Deductible

A deductible in insurance is an amount that the policyholder must pay out of pocket before their insurance coverage kicks in. In other words, the deductible is the portion of the loss that the policyholder is responsible for paying before the insurer is required to pay any benefits.

Here are some key features of deductibles in insurance:

• Amount: Deductibles can vary in amount, depending on the type of insurance policy and the specific terms of the policy. For example, a health insurance policy may have a deductible of $1,000, while a car insurance policy may have a deductible of $500.

• Applicability: Deductibles may apply to different types of losses or events, depending on the insurance policy. For example, a health insurance policy may have a separate deductible for hospital stays and prescription drugs, while a homeowner's insurance policy may have a separate deductible for wind damage and water damage.

• Impact on premiums: The amount of the deductible can impact the cost of insurance premiums. Generally, higher deductibles mean lower premiums, while lower deductibles mean higher premiums.

Timing: Deductibles may be per occurrence or per policy period. For example, a car insurance policy may have a per-occurrence deductible of $500, meaning that the policyholder must pay $500 for each accident before the insurer pays any benefits. Alternatively, a health insurance policy may have a per-policy-period deductible of $1,000, meaning that the policyholder must pay $1,000 in total for covered expenses before the insurer pays any benefits.

Here's an example: Let's say you have a car insurance policy with a $500 deductible. You get into an accident that causes $2,000 in damage to your car. You would be responsible for paying the first $500, and the insurance company would cover the remaining $1,500. If the damage had only been $400, you would be responsible for paying the full amount, since it's below your deductible.

Next Up

The latest economic release from the Bureau of Labor Statistics reports that the U.S. job market rebounded after a sluggish month in October to add 227 thousand new jobs last month as the unemployment rate ticked up slightly to 4.2%.
‍We are excited to announce the launch of Insights+, a service that enables employers to see exactly how their benefits measure up against the competition.
Each month, Mployer collects and presents some of the most relevant and most pressing recent changes in law, compliance, and policy in areas related to employee benefits, health care, and human resources.