Difference Between Life, Health and Personal Accident Insurance


Summary

Difference Between Life, Health and Personal Accident Insurance

Many people think of life insurance when they hear the word insurance. That was the kind of impact life insurance has created on people, but in reality, life insurance is not the only insurance available in the market. Insurance can be life or non-life. Life insurance covers the life of individuals against death, whereas general insurance covers the bodily injury and property damage of the insured parties. Life insurance plans are only meant to cover the life of insured individuals and not any third parties, whereas general insurance plans cover the risk to third parties. Life insurance comes with insurance and investment options where the insurance section provides life cover to the individuals, and the investment option provides returns to the policyholder on their investments. Health insurance only covers the hospitalization expenses of the policyholder and is not meant to provide compensation in case of death or disability of the policyholder.

Similarly, personal accident only covers the death and disability of the policyholder and doesn’t cover the medical expenses in case of hospitalization. Every individual should have these three policies without fail. These 3 plans complement each other and provide the insured with most of the required protection.

Essential Insurance Policies: Understanding Their Complementary Benefits

FeatureLife Insurance Health Insurance Personal Accident Insurance
What is it?It is a contract between the insurance company and the insured to compensate the family members of the insured in case of the death of the insured due to any insured peril. It is a contract between the insurance company and the insured to compensate the insured in case of hospitalization due to an accident, illness or disease. It is a contract between the insurance company and the insured to compensate the insured or his/her family members in case of the death or disability of the insured due to an accident. 
What does it cover?Death- Natural and AccidentalHospitalization expenses due to illness, disease or an accidentDeath and disability only due to an accident
Whom does it cover?Anyone who is the insured in the policyAnyone who is the insured in the policyAnyone who is the insured in the policy
Who can take it?Any individual having an income and those who want to safeguard their lives against risks such as death and disabilityAny individual exposed to health risks and those who want to safeguard their lives against risks such as hospitalization. Any individual having an income and those who want to safeguard their lives against risks such as death and disability
What is the coverage called?Sum AssuredSum InsuredCapital Sum Insured
Type of PolicyBenefit policyIndemnity policyBenefit policy
Stand-alone or add-onCan be taken only as a stand-alone policyCan be taken as a stand-alone policy onlyCan be taken as a stand-alone policy as well as an add-on
How is the premium calculated?Premium is calculated majorly based on the age, coverage, health conditions, location etc. Premium is calculated majorly based on the age, coverage, health conditions, location etc. Premium is calculated majorly based on the occupation, age, coverage, health conditions etc. 
Type of coverageIndividual, Group Individual, Group, Family (family floater policy)Individual, Group
Tax BenefitsAvailable under Section 80C of Income tax ActAvailable under Section 80D of Income tax ActNo tax benefits are available for personal accident policies
Policy TermMinimum Policy term is 5 years and maximum policy term can go up to whole life of the insuredMinimum policy term is 1 year and maximum policy term is 3 yearsMinimum and maximum policy term is 1 year after which it has to be renewed. 
Policy TypeInsurance + Investment options are available Only insurance option available Only insurance option available 
TenureFixed tenure. Cannot be changed during the policy period. Flexible tenure. Policy tenure can be changed at the time of renewalFlexible tenure. Policy tenure can be changed at the time of renewal
RenewabilityNot permitted. Once the policy period is over, a new policy has to be purchased to continue the cover.Policy can be renewed after the expiry of policy period with the same benefits or benefits can be added or reduced depending on the needs of the customer. Policy can be renewed after the expiry of policy period with the same benefits.Benefits can either be added or reduced depending on the needs of the customer. 
No Claim BonusNot available Available as an increase in sum insured for every claim free year.Available as an increase in sum insured for every claim free year.
Payment TypeLump Sum or PeriodicLump sum payment Lump sum payment
Partial LossNot covered as only death is coveredCovered in the form of hospitalization amountCovered in case of disability
Return of money option Available in life insurance plansNot available in health insurance plansNot available in personal accident plans
Add-ons/ RidersAdd-ons or riders such as disability benefit, critical illness cover etc. are available on payment of additional premiumAdd-ons such as critical illness, maternity benefit etc. are available on payment of additional premiumAdd-ons such as transportation of mortal remains, child education benefits are available on payment of additional premium. 
Waiting PeriodsPre-existing waiting periods might be applicable Pre-existing, maternity, initial, specific disease waiting periods are applicablePre existing waiting periods might be applicable
Inclusion of family membersFamily members cannot be included in the policy as it has to be taken on an individual basis.Family members can be included in the policy. Family floater plans are available in which the sum insured would be floating among the members. Family members cannot be included in the policy as it has to be taken on an individual basis.
Loan benefitsLife insurance policy can be used to avail loan after accumulating sufficient value under the policyLoan cannot be availed in lieu of a health insurance policyNo option of availing loan in lieu of a personal accident policy. 
Policy Cancellation after free look periodPolicy can be canceled and refunds might be paid in some casesPro-rata/ Short period  refund of premium could be provided if the policy is canceled after the cooling off periodPro-rata/ Short period refund of premium could be provided if the policy is canceled after the free look period
Medical testsPre-policy medical tests would be required in most of the casesPre-policy medical tests would be required in most of the casesNo pre-policy medical tests are required for lower sum insured options.
Sum Insured rangeSum insured can range from 0.5 Lakhs to Crores. Pre-underwritten life insurance plans with up to 10 Crore sum insured are available in the market. Few insurers do not have an upper limit on the sum insured.Sum insured can range from 0.50 Lakhs to Rs. 1 Crore in case of pre-underwritten plans. For higher sum insureds, separate underwriting would be done by the underwriters of the insurance company.Sum insured can range from 1 Lakhs to Rs. 1 Crore in case of pre-underwritten plans. For higher sum insureds, separate underwriting would be done by the underwriters of the insurance company.
Portability No portability option is available for life insurance plans Health insurance plans can be ported from one insurer to anotherPersonal accident plans cannot be ported from one insurer to another

For more details on life, health, and personal accident plans, please visit Ethika Insurance to talk to our insurance experts.

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Susheel Agarwal

Namaste. I'm Abhinay Nedunuru, a Fellow of the Insurance Institute of India with a passion to make insurance simple and crisp. I write on insurance and investment. I have a passion for teaching and training in particular to insurance. I'm currently doing my PhD from IIM in Management.