Insurance, plain English.
Every bit of jargon, defined in one sentence.
A
Actuarial
Mathematical discipline behind pricing insurance risk.
Add-on cover
Optional rider that adds specific benefits to a base policy for extra premium.
Annuity
Series of payments made at equal intervals, usually as retirement income.
B
Beneficiary
The person legally entitled to receive the payout when a claim is paid.
Bancassurance
Distribution model where banks act as corporate agents for insurers — common for life and health products.
C
Cashless claim
Claim mode where the insurer settles the hospital bill directly, you don't pay upfront.
Claim Settlement Ratio
Percentage of claims an insurer settles out of total claims filed, by number, published annually by IRDAI.
Co-payment
Share of the admissible claim amount that you bear. E.g. 10% co-pay means you pay 10%, insurer pays 90%.
Comprehensive cover
Policy that covers both third-party liability and own-damage losses. Usually for motor.
D
Deductible
Fixed amount you pay before the insurer starts paying. Common in super top-up plans.
E
Endorsement
Any subsequent change to the policy after issuance, e.g. address change or adding a rider.
Exclusion
A peril, person, or loss that the policy does not cover, listed explicitly in the wording.
F
Free-look period
The 15-day window after policy issuance during which you can cancel for a full refund.
Free-look refund
Premium refund (less mortality / stamp / risk charges) when a policy is cancelled within the 15-day free-look window.
G
Grace period
Time allowed after the premium due date during which the policy stays in force. Typically 15–30 days.
I
IDV
Insured Declared Value — market value of a vehicle used to set the maximum claim payout.
IGMS
Integrated Grievance Management System — IRDAI portal where customer complaints are tracked end-to-end.
M
Maturity benefit
Amount paid to the policyholder at the end of a savings-cum-insurance policy term.
N
Network hospital
Hospital that has a cashless tie-up with an insurer. Not every hospital is a network hospital.
No Claim Bonus
Discount on renewal premium for a claim-free year. Health: increases sum insured; Motor: percentage discount, up to 50%.
Nominee
Person named in the policy to receive the death claim amount.
P
Pre-existing Disease
Any condition diagnosed or treated within 48 months before buying the policy.
Portability
Health policy feature letting you switch insurers at renewal while keeping waiting-period credit.
R
Restoration benefit
Feature that restores the sum insured when it's exhausted, for unrelated illnesses in the same year.
Rider
Optional feature added to a base policy — e.g. critical illness, accidental death.
Room rent cap
Per-day limit on room rent. Lower rent is usually capped at 1% of sum insured for standard plans.
S
Sum Insured
Maximum amount the insurer will pay in a policy year for health/motor/travel claims.
Solvency ratio
Insurer's ratio of assets to liabilities. IRDAI mandates a minimum of 1.50× — below 1.30× the regulator takes supervisory action.
T
Third-Party cover
Covers liability for injuries or damage you cause to others. Legal minimum for motor.
U
Underwriting
Process of assessing risk and deciding whether (and at what price) to offer cover.
W
Waiting period
Time during which a particular benefit is unavailable after policy issuance.