What Is Insurance: Definition & How It Works | MetLife (2024)

Insurance is a contract between you (or a business) and an insurance company to help protect you and your loved ones from financial loss due to an unexpected event, like an accident, illness, natural disaster, or other unexpected circ*mstances. In the case of medical, dental or vision insurance, it can also help keep you or your family healthy by offsetting —and sometimes covering — the cost of routine care.

The insurance contract itself is called a policy. The policy outlines who or what will be covered under the contract, the circ*mstances for which payment will be issued by the insurance company, who will receive the payment, and how much they will receive.

Key takeaways

  • Insurance is a contract between an individual or business with an insurance company to help provide financial protection and mitigate the risks associated with certain situations or events.
  • There are various types of insurance available, including health, dental and vision, life, auto, and legal insurance.
  • Key components to consider when comparing insurance policies are the deductibles, premiums, and policy benefits.
  • During open enrollment, you may be able to get certain types of insurance — like dental, vision, and health — through your employer or government marketplace.

Why is insurance important?

Insurance helps to financially protect you, your dependents and your assets from emergencies, unexpected expenses, and losses. It mitigates risk by transferring potential financial burdens to providers in exchange for regular (typically monthly) payments known as premiums. An insurance policy can help you cover expenses related to routine healthcare, property damage from a natural disaster, or veterinary costs when your pet gets sick.

Overall, the purpose of insurance is to help provide security, stability, and support in times of need. Having insurance may allow you to live your life with fewer worries, knowing you have a financial safety net in place.

Insurance terms you need to know

  • Insurer: the insurance company providing the insurance policy
  • Policyholder: the person named on the policy
  • Policy limit: the maximum amount of money an insurance provider will pay out
  • Premium: the payment you make to the insurance company to keep your policy active
  • Deductible: the amount of money you’re responsible for paying out of pocket before insurance will pay out
  • Coinsurance: a percentage of costs you pay after meeting a deductible
  • Copay: a flat fee you pay each time insurance is used
  • Claim: a formal request for an insurance company to cover payments

Find more insurance terms and definitions here.

How does insurance work?

To put it simply, you pay a premium (usually in the form of a monthly payment) to your insurance company, and in exchange, the company will help pay for any covered accidents, routine wellness visits, and many other situations. Once you’re enrolled in your plan and it has taken effect, you’re covered until you stop paying your premiums or your policy ends. Whether you go to a routine doctor’s visit, experience damage to your home or car, or just need your teeth cleaned, your insurance company will help pay for services that fall under the scope of their coverage — either by reimbursing you directly or paying the service provider.However in some instances, before you receive reimbursem*nt from your insurer, you’ll first need to reach your deductible.

Filing a claim

Some circ*mstances require you to file a claim to collect any money. That means if something happens, you’ll have to submit a request to your insurance company to receive a payout. Information on how to file a claim is typically in your policy documents. In some cases, the service provider you visit — e.g., your doctor, dentist, therapist, etc. — will handle communications directly with the insurance company.

Types of insurance

Insurance helps provide coverage for a wide variety of situations and events.

The most common types of insurance include:

Health insurance: helps cover medical expenses and treatments, such as routine medical visits, injuries, or hospital stays

Dental insurance: often helps cover dental expenses, like regular cleanings and dental procedures

Vision insurance: typically covers routine eye exams, a portion of out-of-pocket eyewear expenses, and will occasionally contribute to procedures like LASIK

Legal insurance: provides access to a network of attorneys for legal help as well as digital self-help documents and resources

Life insurance: pays a set amount to a designated beneficiary when the policyholder dies

Accident insurance: pays out a lump sum in the instance of certain accidents

Disability insurance: provides a portion of income payments to a person who can no longer work due to pregnancy, mental health, injury, illness, or accident

Auto insurance: helps cover collisions, property or personal damage, and comprehensive or no-fault incidents (hitting a deer, storm damage, vandalism, etc.)

Homeowners insurance: helps cover damage to your home from natural disasters, accidents, and other risks associated with owning property

Critical illness insurance: helps provide financial assistance for certain illnesses

Hospital indemnity insurance: helps pay expenses related to hospital stays

Pet insurance: often covers veterinary costs for instances like an injury, illness, and routine vet care

Benefits of insurance

To summarize, here are some key benefits of having insurance:

Financial protection: Insurance helps protect you and your family against unforeseen events and losses that could result in high out-of-pocket expenses.

Risk mitigation: Insurance may reduce the financial burden of an unexpected expense.

Healthcare coverage: Health insurance helps cover the costs of a policyholder's medical expenses, including preventative care and treatments.

Legal assistance: Certain types of insurance, such as legal insurance or liability coverage, offer access to legal services, representation, and advice.

Tax benefits: Depending on the insurance policy, you may be eligible to deduct insurance premiums, leading to lower taxable income and potential tax savings.

How to choose an insurance plan

When choosing an insurance plan, consider your needs and specific circ*mstances. Start by assessing the types of coverage you require and the level of coverage needed. Consider factors like your health, property value, dependents, and budget. Then, research and compare insurance providers, considering their plan options, costs, limits, and any additional benefits offered.

If you need extra guidance, consult with an insurance professional or agent. They can help you understand your options. If you’re enrolling in an insurance policy through your employer, you can reach out to your company's HR department.

How to get insurance

Depending on the type of insurance and the enrollment period, the process of getting insurance will vary. Here are some general guidelines to help you navigate the process:

Open enrollment:During the designated open enrollment period, you may be able to enroll in insurance offered through your employer or the government. Open enrollment dates for employer-sponsored plans are determined by the company and usually take place once a year. However, dates can change or vary by state or circ*mstance.

Special enrollment period (SEP): Certain qualifying life events (QLEs) may qualify you to enroll in insurance outside of the standard open enrollment period. QLEs can include marriage, divorce, having or adopting a child, a change in residence, or a job loss. When a QLE occurs, you’ll typically have a pre-determined time frame (e.g. 30-60 days) to make changes to your insurance coverage.

Year-round enrollment: Some types of insurance, such as auto, homeowners, and life insurance, can be obtained at any time during the year depending on the plan and insurance company. Contact the insurance provider directly for instructions on how to enroll.

You Might Also Like:

Types of Insurance

Different Types of Insurance You Can Get

Many people aren’t aware of the different types of insurance coverage available to them.

4 min read

Supplemental Health Insurance

What Is Supplemental Health Insurance?

Many people enroll in a health insurance policy and assume they have enough coverage. However, certain treatments, services, or medical events may not be covered under a primary insurance plan.

2 min read

Insurance Card

How to Read Your Insurance Card

Getting ready to sign up for a health or dental insurance plan during open enrollment? If so, you’ll likely receive a new insurance card.

3 min read

What Is Insurance: Definition & How It Works | MetLife (2024)

FAQs

What Is Insurance: Definition & How It Works | MetLife? ›

Insurance is a contract between you (or a business) and an insurance company to help protect you and your loved ones from financial loss due to an unexpected event, like an accident, illness, natural disaster, or other unexpected circ*mstances.

What is insurance and how does it work? ›

Insurance is a way to manage your financial risks. When you buy insurance, you purchase protection against unexpected financial losses. The insurance company pays you or someone you choose if something bad occurs. If you have no insurance and an accident happens, you may be responsible for all related costs. 1.

What is insurance easy way to explain? ›

What is insurance? Insurance is a way to manage your risk. When you buy insurance, you purchase protection against unexpected financial losses. The insurance company pays you or someone you choose if something bad happens to you.

What is the simplest definition of insurance? ›

An insurance is a legal agreement between an insurer (insurance company) and an insured (individual), in which an insured receives financial protection from an insurer for the losses he may suffer under specific circ*mstances.

What is the purpose of insurance in simple words? ›

Purpose of insurance

Its aim is to reduce financial uncertainty and make accidental loss manageable. It does this substituting payment of a small, known fee—an insurance premium—to a professional insurer in exchange for the assumption of the risk a large loss, and a promise to pay in the event of such a loss.

What is the basic concept of insurance? ›

Insurance is a commodity which offers protection against various contingencies. Insurance products available for life and non-life are many. In non-life, apart form personal covers such as accident covers and health insurance, there are products covering liabilities under a particular law and or common law.

How does insurance work for beginners? ›

The way it works is pretty simple; you pay a monthly premium to your insurance company based on the level of coverage you wish to receive. If you get into an accident, your insurance will step in to take care of the costs of the damage. All you have to do is call your insurance company and file a claim.

What is insurance in one word answer? ›

Insurance is a legal agreement between two parties – the insurer and the insured, also known as insurance coverage or insurance policy. The insurer provides financial coverage for the losses of the insured that s/he may bear under certain circ*mstances.

Why do we need insurance? ›

Insurance is a financial safety net, helping you and your loved ones recover after something bad happens — such as a fire, theft, lawsuit or car accident. When you purchase insurance, you'll receive an insurance policy, which is a legal contract between you and your insurance provider.

How do insurance companies make money? ›

Most insurance companies generate revenue in two ways: Charging premiums in exchange for insurance coverage and then reinvesting those premiums into interest-generating assets. Insurers also diversify risk by pooling the risk from customers and redistributing it across a larger portfolio.

What are the key benefits of insurance? ›

Financial Stability: Relevant insurance policies guarantee financial stability for a policyholder — monies that could have been expended by a policyholder due to loss is taken care of by the insurer. 3. Provision of Economic Protection: It protects you against unexpected losses that can affect your finances.

What is the term insurance in one sentence? ›

Term insurance is a type of life insurance policy that provides coverage for a certain period of time, such as 30 years. If the insured dies during the time period specified in a term policy and the policy is active, then a death benefit will be paid.

What are the top 3 types of insurance? ›

Most experts agree that life, health, long-term disability, and auto insurance are the four types of insurance you must have.

How does an insurance policy work? ›

An insurance policy is a legal contract between the insurance company (the insurer) and the person(s), business, or entity being insured (the insured). Reading your policy helps you verify that the policy meets your needs and that you understand your and the insurance company's responsibilities if a loss occurs.

What is the primary function of insurance? ›

Provide protection : The primary purpose of insurance is to provide protection against future risk, accidents and uncertainty. Insurance cannot check the happending of the risk, but can certainly provide for the losses of risk.

What is the point of insurance? ›

Insurance in general is meant to protect you financially if something bad happens that is expensive to fix or recover from. You might get insurance for your car, life, your apartment, or even your phone. When you have insurance, you pay a little bit each month.

What exactly does insurance cover? ›

What is Insurance Coverage? Insurance coverage is the amount of risk, liability, or potential loss that is protected by insurance. It helps individuals recover from financial losses as a result of incidents, such as car accidents, damaged property, or unexpected health issues.

How does paying for insurance work? ›

Premium: A fee to get and keep insurance. You may pay the whole premium or your employer may pay all or part of it. Premium Assistance: You may qualify for help from the federal government to pay for your premium. You can only get the assistance if you purchase one of the plans offered through Covered California.

What are the benefits of having insurance? ›

Provision of Economic Protection: It protects you against unexpected losses that can affect your finances. 4. Maintains Standard of Living: Insurance gives you a level of protection that ensures you maintain your standard of living. 5. Grants/Loan: The insurance policy can be used to apply for loan as a security.

Top Articles
Buy Bitcoin In Dubai UAE With Cash | Bitcoin OTC Exchange
What steps can you take to improve a contract's performance?
Chs.mywork
Oldgamesshelf
Devon Lannigan Obituary
Unity Stuck Reload Script Assemblies
Rondale Moore Or Gabe Davis
His Lost Lycan Luna Chapter 5
Goteach11
Palace Pizza Joplin
Needle Nose Peterbilt For Sale Craigslist
Carter Joseph Hopf
4156303136
Red Tomatoes Farmers Market Menu
Gdlauncher Downloading Game Files Loop
Everything We Know About Gladiator 2
Royal Cuts Kentlands
Baja Boats For Sale On Craigslist
Craigs List Jonesboro Ar
پنل کاربری سایت همسریابی هلو
6892697335
Stockton (California) – Travel guide at Wikivoyage
Infinite Campus Asd20
Jesus Calling Feb 13
Craigslist Efficiency For Rent Hialeah
How to Use Craigslist (with Pictures) - wikiHow
Martin Village Stm 16 & Imax
Craigslist Free Puppy
What Happened To Father Anthony Mary Ewtn
Shaman's Path Puzzle
Forager How-to Get Archaeology Items - Dino Egg, Anchor, Fossil, Frozen Relic, Frozen Squid, Kapala, Lava Eel, and More!
RFK Jr., in Glendale, says he's under investigation for 'collecting a whale specimen'
Amici Pizza Los Alamitos
Iban's staff
Are you ready for some football? Zag Alum Justin Lange Forges Career in NFL
Craigslist Boats Eugene Oregon
Bernie Platt, former Cherry Hill mayor and funeral home magnate, has died at 90
Joey Gentile Lpsg
11301 Lakeline Blvd Parkline Plaza Ctr Ste 150
Jack In The Box Menu 2022
Best Restaurants Minocqua
Mid America Clinical Labs Appointments
Worcester County Circuit Court
Former Employees
Exam With A Social Studies Section Crossword
فیلم گارد ساحلی زیرنویس فارسی بدون سانسور تاینی موویز
Deezy Jamaican Food
Access to Delta Websites for Retirees
Stoughton Commuter Rail Schedule
Barber Gym Quantico Hours
De Donde Es El Area +63
Rise Meadville Reviews
Latest Posts
Article information

Author: Fr. Dewey Fisher

Last Updated:

Views: 6757

Rating: 4.1 / 5 (62 voted)

Reviews: 93% of readers found this page helpful

Author information

Name: Fr. Dewey Fisher

Birthday: 1993-03-26

Address: 917 Hyun Views, Rogahnmouth, KY 91013-8827

Phone: +5938540192553

Job: Administration Developer

Hobby: Embroidery, Horseback riding, Juggling, Urban exploration, Skiing, Cycling, Handball

Introduction: My name is Fr. Dewey Fisher, I am a powerful, open, faithful, combative, spotless, faithful, fair person who loves writing and wants to share my knowledge and understanding with you.