are incorrect because the policy does not provide for partial payment or the application of a higher excess in this specific situation; the breach of a condition precedent allows the insurer to deny liability for the claim altogether.
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Question 5 of 30
5. Question
In a situation where a client’s actions are affected by third-party system delays, consider the following: Mr. Lim purchased a Personal Accident policy with an inception date of 15th March. On the evening of 14th March, he initiated an online payment for the full premium. However, due to a scheduled system maintenance by his bank, the transaction was only processed and the funds were credited to the insurer’s account on 16th March. On 15th March, Mr. Lim was involved in a minor accident and sought medical treatment, subsequently filing a claim. In the context of the Payment Before Cover Warranty, what is the most probable outcome for Mr. Lim’s claim?
Correct
The Payment Before Cover Warranty (PBCW), a standard clause in policies issued to individuals in Singapore, is a condition precedent to the insurer’s liability. It explicitly states that the full premium must be paid to and received by the insurer (or its intermediary) on or before the policy’s inception date. If this condition is not met, the insurance cover does not attach, meaning the policy is considered void from the outset and provides no benefits. In this scenario, the policy’s inception date was 15th March, but the premium was only received by the insurer on 16th March. Therefore, on the date of the accident (15th March), no valid insurance contract was in force. The insured’s intention to pay or the initiation of the transfer before the deadline is irrelevant; the critical factor is the actual receipt of the funds by the insurer. An ex-gratia payment is a discretionary act of goodwill and not a contractual obligation. The ‘Free Look’ provision is for a policyholder to review and cancel a valid policy, which is not applicable here as the policy never legally commenced.
Incorrect
The Payment Before Cover Warranty (PBCW), a standard clause in policies issued to individuals in Singapore, is a condition precedent to the insurer’s liability. It explicitly states that the full premium must be paid to and received by the insurer (or its intermediary) on or before the policy’s inception date. If this condition is not met, the insurance cover does not attach, meaning the policy is considered void from the outset and provides no benefits. In this scenario, the policy’s inception date was 15th March, but the premium was only received by the insurer on 16th March. Therefore, on the date of the accident (15th March), no valid insurance contract was in force. The insured’s intention to pay or the initiation of the transfer before the deadline is irrelevant; the critical factor is the actual receipt of the funds by the insurer. An ex-gratia payment is a discretionary act of goodwill and not a contractual obligation. The ‘Free Look’ provision is for a policyholder to review and cancel a valid policy, which is not applicable here as the policy never legally commenced.
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Question 6 of 30
6. Question
During a competitive golf match, Mr. Kumar’s tee shot hooks unexpectedly and strikes another participant on a nearby fairway. The impact causes the other participant to suffer a mild concussion and breaks their expensive prescription sunglasses. The injured party indicates they will seek compensation for their medical treatment and the replacement cost of their sunglasses. In this situation, which component of Mr. Kumar’s comprehensive Golfer’s Insurance policy is intended to address this specific claim?
Correct
The Personal Liability section of a Golfer’s Insurance policy is specifically designed to indemnify the insured against legal liability for causing accidental bodily injury to other persons or damage to their property. In this scenario, Mr. Kumar’s negligent act resulted in both bodily injury (the concussion) and property damage (the broken spectacles) to a third party. Therefore, the claim for compensation would be handled under the Personal Liability coverage. The Personal Accident cover would apply if Mr. Kumar himself were injured. The Medical Expenses section covers Mr. Kumar’s own medical costs, not those of a third party he is liable for. The Golfing Equipment section covers loss or damage to Mr. Kumar’s own clubs and gear, not a third party’s property like spectacles.
Incorrect
The Personal Liability section of a Golfer’s Insurance policy is specifically designed to indemnify the insured against legal liability for causing accidental bodily injury to other persons or damage to their property. In this scenario, Mr. Kumar’s negligent act resulted in both bodily injury (the concussion) and property damage (the broken spectacles) to a third party. Therefore, the claim for compensation would be handled under the Personal Liability coverage. The Personal Accident cover would apply if Mr. Kumar himself were injured. The Medical Expenses section covers Mr. Kumar’s own medical costs, not those of a third party he is liable for. The Golfing Equipment section covers loss or damage to Mr. Kumar’s own clubs and gear, not a third party’s property like spectacles.
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Question 7 of 30
7. Question
Mr. Chan has a comprehensive private motor car insurance policy with a 50% NCD. He has also purchased an NCD Protector extension. Following an at-fault accident, his first for the policy year, his car is sent to an insurer-approved workshop. The workshop estimates a 10-day repair period, but an additional 5-day delay occurs due to the unavailability of a specific spare part. Considering the terms of common motor insurance extensions, what is the most accurate assessment of Mr. Chan’s situation?
Correct
A No Claim Discount (NCD) Protector is an extension that allows an insured to make a specified number of claims within a policy period without affecting their NCD entitlement upon renewal. However, this benefit is specific to the insurer providing the cover and is not transferable. If the insured decides to switch to a new insurance company, the new insurer will calculate the NCD based on the actual claims history, which would result in a reduction (e.g., from 50% to 20% for one at-fault claim). Furthermore, the Loss of Use extension, which provides a courtesy car or transport allowance, typically covers the period the vehicle is laid up for repairs. This benefit is often subject to exclusions, one of which is delays caused by the non-availability of spare parts. Therefore, the insurer’s liability for this benefit would likely be limited to the standard repair duration, not the extended period caused by the parts delay.
Incorrect
A No Claim Discount (NCD) Protector is an extension that allows an insured to make a specified number of claims within a policy period without affecting their NCD entitlement upon renewal. However, this benefit is specific to the insurer providing the cover and is not transferable. If the insured decides to switch to a new insurance company, the new insurer will calculate the NCD based on the actual claims history, which would result in a reduction (e.g., from 50% to 20% for one at-fault claim). Furthermore, the Loss of Use extension, which provides a courtesy car or transport allowance, typically covers the period the vehicle is laid up for repairs. This benefit is often subject to exclusions, one of which is delays caused by the non-availability of spare parts. Therefore, the insurer’s liability for this benefit would likely be limited to the standard repair duration, not the extended period caused by the parts delay.
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Question 8 of 30
8. Question
Mr. Tan has a standard Private Motorcycle Insurance policy for his motorcycle, which he uses for his daily commute. To supplement his income, he begins working as a part-time food delivery rider. During one of his delivery trips, he accidentally collides with another vehicle, causing S$5,000 in damages to the third-party vehicle. In this scenario, what is the insurer’s most probable response to the third-party’s claim for property damage?
Correct
A standard Private Motorcycle Insurance policy, as outlined in the CMFAS PGI syllabus, provides coverage under specific conditions of use. The ‘Limitation of Use’ clause (as per Paragraph 9.7) explicitly states that the policy covers the motorcycle for social, domestic, pleasure purposes, and in connection with the insured’s own business. It specifically excludes usage for ‘hire, reward’ or the ‘carriage of goods (other than samples) in connection with any trade or business’. Using the motorcycle for a food delivery service falls squarely under the exclusion of ‘hire and reward’. Therefore, any liability arising from an accident during such use would not be covered by the insurer. The third-party property damage limit is only applicable if the claim itself is valid under the policy terms. The driver’s status as the insured is irrelevant because the primary condition of use was breached. The concept of a reduced payout (e.g., 50%) typically applies to specific situations like theft outside Singapore, not third-party liability claims arising from excluded usage.
Incorrect
A standard Private Motorcycle Insurance policy, as outlined in the CMFAS PGI syllabus, provides coverage under specific conditions of use. The ‘Limitation of Use’ clause (as per Paragraph 9.7) explicitly states that the policy covers the motorcycle for social, domestic, pleasure purposes, and in connection with the insured’s own business. It specifically excludes usage for ‘hire, reward’ or the ‘carriage of goods (other than samples) in connection with any trade or business’. Using the motorcycle for a food delivery service falls squarely under the exclusion of ‘hire and reward’. Therefore, any liability arising from an accident during such use would not be covered by the insurer. The third-party property damage limit is only applicable if the claim itself is valid under the policy terms. The driver’s status as the insured is irrelevant because the primary condition of use was breached. The concept of a reduced payout (e.g., 50%) typically applies to specific situations like theft outside Singapore, not third-party liability claims arising from excluded usage.
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Question 9 of 30
9. Question
Mr. Chen holds a Packaged Household Insurance policy with Insurer A. Believing he needed additional protection, he later purchased a second policy covering the same property from Insurer B. A water leakage incident caused damage to his property, and he decided to file a claim only with Insurer A. On the claim submission form, he intentionally did not disclose the existence of the policy with Insurer B. In a situation where a policyholder has secured coverage for the same property from multiple insurers, what is the most probable consequence of Mr. Chen’s omission on the claim form?
Correct
A detailed explanation of the ‘Other Insurance’ condition found in most Packaged Household Insurance policies is necessary here. This condition typically has two key components. Firstly, the insured has an ongoing duty to provide written notice to the insurer if they arrange any other insurance covering the same property. Secondly, and more critically at the time of a loss, the insured must declare any such other insurance on the claim form. The provided scenario highlights a breach of this second component. Standard policy wordings explicitly state that if an insured fails to declare other existing insurance on the claim form, they will forfeit all benefits and payments related to that claim. This is a strict condition designed to uphold the principle of utmost good faith and prevent fraudulent or exaggerated claims. Therefore, the insurer’s right is to reject the claim entirely based on this non-disclosure. The principle of contribution, where insurers share the loss in rateable proportion, would only apply if the insured had properly declared both policies. Voiding the policy from the start or simply cancelling it after payment are incorrect applications of the rule for this specific breach.
Incorrect
A detailed explanation of the ‘Other Insurance’ condition found in most Packaged Household Insurance policies is necessary here. This condition typically has two key components. Firstly, the insured has an ongoing duty to provide written notice to the insurer if they arrange any other insurance covering the same property. Secondly, and more critically at the time of a loss, the insured must declare any such other insurance on the claim form. The provided scenario highlights a breach of this second component. Standard policy wordings explicitly state that if an insured fails to declare other existing insurance on the claim form, they will forfeit all benefits and payments related to that claim. This is a strict condition designed to uphold the principle of utmost good faith and prevent fraudulent or exaggerated claims. Therefore, the insurer’s right is to reject the claim entirely based on this non-disclosure. The principle of contribution, where insurers share the loss in rateable proportion, would only apply if the insured had properly declared both policies. Voiding the policy from the start or simply cancelling it after payment are incorrect applications of the rule for this specific breach.
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Question 10 of 30
10. Question
Mr. Lim holds a private motor insurance policy and has maintained a 50% No Claim Discount (NCD) for several years. He is involved in a minor collision where he is at fault. Believing the damage is negligible and wanting to avoid administrative work, he does not report the incident to his insurer. Three weeks later, the other driver submits a claim for damages, which Mr. Lim’s insurer is obliged to pay. In a situation where a claim is paid and the policyholder failed to adhere to the accident notification timeline, what will be the impact on Mr. Lim’s NCD at the next renewal?
Correct
The policyholder’s No Claim Discount (NCD) is affected by two separate events. First, a claim was successfully made against the policy. According to the standard NCD scale outlined in Condition 10(ii), a claim made when the policyholder has a 50% NCD results in a reduction to 20% at the next renewal. Second, the policyholder failed to comply with Condition 5(a)(i), which mandates reporting any accident within 24 hours or by the next working day, regardless of intent to claim. Condition 10(iii) specifies a penalty for this failure, stating the NCD will be ‘further reduced by an additional 10%’. Therefore, the initial reduction for the claim brings the NCD from 50% to 20%, and the subsequent penalty for non-reporting reduces it by another 10 percentage points, resulting in a final NCD of 10%. A reduction to 20% would only apply if the accident was reported on time. A reduction to 40% incorrectly applies only the non-reporting penalty without accounting for the claim itself. A reduction to 0% is incorrect as it applies to policyholders with an initial NCD of 30% or less who make a claim.
Incorrect
The policyholder’s No Claim Discount (NCD) is affected by two separate events. First, a claim was successfully made against the policy. According to the standard NCD scale outlined in Condition 10(ii), a claim made when the policyholder has a 50% NCD results in a reduction to 20% at the next renewal. Second, the policyholder failed to comply with Condition 5(a)(i), which mandates reporting any accident within 24 hours or by the next working day, regardless of intent to claim. Condition 10(iii) specifies a penalty for this failure, stating the NCD will be ‘further reduced by an additional 10%’. Therefore, the initial reduction for the claim brings the NCD from 50% to 20%, and the subsequent penalty for non-reporting reduces it by another 10 percentage points, resulting in a final NCD of 10%. A reduction to 20% would only apply if the accident was reported on time. A reduction to 40% incorrectly applies only the non-reporting penalty without accounting for the claim itself. A reduction to 0% is incorrect as it applies to policyholders with an initial NCD of 30% or less who make a claim.
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Question 11 of 30
11. Question
Mr. Lim purchased a home contents insurance policy with a sum insured of $60,000 for his belongings. At the time of a fire incident, the actual total value of his home contents was assessed to be $100,000. The fire caused damage amounting to $30,000. In a situation where the policy contains an Average Clause, what is the maximum amount Mr. Lim can claim from the insurer for this partial loss?
Correct
This question tests the application of the Average Clause, a common condition in property insurance policies, as outlined in General Condition 6 of the provided policy text. The Average Clause applies when the insured property is underinsured, meaning the sum insured is less than the actual value of the property at the time of loss. In such cases, the insured is considered to be their own insurer for the difference and must bear a proportion of the loss. The formula to calculate the payout is: (Sum Insured / Actual Value at time of loss) × Amount of Loss. In this scenario, the Sum Insured is $60,000, the Actual Value is $100,000, and the loss is $30,000. Applying the formula: ($60,000 / $100,000) × $30,000 = 0.6 × $30,000 = $18,000. The insurer’s liability is limited to this proportionate amount because the property was only insured for 60% of its true value.
Incorrect
This question tests the application of the Average Clause, a common condition in property insurance policies, as outlined in General Condition 6 of the provided policy text. The Average Clause applies when the insured property is underinsured, meaning the sum insured is less than the actual value of the property at the time of loss. In such cases, the insured is considered to be their own insurer for the difference and must bear a proportion of the loss. The formula to calculate the payout is: (Sum Insured / Actual Value at time of loss) × Amount of Loss. In this scenario, the Sum Insured is $60,000, the Actual Value is $100,000, and the loss is $30,000. Applying the formula: ($60,000 / $100,000) × $30,000 = 0.6 × $30,000 = $18,000. The insurer’s liability is limited to this proportionate amount because the property was only insured for 60% of its true value.
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Question 12 of 30
12. Question
In a situation where a policyholder, Mr. Lee, has a Private Motor Car Insurance policy with a 50% No Claim Discount (NCD), he is involved in a minor car park incident. Believing the damage to be trivial, he and the other party verbally agree not to file any claims. Mr. Lee therefore does not report the incident to his insurer. Two months later, the other party files a third-party claim against Mr. Lee’s policy, which the insurer pays out. What is the most likely impact on Mr. Lee’s NCD at his next policy renewal?
Correct
According to the standard Private Motor Car Insurance policy conditions, a policyholder is obligated to report any accident to the insurer within 24 hours or by the next working day, regardless of whether a claim is intended. This is stipulated under the ‘Notification of Accident’ clause. In this scenario, Mr. Lee failed to meet this requirement. Consequently, two separate penalties apply to his No Claim Discount (NCD) at the next renewal. First, because a claim was successfully made against his policy while he had a 50% NCD, his NCD is reduced to 20% as per the standard scale for claims. Second, for failing to report the accident promptly as required, an additional penalty is imposed, which is a further 10% reduction of his NCD. Therefore, the initial 50% NCD is reduced by 30 points (for the claim) and then by another 10 points (for non-reporting), resulting in a final NCD of 10%. The other options are incorrect because they only account for one of the penalties or incorrectly assume that a private agreement negates the policyholder’s reporting obligations.
Incorrect
According to the standard Private Motor Car Insurance policy conditions, a policyholder is obligated to report any accident to the insurer within 24 hours or by the next working day, regardless of whether a claim is intended. This is stipulated under the ‘Notification of Accident’ clause. In this scenario, Mr. Lee failed to meet this requirement. Consequently, two separate penalties apply to his No Claim Discount (NCD) at the next renewal. First, because a claim was successfully made against his policy while he had a 50% NCD, his NCD is reduced to 20% as per the standard scale for claims. Second, for failing to report the accident promptly as required, an additional penalty is imposed, which is a further 10% reduction of his NCD. Therefore, the initial 50% NCD is reduced by 30 points (for the claim) and then by another 10 points (for non-reporting), resulting in a final NCD of 10%. The other options are incorrect because they only account for one of the penalties or incorrectly assume that a private agreement negates the policyholder’s reporting obligations.
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Question 13 of 30
13. Question
Mr. Lim purchased a standalone Critical Illness (CI) policy which commenced on 1st February. The policy specifies a 90-day waiting period and a 30-day survival period. On 15th May of the same year, he was diagnosed with a severe heart attack, one of the critical illnesses covered by the policy. Tragically, he passed away on 10th June. What is the most likely outcome regarding the claim for the CI benefit?
Correct
A Critical Illness (CI) policy payout is contingent upon meeting several key conditions, two of which are the waiting period and the survival period. The waiting period is an initial timeframe after the policy’s inception (commonly 90 days) during which a diagnosis of a critical illness will not result in a valid claim; this is to prevent anti-selection. In this scenario, the policy began on 1st February, and the 90-day waiting period concluded around 2nd May. Since the diagnosis occurred on 15th May, the waiting period condition was successfully met. However, the survival period is a separate requirement. It mandates that the life insured must survive for a specified duration (in this case, 30 days) *after* the date of diagnosis for the benefit to become payable. Mr. Lim was diagnosed on 15th May, meaning he needed to survive until at least 14th June to satisfy the 30-day survival period. As he passed away on 10th June, he did not outlive this period. Therefore, despite the diagnosis being valid and occurring after the waiting period, the claim is not payable because the survival period condition was not fulfilled. A refund of premiums is typically associated with a diagnosis occurring *within* the waiting period, which was not the case here.
Incorrect
A Critical Illness (CI) policy payout is contingent upon meeting several key conditions, two of which are the waiting period and the survival period. The waiting period is an initial timeframe after the policy’s inception (commonly 90 days) during which a diagnosis of a critical illness will not result in a valid claim; this is to prevent anti-selection. In this scenario, the policy began on 1st February, and the 90-day waiting period concluded around 2nd May. Since the diagnosis occurred on 15th May, the waiting period condition was successfully met. However, the survival period is a separate requirement. It mandates that the life insured must survive for a specified duration (in this case, 30 days) *after* the date of diagnosis for the benefit to become payable. Mr. Lim was diagnosed on 15th May, meaning he needed to survive until at least 14th June to satisfy the 30-day survival period. As he passed away on 10th June, he did not outlive this period. Therefore, despite the diagnosis being valid and occurring after the waiting period, the claim is not payable because the survival period condition was not fulfilled. A refund of premiums is typically associated with a diagnosis occurring *within* the waiting period, which was not the case here.
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Question 14 of 30
14. Question
Mr. Lim uses his private car, insured under a standard policy, to operate an informal ride-hailing service for profit, a use explicitly excluded by his policy’s ‘Limitations As To Use’ clause. He gets into an accident, causing significant injury to a pedestrian. In this situation where regulatory standards demand third-party compensation, what is the most probable course of action for his insurer after settling the pedestrian’s injury claim?
Correct
Under a standard Private Motor Car Insurance policy, there is a ‘Limitations As To Use’ clause which restricts the vehicle’s use to social, domestic, pleasure, and the insured’s own business purposes. Using the car for hire or reward, such as an undeclared ride-hailing service for profit, is a direct breach of this fundamental condition. However, due to legislation like the Motor Vehicles (Third-Party Risks and Compensation) Act and the agreement with the Motor Insurers’ Bureau (MIB) of Singapore, the insurer is obligated to settle claims for bodily injury to third parties, even if the insured has breached the policy terms. This ensures that innocent victims receive compensation. Subsequently, the ‘Avoidance of Certain Terms & Right of Recovery’ clause allows the insurer to recover the full amount paid to the third party from the policyholder. The insurer was legally compelled to pay a claim for which it was not liable under the policy contract, and this clause gives it the right to be reimbursed by the insured who caused the situation by breaching the policy terms.
Incorrect
Under a standard Private Motor Car Insurance policy, there is a ‘Limitations As To Use’ clause which restricts the vehicle’s use to social, domestic, pleasure, and the insured’s own business purposes. Using the car for hire or reward, such as an undeclared ride-hailing service for profit, is a direct breach of this fundamental condition. However, due to legislation like the Motor Vehicles (Third-Party Risks and Compensation) Act and the agreement with the Motor Insurers’ Bureau (MIB) of Singapore, the insurer is obligated to settle claims for bodily injury to third parties, even if the insured has breached the policy terms. This ensures that innocent victims receive compensation. Subsequently, the ‘Avoidance of Certain Terms & Right of Recovery’ clause allows the insurer to recover the full amount paid to the third party from the policyholder. The insurer was legally compelled to pay a claim for which it was not liable under the policy contract, and this clause gives it the right to be reimbursed by the insured who caused the situation by breaching the policy terms.
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Question 15 of 30
15. Question
Mr. Tan has a comprehensive private motor insurance policy which includes an extension for ‘Legal Liability of Passengers’. He gives his friend, Mr. Lim, a ride. When they arrive, Mr. Lim negligently opens the passenger door without checking for traffic, causing a cyclist to crash and sustain injuries. The cyclist decides to claim against Mr. Lim for the damages. Investigations reveal that Mr. Lim holds a separate personal liability policy that also covers such an incident. In this situation, what is the most likely response of Mr. Tan’s motor insurer to the claim against Mr. Lim?
Correct
The ‘Legal Liability of Passengers’ extension in a private motor insurance policy is designed to cover the policyholder against claims arising from the negligent acts of their passengers. However, this coverage is subject to specific conditions. A key condition, as outlined in the CMFAS PGI syllabus (referencing typical policy terms), is that the passenger must not be entitled to indemnity under any other insurance policy. In this scenario, Mr. Lim has his own personal liability insurance which could cover the incident. Therefore, he is ‘entitled to indemnity under another policy’. Consequently, the condition for the extension under Mr. Tan’s motor policy is not met, and the insurer would be within its rights to deny the claim. The claim should be directed to Mr. Lim’s own personal liability insurer first. The principle of contribution would not apply here because the extension’s wording makes it a contingent cover, not a primary one that operates concurrently with other policies.
Incorrect
The ‘Legal Liability of Passengers’ extension in a private motor insurance policy is designed to cover the policyholder against claims arising from the negligent acts of their passengers. However, this coverage is subject to specific conditions. A key condition, as outlined in the CMFAS PGI syllabus (referencing typical policy terms), is that the passenger must not be entitled to indemnity under any other insurance policy. In this scenario, Mr. Lim has his own personal liability insurance which could cover the incident. Therefore, he is ‘entitled to indemnity under another policy’. Consequently, the condition for the extension under Mr. Tan’s motor policy is not met, and the insurer would be within its rights to deny the claim. The claim should be directed to Mr. Lim’s own personal liability insurer first. The principle of contribution would not apply here because the extension’s wording makes it a contingent cover, not a primary one that operates concurrently with other policies.
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Question 16 of 30
16. Question
Mr. Lim holds a critical illness insurance policy. Following a health screening, he is diagnosed with prostate cancer, which his oncologist confirms and classifies as T1N0M0 based on the TNM staging system. The cancer is localized and has not spread. Mr. Lim proceeds to file a claim under the ‘Major Cancers’ benefit of his policy. In this scenario, what is the most likely determination the insurer will make regarding his claim?
Correct
A critical illness policy is designed to provide a lump sum payout upon the diagnosis of a severe, specified illness that meets the exact definition outlined in the policy contract. The definitions are intentionally precise to ensure that benefits are paid for conditions that are genuinely life-altering and financially burdensome, not for early-stage or less severe illnesses. In the context of ‘Major Cancers’, standard policy wordings, as guided by industry best practices, often include specific exclusions for certain types of early-stage cancers. For prostate cancer, a classification of T1N0M0 (TNM Classification) typically describes a very early, clinically non-palpable tumour that is confined to the prostate and has not spread to lymph nodes or other parts of the body. Because this stage of cancer is considered low-grade and highly treatable, it is commonly listed as an exclusion under the ‘Major Cancers’ definition in a critical illness policy. Therefore, even though Mr. Tan has a confirmed cancer diagnosis from a specialist, his condition does not meet the required threshold of severity as defined in his policy, leading to the rejection of the claim. The claim’s validity rests on the diagnosis meeting the policy’s definition, not merely on the presence of a disease or the outcome of its treatment.
Incorrect
A critical illness policy is designed to provide a lump sum payout upon the diagnosis of a severe, specified illness that meets the exact definition outlined in the policy contract. The definitions are intentionally precise to ensure that benefits are paid for conditions that are genuinely life-altering and financially burdensome, not for early-stage or less severe illnesses. In the context of ‘Major Cancers’, standard policy wordings, as guided by industry best practices, often include specific exclusions for certain types of early-stage cancers. For prostate cancer, a classification of T1N0M0 (TNM Classification) typically describes a very early, clinically non-palpable tumour that is confined to the prostate and has not spread to lymph nodes or other parts of the body. Because this stage of cancer is considered low-grade and highly treatable, it is commonly listed as an exclusion under the ‘Major Cancers’ definition in a critical illness policy. Therefore, even though Mr. Tan has a confirmed cancer diagnosis from a specialist, his condition does not meet the required threshold of severity as defined in his policy, leading to the rejection of the claim. The claim’s validity rests on the diagnosis meeting the policy’s definition, not merely on the presence of a disease or the outcome of its treatment.
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Question 17 of 30
17. Question
A homeowner hires a contractor to carry out extensive renovations. Their written agreement includes a ‘hold harmless’ clause, where the contractor agrees to be responsible for and indemnify the homeowner against any claims arising from the renovation work. An employee of the contractor negligently causes a piece of equipment to fall, injuring a neighbour. When the neighbour initiates a legal claim against the homeowner, what is the primary legal basis that obligates the contractor to defend the homeowner and cover the potential damages?
Correct
The scenario describes a situation where one party (the contractor) has explicitly agreed to take on the legal responsibilities of another party (the homeowner) through a specific clause in their agreement. This is known as ‘liability assumed under contract’. While the underlying incident involves negligence (a tort at Common Law), the specific obligation for the contractor to indemnify the homeowner arises directly from the ‘hold harmless’ promise made in the contract. Statutory liability would apply if a specific Act of Parliament imposed liability regardless of the contract, and vicarious liability describes the employer’s responsibility for the employee’s actions towards the injured party, but the contractual assumption is the specific principle governing the relationship between the homeowner and the contractor regarding the claim.
Incorrect
The scenario describes a situation where one party (the contractor) has explicitly agreed to take on the legal responsibilities of another party (the homeowner) through a specific clause in their agreement. This is known as ‘liability assumed under contract’. While the underlying incident involves negligence (a tort at Common Law), the specific obligation for the contractor to indemnify the homeowner arises directly from the ‘hold harmless’ promise made in the contract. Statutory liability would apply if a specific Act of Parliament imposed liability regardless of the contract, and vicarious liability describes the employer’s responsibility for the employee’s actions towards the injured party, but the contractual assumption is the specific principle governing the relationship between the homeowner and the contractor regarding the claim.
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Question 18 of 30
18. Question
In a situation where a driver, Mr. Lim, is found to be at fault for a traffic collision, several claims arise. His passenger, a colleague, sustains injuries requiring medical attention. The other car involved in the collision incurs significant damage. Furthermore, a valuable antique vase that Mr. Lim was transporting for a client shatters. Under Section II – Liability to Third Parties of a standard private motor car insurance policy, which of these liabilities will the insurer indemnify?
Correct
Section II of a standard private motor insurance policy covers the insured’s legal liability to third parties. This includes liability for death or bodily injury to any person, which explicitly covers passengers in the insured vehicle. It also covers damage to third-party property, such as the other vehicle involved in the accident, up to the limit specified in the policy (commonly S$5 million). However, there are specific exclusions under this section. One key exclusion is for loss of or damage to property that is being carried in the insured’s car. Therefore, the damaged company laptop would not be covered under Section II. Another crucial exclusion is for death or bodily injury to the person driving the insured car. Consequently, the driver’s own injuries are not indemnified under the liability section of the policy.
Incorrect
Section II of a standard private motor insurance policy covers the insured’s legal liability to third parties. This includes liability for death or bodily injury to any person, which explicitly covers passengers in the insured vehicle. It also covers damage to third-party property, such as the other vehicle involved in the accident, up to the limit specified in the policy (commonly S$5 million). However, there are specific exclusions under this section. One key exclusion is for loss of or damage to property that is being carried in the insured’s car. Therefore, the damaged company laptop would not be covered under Section II. Another crucial exclusion is for death or bodily injury to the person driving the insured car. Consequently, the driver’s own injuries are not indemnified under the liability section of the policy.
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Question 19 of 30
19. Question
Mr. Chan was involved in a car accident where he rear-ended another vehicle. Feeling responsible and wanting to be cooperative, he immediately told the other driver, “I am so sorry, this is entirely my fault. My insurance will cover all your damages.” He later filed a claim with his insurer. In this situation, what is the most probable outcome concerning his motor insurance policy?
Correct
A fundamental condition in all standard motor insurance policies in Singapore is that the policyholder must not admit liability, make an offer, promise payment, or negotiate the settlement of any claim without the insurer’s prior written consent. This is explicitly stated in the policy wording and is a critical obligation of the insured. When Mr. Chan admitted fault, he breached this condition. This action prejudices the insurer’s position, as it undermines their right to investigate the accident circumstances independently and to negotiate or defend the claim on their own terms. The insurer has the right of subrogation, which allows them to step into the insured’s shoes to defend a claim or seek recovery from an at-fault third party. Admitting liability can compromise or completely remove this right. Consequently, the insurer is entitled to repudiate the claim, meaning they can refuse to indemnify Mr. Chan for the third-party’s losses due to this breach of a policy condition. While the claim will affect the NCD, the more severe and direct consequence of admitting liability is the potential rejection of the claim itself. The admission does not expedite the process for the insurer, and its validity is not contingent on it being made to the police.
Incorrect
A fundamental condition in all standard motor insurance policies in Singapore is that the policyholder must not admit liability, make an offer, promise payment, or negotiate the settlement of any claim without the insurer’s prior written consent. This is explicitly stated in the policy wording and is a critical obligation of the insured. When Mr. Chan admitted fault, he breached this condition. This action prejudices the insurer’s position, as it undermines their right to investigate the accident circumstances independently and to negotiate or defend the claim on their own terms. The insurer has the right of subrogation, which allows them to step into the insured’s shoes to defend a claim or seek recovery from an at-fault third party. Admitting liability can compromise or completely remove this right. Consequently, the insurer is entitled to repudiate the claim, meaning they can refuse to indemnify Mr. Chan for the third-party’s losses due to this breach of a policy condition. While the claim will affect the NCD, the more severe and direct consequence of admitting liability is the potential rejection of the claim itself. The admission does not expedite the process for the insurer, and its validity is not contingent on it being made to the police.
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Question 20 of 30
20. Question
Mr. Lim purchased a Critical Illness (CI) insurance policy in 2013. In the current year, he is diagnosed with a severe medical condition. While analyzing the basis for his potential claim, what is the primary framework the insurer will use to determine if his condition meets the criteria for a payout?
Correct
The assessment of a Critical Illness (CI) claim is governed by the terms and conditions stipulated in the policy contract at the time of its inception. The definitions of the covered critical illnesses are precisely defined within that contract. Although the Life Insurance Association of Singapore (LIA) introduced revised standardised definitions for 37 severe critical illnesses effective from 1 August 2014, these new standards apply to policies sold on or after that date. Policies issued before this change, like Mr. Lim’s, continue to be bound by their original contractual terms and the specific CI definitions they contained. An insurer cannot unilaterally apply new, potentially different, definitions to an existing policy, nor is the policy rendered invalid simply because the definitions have since been updated for new products. The claim must be evaluated strictly against the definitions Mr. Lim agreed to when he purchased the policy.
Incorrect
The assessment of a Critical Illness (CI) claim is governed by the terms and conditions stipulated in the policy contract at the time of its inception. The definitions of the covered critical illnesses are precisely defined within that contract. Although the Life Insurance Association of Singapore (LIA) introduced revised standardised definitions for 37 severe critical illnesses effective from 1 August 2014, these new standards apply to policies sold on or after that date. Policies issued before this change, like Mr. Lim’s, continue to be bound by their original contractual terms and the specific CI definitions they contained. An insurer cannot unilaterally apply new, potentially different, definitions to an existing policy, nor is the policy rendered invalid simply because the definitions have since been updated for new products. The claim must be evaluated strictly against the definitions Mr. Lim agreed to when he purchased the policy.
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Question 21 of 30
21. Question
In a situation where multiple incidents occur during a single event, a golfer with a comprehensive Golfer’s Insurance policy achieves a hole-in-one, accidentally snaps his driver during a powerful swing, and trips on the fairway, requiring medical attention and damaging his luxury smartwatch. When he files claims for all associated costs, which component of his claim is most likely to be rejected by the insurer?
Correct
A standard Golfer’s Insurance policy, as outlined in the Personal General Insurance syllabus, typically provides specific coverage for equipment, liability, and special events like a hole-in-one. However, it also contains explicit exclusions. The policy’s property section, which covers golfing equipment, almost always excludes loss of or damage to valuables. This category includes items like watches, jewellery, mobile phones, and cameras. Therefore, the damage to the smartwatch would not be covered. In contrast, the policy is specifically designed to cover the other incidents. The ‘Hole-In-One’ benefit covers the cost of hospitality up to a specified limit. The ‘Medical Expenses’ section covers bodily injury sustained due to an accident on the course. Finally, many policies include an extension for ‘Breakage of Clubs’ to cover the cost of repairing or replacing a club that breaks accidentally during play, which is distinct from damage caused by normal wear and tear.
Incorrect
A standard Golfer’s Insurance policy, as outlined in the Personal General Insurance syllabus, typically provides specific coverage for equipment, liability, and special events like a hole-in-one. However, it also contains explicit exclusions. The policy’s property section, which covers golfing equipment, almost always excludes loss of or damage to valuables. This category includes items like watches, jewellery, mobile phones, and cameras. Therefore, the damage to the smartwatch would not be covered. In contrast, the policy is specifically designed to cover the other incidents. The ‘Hole-In-One’ benefit covers the cost of hospitality up to a specified limit. The ‘Medical Expenses’ section covers bodily injury sustained due to an accident on the course. Finally, many policies include an extension for ‘Breakage of Clubs’ to cover the cost of repairing or replacing a club that breaks accidentally during play, which is distinct from damage caused by normal wear and tear.
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Question 22 of 30
22. Question
In a scenario where an individual’s claim under a Personal Accident policy involves multiple benefit types following a single incident, what is the correct application of the policy’s provisions? The individual was seriously injured while travelling as a fare-paying passenger on public transport, resulting in permanent total disablement and a 30-day hospital stay.
Correct
This question assesses the understanding of how different types of benefits within a single Personal Accident (PA) policy operate and interact. The correct answer correctly identifies the distinct nature of each benefit. The Double Indemnity feature, as described in the Singapore College of Insurance PGI study guide, typically applies to the capital sum benefits (like death or permanent total disablement) when an accident occurs under specified conditions, such as being a fare-paying passenger on public transport. The Medical Expenses benefit is a contract of indemnity, meaning it reimburses the insured for actual, reasonable, and necessary costs incurred up to the policy limit. Because it is an indemnity payment, the principle of contribution applies if the insured has other policies covering the same medical expenses. In contrast, the Hospital Cash benefit is a ‘stated benefit’ or ‘benefit policy’. It pays a pre-agreed, fixed amount for each day of hospitalisation, irrespective of the actual hospital bill. This benefit is not subject to the principle of indemnity or contribution and is paid out in addition to any reimbursement for medical expenses.
Incorrect
This question assesses the understanding of how different types of benefits within a single Personal Accident (PA) policy operate and interact. The correct answer correctly identifies the distinct nature of each benefit. The Double Indemnity feature, as described in the Singapore College of Insurance PGI study guide, typically applies to the capital sum benefits (like death or permanent total disablement) when an accident occurs under specified conditions, such as being a fare-paying passenger on public transport. The Medical Expenses benefit is a contract of indemnity, meaning it reimburses the insured for actual, reasonable, and necessary costs incurred up to the policy limit. Because it is an indemnity payment, the principle of contribution applies if the insured has other policies covering the same medical expenses. In contrast, the Hospital Cash benefit is a ‘stated benefit’ or ‘benefit policy’. It pays a pre-agreed, fixed amount for each day of hospitalisation, irrespective of the actual hospital bill. This benefit is not subject to the principle of indemnity or contribution and is paid out in addition to any reimbursement for medical expenses.
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Question 23 of 30
23. Question
Mr. Lim holds a private motor insurance policy and currently enjoys a 50% No Claim Discount (NCD). He was involved in a minor traffic incident but, believing no significant damage occurred, he failed to report it to his insurer within the required 24-hour period. A week later, the other party involved in the incident files a claim for damages, which Mr. Lim’s insurer is obligated to pay. In this situation where a claim is paid and the accident was not reported in time, what will Mr. Lim’s NCD be at the next policy renewal?
Correct
A private motor insurance policyholder is subject to two distinct No Claim Discount (NCD) reductions in this scenario. First, as per the policy conditions (similar to Condition 10(ii)), a claim made against the policy when the NCD is at 50% will cause the NCD to be reduced to 20% at the subsequent renewal. Second, the policy mandates that any accident must be reported within a specific timeframe, typically 24 hours (as per Condition 5(a)(i)). Failure to comply with this notification requirement incurs a separate penalty. According to the policy terms (similar to Condition 10(iii)), this failure results in an additional 10% reduction of the NCD. Therefore, the NCD is first reduced from 50% to 20% due to the claim. Then, the 10% penalty for late reporting is applied, further reducing the NCD from 20% to a final level of 10%.
Incorrect
A private motor insurance policyholder is subject to two distinct No Claim Discount (NCD) reductions in this scenario. First, as per the policy conditions (similar to Condition 10(ii)), a claim made against the policy when the NCD is at 50% will cause the NCD to be reduced to 20% at the subsequent renewal. Second, the policy mandates that any accident must be reported within a specific timeframe, typically 24 hours (as per Condition 5(a)(i)). Failure to comply with this notification requirement incurs a separate penalty. According to the policy terms (similar to Condition 10(iii)), this failure results in an additional 10% reduction of the NCD. Therefore, the NCD is first reduced from 50% to 20% due to the claim. Then, the 10% penalty for late reporting is applied, further reducing the NCD from 20% to a final level of 10%.
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Question 24 of 30
24. Question
In a situation where a policyholder, Mr. Lim, holds a Basic Home Cover policy for his apartment, he experiences several incidents over the year. First, his apartment is burgled, resulting in damage to his main door lock and the security alarm system. The damage makes the apartment uninhabitable for three days while repairs are made. Later in the year, he hires a professional moving company to relocate to a new permanent residence in Singapore, and during the move, a box of his household contents is accidentally damaged. Considering the terms of his Basic Home Cover, which of the following claims would the insurer most likely decline?
Correct
The correct answer is the claim for damage to household contents during removal by professional movers. According to the provided policy text, the ‘Household Removal By Professional Movers’ extension (Extension R) is one of the extensions that ‘shall apply only with ENHANCED HOME cover for Section 2 – Contents’. Since Mr. Lim holds a Basic Home Cover policy, this specific extension is not active, and therefore the damage to his contents during the move would not be covered. The other claims are covered under standard extensions available to both Basic and Enhanced policies: the cost to replace locks and keys after a break-in is covered by Extension (B); the cost to repair the security system damaged during the theft is covered by Extension (C); and the reasonable additional expense for alternative accommodation when the dwelling is rendered uninhabitable by an insured peril (like a break-in causing significant damage) is covered by Extension (E).
Incorrect
The correct answer is the claim for damage to household contents during removal by professional movers. According to the provided policy text, the ‘Household Removal By Professional Movers’ extension (Extension R) is one of the extensions that ‘shall apply only with ENHANCED HOME cover for Section 2 – Contents’. Since Mr. Lim holds a Basic Home Cover policy, this specific extension is not active, and therefore the damage to his contents during the move would not be covered. The other claims are covered under standard extensions available to both Basic and Enhanced policies: the cost to replace locks and keys after a break-in is covered by Extension (B); the cost to repair the security system damaged during the theft is covered by Extension (C); and the reasonable additional expense for alternative accommodation when the dwelling is rendered uninhabitable by an insured peril (like a break-in causing significant damage) is covered by Extension (E).
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Question 25 of 30
25. Question
Mr. Chen, a 48-year-old policyholder, is travelling alone in a foreign country when he contracts a severe illness, leading to a 10-day hospitalisation. His attending physician certifies that he is medically unfit for commercial air travel but does not require emergency evacuation. The physician also advises that having a family member present would be beneficial for his morale and recovery. Consequently, Mr. Chen’s wife travels from Singapore to be with him. Based on the provided travel insurance policy terms, what set of benefits can Mr. Chen legitimately claim?
Correct
The correct answer identifies the three distinct benefits applicable to the scenario. First, the policy covers medically necessary expenses for an illness sustained during the trip (as per Section 5 – Medical Expenses Outside of Singapore). Second, since the insured was hospitalised as an in-patient due to the illness, he is entitled to a daily cash benefit for each full day of confinement (as per Section 7 – Overseas Hospital Allowance). Third, because the hospitalisation exceeded five consecutive days, his medical condition forbade evacuation, and no adult family member was initially with him, the policy reimburses the travel and accommodation costs for one relative to visit, based on the physician’s advice (as per Section 8 – Hospital Visit Benefit). The other options are incorrect because emergency medical evacuation was not stated as necessary, the policy does provide medical coverage regardless of other insurance, and permanent disablement benefits are linked to accidents, not illness.
Incorrect
The correct answer identifies the three distinct benefits applicable to the scenario. First, the policy covers medically necessary expenses for an illness sustained during the trip (as per Section 5 – Medical Expenses Outside of Singapore). Second, since the insured was hospitalised as an in-patient due to the illness, he is entitled to a daily cash benefit for each full day of confinement (as per Section 7 – Overseas Hospital Allowance). Third, because the hospitalisation exceeded five consecutive days, his medical condition forbade evacuation, and no adult family member was initially with him, the policy reimburses the travel and accommodation costs for one relative to visit, based on the physician’s advice (as per Section 8 – Hospital Visit Benefit). The other options are incorrect because emergency medical evacuation was not stated as necessary, the policy does provide medical coverage regardless of other insurance, and permanent disablement benefits are linked to accidents, not illness.
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Question 26 of 30
26. Question
While on a holiday in New Zealand, Mr. Chen rents a car from a licensed rental agency. He accidentally collides with a stationary object, causing significant damage to the rental vehicle. The rental agreement holds him responsible for the first S$2,000 of the repair cost, which is the policy excess. Under his comprehensive travel insurance policy, which section is specifically intended to address this particular financial loss?
Correct
A standard travel insurance policy is structured with distinct sections to cover specific types of risks. The ‘Rental Vehicle Excess’ benefit is specifically designed to cover the policy excess or deductible that an insured person becomes legally obligated to pay to a licensed rental agency following accidental loss or damage to the rental vehicle. In contrast, the ‘Personal Liability’ section, while covering liability for third-party property damage, almost universally includes an exclusion for liability that arises from the use or operation of any motor vehicle. This exclusion exists because such risks are typically covered by motor insurance, and the travel policy aims to avoid duplicating this coverage. Therefore, the liability for damaging the third-party’s vehicle would be excluded under the Personal Liability section of the travel policy. The ‘Personal Baggage’ cover pertains to the insured’s own belongings and not a rented vehicle. The ‘Personal Money’ benefit covers the physical loss of cash or equivalents due to events like theft, not its use for settling liability claims.
Incorrect
A standard travel insurance policy is structured with distinct sections to cover specific types of risks. The ‘Rental Vehicle Excess’ benefit is specifically designed to cover the policy excess or deductible that an insured person becomes legally obligated to pay to a licensed rental agency following accidental loss or damage to the rental vehicle. In contrast, the ‘Personal Liability’ section, while covering liability for third-party property damage, almost universally includes an exclusion for liability that arises from the use or operation of any motor vehicle. This exclusion exists because such risks are typically covered by motor insurance, and the travel policy aims to avoid duplicating this coverage. Therefore, the liability for damaging the third-party’s vehicle would be excluded under the Personal Liability section of the travel policy. The ‘Personal Baggage’ cover pertains to the insured’s own belongings and not a rented vehicle. The ‘Personal Money’ benefit covers the physical loss of cash or equivalents due to events like theft, not its use for settling liability claims.
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Question 27 of 30
27. Question
While on a family vacation, Mr. Tan, who is 45 years old, and his 10-year-old son are covered under a ‘Plan A’ travel insurance policy. The son falls seriously ill, resulting in S$250,000 of medical bills overseas. Upon returning to Singapore, the son requires S$8,000 in follow-up medical care for the same sickness. Concurrently, their luggage was delayed by the airline for over 6 hours. According to the Summary of Benefits, what is the maximum total amount the Tan family can successfully claim for these events?
Correct
The total claimable amount is calculated by summing the eligible claims from each relevant section under Plan A. First, for the overseas medical expenses for the son, Section 1 (Medical Expenses Incurred Overseas) for an ‘Insured Child in a Family Plan’ under Plan A provides coverage up to S$300,000. Since the incurred cost was S$250,000, which is within this limit, the full S$250,000 is claimable. Second, for the follow-up treatment in Singapore, Section 2A (Post Trip Medical Expenses Incurred in Singapore for Sickness) for an ‘Insured Child in a Family Plan’ under Plan A has a limit of S$5,000. Although the cost was S$8,000, the claim is capped at S$5,000. Third, for the baggage delay, Section 24 (Baggage Delay) under Plan A provides a benefit of S$1,000. Therefore, the total maximum aggregate amount claimable is the sum of these three components: S$250,000 + S$5,000 + S$1,000 = S$256,000. This question assesses the ability to correctly identify and apply multiple benefit limits from a policy schedule based on the insured’s plan, age category, and the specific circumstances of the claims, a key skill under the Personal General Insurance framework.
Incorrect
The total claimable amount is calculated by summing the eligible claims from each relevant section under Plan A. First, for the overseas medical expenses for the son, Section 1 (Medical Expenses Incurred Overseas) for an ‘Insured Child in a Family Plan’ under Plan A provides coverage up to S$300,000. Since the incurred cost was S$250,000, which is within this limit, the full S$250,000 is claimable. Second, for the follow-up treatment in Singapore, Section 2A (Post Trip Medical Expenses Incurred in Singapore for Sickness) for an ‘Insured Child in a Family Plan’ under Plan A has a limit of S$5,000. Although the cost was S$8,000, the claim is capped at S$5,000. Third, for the baggage delay, Section 24 (Baggage Delay) under Plan A provides a benefit of S$1,000. Therefore, the total maximum aggregate amount claimable is the sum of these three components: S$250,000 + S$5,000 + S$1,000 = S$256,000. This question assesses the ability to correctly identify and apply multiple benefit limits from a policy schedule based on the insured’s plan, age category, and the specific circumstances of the claims, a key skill under the Personal General Insurance framework.
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Question 28 of 30
28. Question
Mr. Chen purchased a Personal Accident policy on 1 January 2021 with an original Sum Insured of $300,000 for Death (Result A) and Permanent and Total Disablement (Result B). He did not make any claims in the first policy year and renewed his policy. In June 2022, he had a minor accident and successfully claimed $400 under Medical Expenses (Result E). When he renews his policy on 1 January 2023 without any changes, what will be his effective Sum Insured for Death?
Correct
Based on the Personal Accident policy’s Extra Benefit 3 (Renewal Bonus), the Sum Insured for Death (Result A) and Permanent and Total Disablement (Result B) is increased by 10% of the original Sum Insured upon each renewal for the first three consecutive years, provided certain conditions are met. A key condition, as per clause 3.1(i), is that no claim has arisen for specific results (A, B, C, D1, D2, F, G, H) during the preceding policy period. Notably, a claim under Medical Expenses (Result E) is not on this list of disqualifying claims. Therefore, Mr. Chen’s claim for Medical Expenses in 2022 does not affect his eligibility for the Renewal Bonus. Calculation: – Original Sum Insured (1 Jan 2021): $300,000. – First Renewal (1 Jan 2022): Since there were no claims in 2021, the first 10% bonus is applied. The new Sum Insured is $300,000 + (10% of $300,000) = $330,000. – Second Renewal (1 Jan 2023): The claim for Medical Expenses in 2022 does not disqualify him. The second 10% bonus, based on the original sum insured, is added. The new Sum Insured is $330,000 + (10% of $300,000) = $330,000 + $30,000 = $360,000. The incorrect option of $363,000 results from mistakenly compounding the interest ($330,000 x 1.10). The option of $330,000 incorrectly assumes the medical claim forfeits the second year’s bonus. The option of $300,000 incorrectly assumes the claim resets the Sum Insured to its original value.
Incorrect
Based on the Personal Accident policy’s Extra Benefit 3 (Renewal Bonus), the Sum Insured for Death (Result A) and Permanent and Total Disablement (Result B) is increased by 10% of the original Sum Insured upon each renewal for the first three consecutive years, provided certain conditions are met. A key condition, as per clause 3.1(i), is that no claim has arisen for specific results (A, B, C, D1, D2, F, G, H) during the preceding policy period. Notably, a claim under Medical Expenses (Result E) is not on this list of disqualifying claims. Therefore, Mr. Chen’s claim for Medical Expenses in 2022 does not affect his eligibility for the Renewal Bonus. Calculation: – Original Sum Insured (1 Jan 2021): $300,000. – First Renewal (1 Jan 2022): Since there were no claims in 2021, the first 10% bonus is applied. The new Sum Insured is $300,000 + (10% of $300,000) = $330,000. – Second Renewal (1 Jan 2023): The claim for Medical Expenses in 2022 does not disqualify him. The second 10% bonus, based on the original sum insured, is added. The new Sum Insured is $330,000 + (10% of $300,000) = $330,000 + $30,000 = $360,000. The incorrect option of $363,000 results from mistakenly compounding the interest ($330,000 x 1.10). The option of $330,000 incorrectly assumes the medical claim forfeits the second year’s bonus. The option of $300,000 incorrectly assumes the claim resets the Sum Insured to its original value.
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Question 29 of 30
29. Question
Mr. Lim holds a private motor insurance policy with a 20% No Claim Discount (NCD). He was involved in a minor collision but decided not to inform his insurer to preserve his NCD, even though the policy requires immediate notification of any accident. Two months later, well before the policy’s expiry, he sells his car and submits a request to his insurer to cancel the policy. At the time of the cancellation request, no third-party claim has been filed against him. Based on the standard policy conditions, what is the most probable outcome of his cancellation request?
Correct
The core of this issue lies in the policy conditions governing cancellation and claims. According to Condition 8(ii) of the policy, a policyholder is not entitled to any premium refund if a claim has been made or has arisen under the policy. An accident, even if minor and unreported, constitutes an event where a claim has ‘arisen’. The potential for a third party to make a claim exists from the moment the accident occurred. Therefore, the insurer is within its rights to withhold any premium refund upon cancellation. While the failure to report the accident (a breach of Condition 4.1(i)) would also lead to an NCD penalty at renewal as per Condition 9(iii), the most immediate and certain financial consequence at the point of cancellation is the forfeiture of the premium refund due to the claim having arisen.
Incorrect
The core of this issue lies in the policy conditions governing cancellation and claims. According to Condition 8(ii) of the policy, a policyholder is not entitled to any premium refund if a claim has been made or has arisen under the policy. An accident, even if minor and unreported, constitutes an event where a claim has ‘arisen’. The potential for a third party to make a claim exists from the moment the accident occurred. Therefore, the insurer is within its rights to withhold any premium refund upon cancellation. While the failure to report the accident (a breach of Condition 4.1(i)) would also lead to an NCD penalty at renewal as per Condition 9(iii), the most immediate and certain financial consequence at the point of cancellation is the forfeiture of the premium refund due to the claim having arisen.
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Question 30 of 30
30. Question
Mr. Lim, a policyholder, allows his friend, Ben, to drive his insured car. Ben, who is 27 years old, obtained his driving license only 10 months ago. While driving, Ben is involved in an accident that causes S$9,000 in damages to Mr. Lim’s car. Mr. Lim’s private motor insurance policy has a standard excess of S$700. In this situation where an inexperienced driver causes an accident, what is the total amount Mr. Lim must personally contribute towards the repair costs?
Correct
Under a standard private motor insurance policy, the amount the policyholder must pay in the event of a claim on their own vehicle is the sum of all applicable excesses. In this scenario, two types of excess apply. First, the standard policy excess of S$700 is applicable to any own-damage claim. Second, an Unnamed Driver Excess applies because the driver at the time of the accident was not a named driver on the policy. According to the policy terms, the Unnamed Driver Excess is S$2,500 if the driver is either 26 years old and below OR has less than one year of driving experience. Although Ben is 27 years old, he only has 10 months of driving experience, which is less than one year. Therefore, the S$2,500 Unnamed Driver Excess is triggered. The total amount Mr. Lim is responsible for is the sum of the standard excess and the Unnamed Driver Excess: S$700 + S$2,500 = S$3,200. The insurer will cover the remaining cost of the repairs.
Incorrect
Under a standard private motor insurance policy, the amount the policyholder must pay in the event of a claim on their own vehicle is the sum of all applicable excesses. In this scenario, two types of excess apply. First, the standard policy excess of S$700 is applicable to any own-damage claim. Second, an Unnamed Driver Excess applies because the driver at the time of the accident was not a named driver on the policy. According to the policy terms, the Unnamed Driver Excess is S$2,500 if the driver is either 26 years old and below OR has less than one year of driving experience. Although Ben is 27 years old, he only has 10 months of driving experience, which is less than one year. Therefore, the S$2,500 Unnamed Driver Excess is triggered. The total amount Mr. Lim is responsible for is the sum of the standard excess and the Unnamed Driver Excess: S$700 + S$2,500 = S$3,200. The insurer will cover the remaining cost of the repairs.