The Ultimate Insurance
Glossary
for Indian businesses
The Ultimate Insurance Glossary
Easy-to-grasp definitions for claims, coverage, and policy terms.
Accident CoverInsurance that pays out for
injuries or death caused by accidents.Coverage
AdjudicationProcess of reviewing and deciding
the outcome of an insurance claim.Claims
Insurance AgentLicensed individual who sells
policies on
behalf of one insurance company.People
AYUSH
TreatmentMedical care using Ayurveda, Yoga, Unani, Siddha, or
Homeopathy systems.Hospitalization
ClaimFormal request made to the insurer for
payment after a covered event.Claims
Claim settlement ratio (CSR)Percentage of claims
an
insurer settles out of total claims received yearly.Claims
CoverageScope of risks and expenses an insurance
policy agrees to pay for.Coverage
Critical illnessCoverage for serious conditions
like cancer, stroke, or heart attack.Coverage
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Health
cardCard issued to policyholders for cashless treatment at
network hospitals.Policy
Health insurancePolicy that covers medical
expenses for illness, injury, or hospitalisation.Coverage
Health insurance policyContract that covers
hospitalisation and medical costs for the insured person.Coverage
HospitalMedical facility where patients receive
inpatient or outpatient care and treatment.Hospitalization
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PolicyLegal contract between insurer and insured
outlining coverage terms and conditions.Policy
Policy
lapseWhen coverage ends because the premium was not paid on
time.Policy
Policy
migrationSwitching from one health insurance plan to another
within the same insurer.Policy
Policy
RenewalExtending an existing insurance policy by paying the
premium before expiry.Policy
PremiumAmount paid regularly by the policyholder
to keep the insurance active.Costs
Preventive health check upRoutine medical tests
done to detect health issues early on.Hospitalization
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Redressal of grievancesFormal process to resolve
complaints raised by policyholders against insurers.Regulatory
ReimbursementMoney paid back to the insured
after they cover medical expenses upfront.Claims
RidersOptional add-ons that enhance the base
policy with extra benefits.Coverage
Room
rent limitMaximum daily hospital room cost the insurer will
cover during stay.Coverage
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