Premiums, Policy Limits, and Deductibles — What Are They? (2024)

There’s more to being an informed shopper than merely saving money on a superb deal. While shopping for commercial insurance, you’ll regularly come across three terms: premiums, policy limits, and deductibles. Knowing the definition of this insurance lingo can save you money and time as you search to protect your business. This post will lay out what these terms mean in addition to some real-life examples. Let’s dive in.

What Are Premiums?

All products and services available for purchase have some price tag. When it comes to your insurance policy, a premium is its price tag. In short, it’s the amount you pay for your insurance policy.

Premiums are typically due monthly, quarterly, semiannually, or annually, depending on the arrangement you work out with your insurer. Plus, most insurance carriers offer discounts if you pay your premium once a year or simply pay the premium in full when you purchase the policy.

A variety of factors influence how insurers calculate premiums, such as:

  • Business type
  • Valuation
  • Insurance history
  • Geographical location
  • Revenue
  • Loss-control program
  • Insurance policy
  • Coverage amount
  • Policy limits
  • Deductible amount
  • Additional coverage
  • Discounts

Your premium is one of the most crucial aspects of your entire insurance policy. Suppose you miss a payment. Your insurer likely offers what’s known as a “grace period” and will allow you a specific amount of extra time to pay it. Of course, some insurance companies charge late fees for premium payments that mosey past the due date — but paying it will keep your policy active.

If you stop paying your premium altogether, for one reason or another, your policy will lapse. Once the policy expires due to no payment, your insurer will be forced to cancel it. Halting policy payments isn’t the best way to cancel a business insurance policy. This route leaves a lot of loose ends.

To get the most affordable policy premium for your business, an excellent approach is to work with a seasoned insurance professional who will apply the most discounts. Plus, automatic deductions and insurance bundles often slice off some of the premium, too.

What Are Policy Limits?

When you pay your premiums on time to keep your policy active, it enables your policy to reimburse you for covered losses. However, there are limits to how much your insurer will pay out per incident or over a specific time frame. These policy limits are also known as caps or limits of liability.

As mentioned, your policy limits impact the cost of your premium and determine how much the insurer will payout per loss. Not all policies approach policy limits the same way, either. Each policy has a unique way of limiting payouts.

For example, two types of insurance coverage limits exist, which include:

  • Per-occurrence limits: The maximum amount of money your insurer will pay per-incident.
  • Aggregate limits: The maximum amount of money your insurer will pay for all claims for your policy period.

Usually, general liability and professional liability policies are impacted by policy limits the most — but this doesn’t exclude other coverage types. Remember, policy limits set a cap on payouts. However, the max amount can change depending on the kind of loss.

One great example of this relates to workers’ compensation insurance. Employees are often compensated for medical bills and lost wages if they’ve undergone an injury at work. But the specific amount to be paid is up to that state’s Workers’ Compensation Board. Plus, the employer’s role in the incident might dictate limits, too.

What Are Deductibles?

The primary objective of insurance is to manage risk in a more affordable and effective manner. In essence, businesses aim to distribute the risk more widely through risk-sharing mechanisms rather than bearing the full exposure themselves. Your policy deductible is instrumental in how risk can be managed effectively. Understanding how can risk be managed through strategic deductible choices empowers businesses to navigate uncertainties with greater resilience and financial prudence.

A deductible is the amount of out-of-pocket money you pay toward the loss before your insurance kicks in. Only after you reach your annual deductible will the insurer provide financial coverage.

Most insurance carriers offer a variety of deductible amounts, ranging from low to high. Business owners can save money on their premiums without sacrificing coverage by:

  • Bundling insurance policies
  • Practicing precautionary measures
  • Increasing the deductible

Deductibles can help businesses to customize their insurance coverage to fit their needs. No matter if you’re willing to bank on a significant amount of vulnerability or if your budget calls for a particular amount, deductibles are flexible.

For example, opting for a lower deductible typically means stomaching a higher premium. On the flip side, however, choosing to pay more out of pocket per claim with a high-deductible policy often reduces your premium.

Understanding the details of what coverage your company needs can be a confusing process. Founder Shield specializes in knowing the risks your industry faces to make sure you have adequate protection. Feel free to reach out to us, and we’ll walk you through the process of finding the right policy for you.

Want to know more about small business insurance? Talk to us! You can contact us at ​info@foundershield.com​ or create an account ​here​ to get started on a quote.

Premiums, Policy Limits, and Deductibles — What Are They? (2024)

FAQs

What is the deductible and policy limit? ›

Policy limits determine how much your insurer will pay out per incident or over a specific time frame. Deductibles are the amount you pay out of pocket before your insurance coverage kicks in.

What is the policy premium and deductible? ›

Monthly premium x 12 months: The amount you pay to your insurance company each month to have health insurance. Deductible: How much you have to spend for covered health services before your insurance company pays anything (except free preventive services)

What is coverage limit and deductible? ›

When you have a deductible, you need to get the amount of money for your deductible before a claim gets paid out. Once you clear the deductibles, the insurance company will pay you up to the policy limits and conditions in the wording for the rest of the claim value.

What is the insurance policy limit? ›

Also known as your coverage amount, your insurance limit is the maximum amount your insurer may pay out for a claim, as stated in your policy. Most insurance policies, including home and auto insurance, have different types of coverages with separate coverage limits.

What are deductible limits? ›

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself.

What is the difference between a limit and a premium? ›

The limits you choose affect the amount you pay for coverage — the higher your limit, the higher your premium likely will be. In the event of a covered claim, you may have to pay a deductible up front, and your insurance will help pay the rest — up to your coverage limits. You're responsible for anything beyond that.

Is it better to have a lower deductible or premium? ›

A lower deductible plan is a great choice if you have unique medical concerns or chronic conditions that need frequent treatment. While this plan has a higher monthly premium, if you go to the doctor often or you're at risk of a possible medical emergency, you have a more affordable deductible.

Is a $0 deductible good for health insurance? ›

Zero-deductible plans, which are most commonly platinum, may appeal to some consumers. If you visit doctors or specialists frequently, or have a chronic illness that requires several medications, health insurance with no deductible or no copay could help you spread your medical costs over the year.

Why is my deductible so high for health insurance? ›

The first factor is the high cost of health care services. The cost of medical treatments, procedures, and prescription drugs has continued to skyrocket year over year with seemingly no end in sight. As those costs have grown, both the individual deductible and family deductible have increased in tandem.

What should my deductible be for full coverage? ›

The most common deductible for car insurance is $500, but what's best for you depends on your budget and insurance needs. If you choose a low deductible, you'll usually pay a higher insurance premium.

What are deductibles and maximums? ›

A deductible is the cost a you pay on health care before the health plan starts covering any expenses, whereas an out-of-pocket maximum is the amount a you must spend on eligible healthcare expenses through copays, coinsurance, or deductibles before the health plan starts covering all covered expenses.

What is an example of a deductible for insurance? ›

For example, if you have a health insurance policy with a $1,000 deductible and you receive a medical bill for $2,000, you would be responsible for paying the first $1,000 and your insurance would cover the remaining $1,000.

What is the limit of policy? ›

A policy limit is the maximum amount of money an insurer will pay out to an insurance policyholder after an insured loss. Policy limits are defined based on what is insured and the kind of kind of policy you hold.

What is the best way to describe a deductible? ›

In most cases, a deductible is the amount of money you — the insured — must pay for medical care before your insurance plan starts to pay. When you pay a deductible, you're actually paying some or all of the allowed amount for your treatment.

How to determine insurance limits? ›

Several factors determine the insurance limits for a given policy. First, applicable federal or state laws may inform policy limits. For instance, each state sets the minimum requirements for auto insurance liability. These limits ensure drivers carry at least a certain amount of coverage.

What is the difference between total insured value and policy limit? ›

Total insurable value (TIV) is the maximum dollar amount that will be paid out on an insured asset when deemed to be a constructive or actual total loss. The maximum coverage limit for an insurance policy is determined by conducting a full inventory of a property and its contents.

Is a $2500 deductible good home insurance? ›

Is $2,500 a good home insurance deductible? As long as you're comfortably able to pay it in the event of a claim and don't mind footing the bill for smaller losses (say, a broken pipe or stolen laptop), $2,500 is a fine deductible to choose.

What does a 500 deductible insurance policy mean? ›

After you pay the car deductible amount, your insurer will cover the remaining cost to repair or replace your vehicle. Example:You have a $500 deductible and $3,000 in damage from a covered accident. Your insurer will pay $2,500 to repair your car, and you'll be responsible for the remaining $500.

What does it mean when insurance says 80% after deductible? ›

You will pay the first $3,000 of your hospital bill as your deductible. Then, your coinsurance kicks in. The health plan pays 80% of your covered medical expenses. You'll be responsible for payment of 20% of those expenses until the remaining $3,350 of your annual $6,350 out-of-pocket maximum is met.

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