Understanding Insurance

Discover how insurance contracts work, the different types of insurance available, and why insurance is a critical component of financial planning. Learn about key concepts like premiums, deductibles, and policy limits.

What Is Insurance?

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursement against losses from an insurance company. The company pools clients’ risks to make payments more affordable for the insured. Most people have some insurance: for their car, their house, their healthcare, or their life.

Insurance policies hedge against financial losses resulting from accidents, injury, or property damage. Insurance also helps cover costs associated with liability (legal responsibility) for damage or injury caused to a third party.

Key Takeaways

  • Insurance is a contract (policy) in which an insurer indemnifies another against losses from specific contingencies or perils.
  • There are many types of insurance policies. Life, health, homeowners, and auto are among the most common forms of insurance.
  • The core components that make up most insurance policies are the premium, deductible, and policy limits.

How Insurance Works

Many insurance policy types are available, and virtually any individual or business can find an insurance company willing to insure them—for a price. Common personal insurance policy types are auto, health, homeowners, and life insurance. Most individuals have at least one of these types of insurance, and car insurance is required by state law.

Businesses obtain insurance policies for field-specific risks. For example, a fast-food restaurant’s policy may cover an employee’s injuries from cooking with a deep fryer. Medical malpractice insurance covers injury- or death-related liability claims resulting from the health care provider’s negligence or malpractice.

There are also insurance policies available for very specific needs. Such coverage includes business closures due to civil authority, kidnap, ransom, and extortion (K&R) insurance, identity theft insurance, and wedding liability and cancellation insurance.

Insurance Policy Components

Understanding how insurance works can help you choose a policy. For instance, comprehensive coverage may or may not be the right type of auto insurance for you. Three components of any insurance type are the premium, policy limit, and deductible.

Premium

A policy’s premium is its price, typically a monthly cost. Often, an insurer takes multiple factors into account to set a premium. Here are a few examples:

  • Auto insurance premiums: Your history of property and auto claims, age and location, creditworthiness, and many other factors.
  • Home insurance premiums: The value of your home, personal belongings, location, claims history, and coverage amounts.
  • Health insurance premiums: Age, sex, location, health status, and coverage levels.
  • Life insurance premiums: Age, sex, tobacco use, health, and amount of coverage.

Policy Limit

The policy limit is the maximum amount an insurer will pay for a covered loss under a policy. Maximums may be set per period (e.g., annual or policy term), per loss or injury, or over the life of the policy.

Typically, higher limits carry higher premiums. For a general life insurance policy, the maximum amount that the insurer will pay is referred to as the face value. This is the amount paid to your beneficiary upon your death.

Deductible

The deductible is a specific amount you pay out of pocket before the insurer pays a claim. Deductibles serve as deterrents to large volumes of small and insignificant claims.

For example, a $1,000 deductible means you pay the first $1,000 toward any claims. Suppose your car’s damage totals $2,000; you pay the first $1,000, and your insurer pays the remaining $1,000.

Deductibles can apply per policy or claim, depending on the insurer and the type of policy. Health plans may have an individual deductible and a family deductible. Policies with high deductibles are typically less expensive because the high out-of-pocket expense generally results in fewer small claims.

Types of Insurance

There are many different types of insurance. Let’s look at the most important.

Health Insurance

Health insurance helps cover routine and emergency medical care costs, often with the option to add vision and dental services separately. In addition to an annual deductible, you may also pay copays and coinsurance, which are your fixed payments or percentage of a covered medical benefit after meeting the deductible. However, many preventive services may be covered for free before these are met.

Health insurance may be purchased from an insurance company, an insurance agent, the federal Health Insurance Marketplace, provided by an employer, or federal Medicare and Medicaid coverage.

Home Insurance

Homeowners insurance (also known as home insurance) protects your home, other property structures, and personal possessions against natural disasters, unexpected damage, theft, and vandalism. Homeowner insurance won’t cover floods or earthquakes, which you’ll have to protect against separately. Policy providers usually offer riders to increase coverage for specific properties or events.

Auto Insurance

Auto insurance can help pay claims if you injure or damage someone else’s property in a car accident, help pay for accident-related repairs on your vehicle, or repair or replace your vehicle if stolen, vandalized, or damaged by a natural disaster.

Instead of paying out of pocket for auto accidents and damage, people pay annual premiums to an auto insurance company. The company then pays all or most of the covered costs associated with an auto accident or other vehicle damage.

Life Insurance

A life insurance policy guarantees that the insurer pays a sum of money to your beneficiaries (such as a spouse or children) if you die. In exchange, you pay premiums during your lifetime.

There are two main types of life insurance. Term life insurance covers you for a specific period, such as 10 to 20 years. If you die during that period, your beneficiaries receive a payment. Permanent life insurance covers your whole life as long as you continue paying the premiums.

Travel Insurance

Travel insurance covers the costs and losses associated with traveling, including trip cancellations or delays, coverage for emergency health care, injuries and evacuations, damaged baggage, rental cars, and rental homes. However, even some of the best travel insurance companies do not cover cancellations or delays due to weather, terrorism, or a pandemic.

Why Is Insurance Important?

Insurance helps protect you, your family, and your assets. An insurer will help you cover the costs of unexpected and routine medical bills or hospitalization, accident damage to your car or injury of others, and home damage or theft of your belongings. An insurance policy can even provide your survivors with a lump-sum cash payment if you die. In short, insurance can offer peace of mind regarding unforeseen financial risks.

Is Insurance an Asset?

Depending on the type of life insurance policy and how it is used, permanent or variable life insurance could be considered a financial asset because it can build cash value or be converted into cash. Simply put, most permanent life insurance policies have the ability to build cash value over time.

The Bottom Line

Insurance helps to protect you and your family against unexpected financial costs and resulting debts or the risk of losing your assets. Insurance helps protect you from expensive lawsuits, injuries and damages, death, and even total losses of your car or home.

Sometimes, your state or lender may require you to carry insurance. Although there are many insurance policy types, some of the most common are life, health, homeowners, and auto. The right type of insurance for you will depend on your goals and financial situation.

Related Terms: premium, deductible, policy limit, risk management, life insurance, health insurance, auto insurance, home insurance.

References

  1. Consumer Financial Protection Bureau. “What Is Insurance?”
  2. U.S. SBA. “Get Business Insurance.”
  3. Ohio Department of Insurance. “How Insurance Rates are Determined”.
  4. HHS.gov. “Lifetime & Annual Limits”.
  5. Healthcare.gov. “Preventive Health Services.”
  6. State of California Franchise Tax Board. “Individual Shared Responsibility Penalty Estimator”.
  7. CFPB. “What is Homeowner’s Insurance? Why is Homeowner’s Insurance Required?”
  8. CFPB. “What is Force-Placed Insurance”.
  9. Texas Department of Insurance. “Do You Need Life Insurance?”
  10. Centers for Disease Control. “Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance.”
  11. Investor.gov. “Variable Life Insurance”.

Get ready to put your knowledge to the test with this intriguing quiz!

--- primaryColor: 'rgb(121, 82, 179)' secondaryColor: '#DDDDDD' textColor: black shuffle_questions: true --- ## What is the primary purpose of insurance? - [x] To mitigate financial loss - [ ] To directly generate profit for policyholders - [ ] To serve as an alternative to saving money - [ ] To reduce taxes for individuals ## Which type of insurance covers medical expenses? - [ ] Life insurance - [x] Health insurance - [ ] Auto insurance - [ ] Home insurance ## What is a premium in the context of insurance? - [ ] The total coverage amount - [x] The cost paid periodically for the insurance policy - [ ] A penalty for late payment - [ ] The out-of-pocket cost during a claim ## What does 'deductible' mean in an insurance policy? - [ ] The discount offered on premiums - [x] The amount the insured must pay out-of-pocket before the insurance kicks in - [ ] The total amount the insurance will cover - [ ] The bonus paid at the policy’s expiry ## Which type of insurance provides payment on the death of the insured? - [x] Life insurance - [ ] Health insurance - [ ] Travel insurance - [ ] Auto insurance ## In an insurance context, what is 'underwriting'? - [ ] The act of processing a claim after a loss - [ ] The execution of insurance fraud detection - [x] The process of evaluating risk and determining policy terms - [ ] The procedure for premium calculations ## What is co-insurance in a health insurance policy? - [ ] The interchangeable use of multiple health insurance providers - [x] A percentage of costs the insured must pay after the deductible is met - [ ] The premium paid at renewal - [ ] A supplemental insurance policy ## Which insurance is mandatory in most jurisdictions for car owners? - [ ] Travel insurance - [ ] Health insurance - [x] Auto insurance - [ ] Home insurance ## What does an insurance 'claim' refer to? - [ ] A request made by the insurer to renew a policy - [ ] An invoice sent by the insurance company for premium payments - [x] A request made by the insured for payment of a covered loss - [ ] A rating of insurance policy satisfaction ## What is 'policyholder' in the context of insurance? - [ ] The company that issues the insurance document - [x] The individual or entity that owns the policy - [ ] The agent selling the insurance - [ ] The witness to an insurance contract