Though  on the face of it, the difference lies in only two alphabets, in  principle the two terms have very different meanings. While a sum  assured defines the benefit, sum insured only reimburses the insured  loss. Sum assured It is a pre-defined benefit that the insurer pays to  the policyholder in case the insured event takes place. For instance, in  a life insurance policy, the insurer promises to pay the nominee a sum  assured-a pre-decided amount-in case of the policyholder's death. For  this amount, the policyholder pays a premium to the insurer. If the  policyholder dies during the term of the policy, the insurer will pay  the nominee the sum assured and the policy terminates. Sum insured A  policy that offers a sum insured works on the principle of indemnity. By  definition, indemnity means compensation for any damage, loss or injury  suffered. Non-life insurance policies such as health, motor and  householder's work on the principle of indemnity. 
These policies only cover  the losses on account of any damage to the insured asset. Let's take a  health insurance policy that offers a sum insured of Rs1 lakh. If the  insured person gets hospitalized and has to pay Rs. 50,000, the insurer will pay the entire amount. However, if the bill runs up to Rs. 2 lakh, the insurer will pay only Rs. 1  lakh and the insured person will have to foot the remainder. The idea  is that the compensation should not result in a monetary benefit and so  the policyholder should not be given more than the loss he has suffered.  For this reason, the cover on these policies is referred to as the sum  insured. Policies that offer both While a typical health insurance  policy reimburses your hospital bills, insurers have also started  offering plans that give you a pre-defined benefit on a pre-defined  medical situation. These benefit policies are offered by both life as  well as non-life insurance companies. 
Such plans come packaged in  variants such as critical illness plans that gives a one-time benefit  if you suffer from any specified illness such as heart attack, cancer or  paralysis. A hospital cash policy that gives a pre-defined daily cash  benefit till the time the policyholder is hospitalized and surgical  benefit plans pays the sum assured against a defined surgery. While for  you the difference between the two terms may not hold great immediate  importance, the knowledge may come handy at the time of buying a policy.  If the agent offers you a sum assured on your health insurance policy,  he is selling you a defined benefit plan. But what you need first is the  basic health insurance plan that reimburses your medical expenses.
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