Free Practice Questions for Korea Third-Party Insurance Solicitor (제3보험설계사)

The Korea Third-Party Insurance Solicitor (제3보험설계사) is a distinct statutory registration class established under Article 84 of South Korea's Insurance Business Act (보험업법) and Article 27(1)(3) of its Enforcement Decree (시행령 제27조 제1항 제3호). It authorizes the solicitation of third-sector insurance contracts—specifically accidental injury insurance (상해보험), disease insurance (질병보험), and long-term care insurance (간병보험)—which form an intermediate sector that both life and non-life insurance companies are permitted to write under Korean law.

Both the Korea Life Insurance Association (생명보험협회 / KLIA) and the General Insurance Association of Korea (손해보험협회 / KNIA) score the third-sector area as an independent pass at 60 points or above out of 100. At KLIA, the third-sector pass is calculated from 30 items: 20 common items (3 points each) plus 10 third-sector items (4 points each). At KNIA, the third-sector area covers items 18–50 (33 questions: 32 items at 3 points plus item 18 at 4 points = 100 points). Sittings run 50 minutes monthly. A candidate who passes the third-sector area at one association is credited and need not re-sit it at the other. Separately, the Korea Insurance Training Institute (보험연수원 / KITI) administers a standalone 35-item agency paper in 50 minutes for KRW 30,000.

To qualify as a covered accidental bodily injury under standard policy terms and Korean jurisprudence, the incident must satisfy three simultaneous criteria: (1) Suddenness (급격성), meaning the incident happened rapidly without gradual progression; (2) Fortuitousness (우연성), meaning the occurrence, timing, or result was unintentional and unforeseen by the insured; and (3) External origin (외래성), meaning the primary cause arose from an external physical force or agent outside the insured's own internal body, rather than an internal illness, congenital condition, or inherent physical pathology.

5th Generation Actual Medical Expense Insurance (5세대 실손의료보험) went on sale on 6 May 2026 and ended new sales of the 4th Generation. The 4th Generation, sold from July 2021, separated benefit cover (급여, 20% co-payment with minimums of KRW 10,000 at clinics and KRW 20,000 at general hospitals) from non-benefit riders (비급여, 30% co-payment with a KRW 30,000 minimum), and added a 5-tier non-benefit premium adjustment based on the prior year's claims: no claims earns a discount, under KRW 1 million keeps the base rate, and the top three tiers carry 100%, 200% and 300% surcharges. The 5th Generation keeps the 20% benefit co-payment for inpatient care, links the outpatient co-payment to the National Health Insurance rate, newly covers maternity and developmental-disorder benefit costs, and splits non-benefit cover in two: a severe rider (특약1) for special-calculation conditions such as cancer and cerebrovascular and cardiac disease, holding the 30% co-payment and KRW 50 million annual limit and adding a KRW 5 million annual out-of-pocket cap for tertiary hospital admissions, and a non-severe rider (특약2) at a 50% co-payment with a KRW 10 million annual limit and a KRW 3 million per-admission cap. Musculoskeletal physiotherapy, extracorporeal shockwave therapy, non-benefit injections and unlisted new medical technologies are excluded from 특약2. Existing 3rd and 4th Generation policies move onto 5th Generation terms as their 5-year re-enrollment dates fall due from July 2026.

The Standard Disability Classification Table (표준 장해분류표) established by the Financial Supervisory Service evaluates permanent impairment across 13 anatomical parts: (1) Eyes (눈), (2) Ears (귀), (3) Nose (코), (4) Mastication and Speech (씹거나 말하는 기능), (5) Appearance/Disfigurement (외모), (6) Spine (척추), (7) Trunk Bones (체간골: pelvis, collarbone, sternum, ribs, shoulder blade), (8) Arms (팔), (9) Legs (다리), (10) Fingers (손가락), (11) Toes (발가락), (12) Thoracic/Abdominal Organs and Urogenital (흉복부장기 및 비뇨생식기), and (13) Nervous System & Mental/Behavioral (신경계·정신행동).

No. This question bank is an independent English-language MCQ study adaptation by OpenExamPrep, not an official translation or format simulation. Official third-sector solicitor examinations in South Korea are administered in Korean (ko) by KLIA and KNIA. OpenExamPrep provides this independent practice resource to assist candidates and bilingual insurance professionals in mastering the statutory frameworks, policy structures, and claims rules tested on the exam.