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How insurance works: premiums, cover and deductibles

Insurance is an agreement to pay a premium for cover against specified events. It helps manage possible losses; the terms determine when and how much is paid.

The premium is the price of cover, paid for example monthly or annually. A policy sets out the agreement. An insured event is an event the cover addresses. A loss alone does not mean every policy will pay: check what happened, who is insured, whether cover is in force and what it includes. A deductible is the share of a claim borne by the insured under the terms. A coverage limit caps payment or liability; separate limits may apply per event and per period. An exclusion identifies a situation not covered. Qualification or waiting periods may delay eligibility or the start of benefits; their precise meaning depends on the contract. Premiums are not savings automatically returned when no claim occurs. Some products combine insurance and savings, but these are separate components. Insurance does not prevent the event itself, replace care or eliminate the need to budget for costs left to the insured. Compare offers using equivalent cover, periods, limits, deductibles and exclusions. A small monthly price alone does not determine suitability. This is concept education, not a recommendation of a policy or insurer.

Invented policy: ILS 60 monthly premium, a covered loss of 3,000 and a fixed deductible of 500. Assume a sufficient coverage limit and no other reductions. The insurer pays 2,500; the insured pays 500 of the loss. Premiums are a separate cost: 60 × 12 = 720 per year. If the covered loss were only 300 with a 500 deductible, no insurer payment arises under these assumptions. These are not real product prices or terms.

Compare two fictional policies with identical cover: A costs ILS 600 yearly with an 800 deductible; B costs 900 with a 300 deductible. Calculate cost with no claim and with one covered loss of 2,000. No single answer suits everyone.

Capital Market Authority · Insurance information ↗

Check your understanding

For the example loss of 3,000 and deductible of 500, what does the insurer pay?

  • ILS 3,000
  • ILS 500
  • ILS 2,500
Answer and explanation

ILS 2,500. Under these exercise assumptions, subtract the deductible: 3,000 − 500.

What is a premium?

  • Money always returned at year-end
  • The price paid for insurance
  • The entire loss incurred
Answer and explanation

The price paid for insurance. A premium pays for cover; it does not promise money back.

What should you check besides price?

  • Cover, exclusions, limits and deductibles
  • Only the logo colour
  • Only the policy name
Answer and explanation

Cover, exclusions, limits and deductibles. Similarly named policies may have very different terms.

Continue learning

Insurance types: health, life, home, motor and travel — Different insurance products address different risks. Start with what a product covers, who receives payment and on what terms, rather than relying on its name.

Reading a policy and understanding overlapping cover — Reading a policy means checking covered events, exclusions, price and possible payment. Similar policies are neither automatically redundant nor a promise of double payment.

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