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Insurance Terminology Explained: The Complete India-Focused Guide For 2026

Buying insurance is confusing because the industry uses terms that most people don’t encounter anywhere else. Whether you’re choosing car insurance, bike insurance, health cover, term insurance, or travel protection, the terminology can create unnecessary complexity.

This guide explains the most important insurance terms in simple, everyday language, so you can make confident decisions when comparing policies, selecting coverage, or filing a claim.

Each definition is written for Indian customers and aligned with the terms used across major insurers and IRDAI guidelines.

1. Essential Insurance Terms Everyone Should Know

Premium

The amount you pay to keep your policy active. It may be annual, monthly, or a single payment.

Sum Assured / Sum Insured

The maximum amount the insurer will pay for a covered claim.

Sum Assured = Life/Term policies

Sum Insured = Health and General Insurance (e.g., car, bike, travel)

Policy Period

The duration for which your policy is valid, usually one year for motor and health and longer for term life.

Coverage

The events, damages, costs, or risks the insurer agrees to pay for.

Exclusions

Events or damages the insurer does not cover.

Riders / Add-ons

Optional benefits you can attach to your policy to enhance coverage.

Endorsements

Any change or update made to the policy after it is issued.

Claim

A request you file with the insurer when you experience a covered loss or event.

Cashless Facility

A feature where approved hospitals or garages settle the bill directly with the insurer.

Deductible / Co-Pay

The amount you pay out of pocket before the insurer pays the remaining amount.

2. Car & Bike Insurance Terms You Must Know

IDV (Insured Declared Value)

Your vehicle’s current market value. It determines your own-damage premium and is the maximum payout in total loss or theft.

NCB (No Claim Bonus)

A discount on your next premium if you did not make any claims in the previous year.

Zero Depreciation Cover

An add-on that allows you to receive full claim amounts without depreciation cuts on parts.

Third-Party Insurance

Mandatory by law. Covers damage or injury caused to others, but not your vehicle.

Comprehensive Policy

Includes third-party liability and own-damage (accidents, fire, theft, natural disasters).

Engine Protect Cover

Helps cover engine damage not included in standard policies, such as water ingression.

Cashless Garage

A network garage where repairs happen without you paying upfront.

3. Health Insurance Terms Explained

Pre-Existing Disease (PED)

Any illness you already had before buying the policy.

Waiting Period

Time during which certain treatments or conditions won’t be covered.

Cashless Hospitalization

Treatment at a network hospital where the insurer directly settles the bill.

Co-Pay

A fixed percentage of the hospital bill you agree to pay.

Sum Insured Refill / Restore

Feature where the insurer “refills” your coverage amount if it gets exhausted.

Day Care Procedures

Treatments requiring less than 24 hours of hospitalization.

Room Rent Limit

Maximum room cost covered per day; exceeding it triggers proportionate deductions.

4. Term & Life Insurance Terms

Term Plan

Pure life cover with no maturity benefit; offers high coverage at low premium.

Maturity Benefit

Amount paid at the end of policy term (only in return-of-premium or savings plans).

Nominee

Person who receives the sum assured in case of the policyholder’s death.

Paid-Up Value

Reduced benefit amount if you stop paying premiums midway.

Critical Illness Rider

Lump sum payout on diagnosis of a specified severe disease.

Accidental Death Benefit Rider

Extra payout if death occurs due to an accident.

5. Travel Insurance Terms

Trip Cancellation Cover

Covers non-refundable expenses when you cancel the trip due to covered reasons.

Medical Emergency Cover

Covers medical expenses abroad, including hospitalization.

Baggage Loss / Delay

Provides compensation if your luggage is lost or delayed.

Passport Loss Cover

Covers expenses for obtaining a duplicate or replacement passport.

6. How These Terms Affect Your Premium

Insurance premiums depend on how each of these factors interact:

  • Higher IDV increases premium but increases payout
  • More add-ons increase premium but improve coverage
  • Higher sum insured increases health insurance cost
  • Pre-existing conditions may lead to waiting periods
  • Zero Dep increases motor premiums but boosts claim payout
  • Co-pay reduces premium but increases your share during claims
  • Younger age = lower life and health insurance premiums

Understanding these terms helps you select the right balance between coverage and cost.

7. Why You Should Review the Glossary Before Buying a Policy

Insurance language should not stand between you and the right policy. PolicyBachat built a Glossary specifically to help customers:

  • Decode insurer terminology quickly
  • Compare plans fairly
  • Understand add-ons
  • Evaluate exclusions
  • Avoid claim surprises
  • Make informed decisions

If you’d like to review any of these terms with simple definitions, you can refer to the Glossary.

Updated On: 2025-12-10

Author : Team PolicyBachat

Frequently Asked Questions

Casualty insurance is the insurance under a health insurance policy where sudden death or demise of a person, suicidal attempts or if the person with a disability due to any accident been covered under this insurance this may be varied with each and every company.

Liability insurance is a type of insurance that offers protection to businesses and individuals from risk that they may be held legally or sued for negligence, malpractice or injury. Liability insurance protects the insured customers from legal payouts and costs for which the policyholder is deemed responsible. Liability is the responsibility of the insured customer for the damages caused to the third party due to the negligence, malpractice or injury.

Keyman insurance is defined as an insurance policy where the customer, as well as the insured person both roles, are maintained as an employer.

Many group insurance firms provide maternity coverage to pregnant women. The pregnancy plan covers all the hospitalizations charges from boarding to nursing. This plan covers all the medical charges incurred during the pre and post-delivery period. This duration is predefined by the insurer. All the costs that occurred for surgeries and pregnancy complications can be claimed. Expenditures for pre and post-natal durations are provided to the insured through this plan. The maternity insurance policy covers pre and post-natal care, C-section operation, and also a vaccination for newborn baby for a specified period.

Insurance and Assurance are the most common terms used in the insurance terminology. Insurance guarantees financial coverage in case of loss due to an insured peril or an uncertain event such as accident, hospitalization, fire damage, etc. The uncertain event may or may not happen during the policy period. This uncertainty is covered under the term Insurance. Assurance guarantees financial coverage in case of loss due to a certain event; such as death. The event is certain to happen at any time during the policy period where the coverage is applicable. The certainty of happening is covered under the term Assurance.

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