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Two terms that commonly appear in insurance policies are ‘sum insured’ and ‘sum assured’.
While they both refer to the amount an insurer agrees to pay under specific conditions, these amounts function differently depending on the type of policy. Understanding these terms is essential to ensure adequate coverage and financial security for you and your loved ones.
Sum insured refers to the maximum amount that an insurance company will pay in the event of a claim under a general insurance policy. This is applicable in policies such as health, motor, and property insurance.
Note that the sum insured is designed to cover the actual loss or damage that occurs, ensuring compensation to you based on the incurred damages.
Example: In a health insurance policy, if the sum insured is AED 1 million, the insurer will cover medical expenses up to that amount. However, if the actual treatment costs AED 800,000, you will only receive AED 800,000 as compensation.
When selecting a sum insured, consider the following —
Sum assured is associated primarily with life insurance policies. It refers to the fixed amount that the insurer guarantees to pay you or your beneficiaries either upon death or at the policy’s maturity.
Unlike the sum insured, the sum assured does not depend on the actual loss incurred — it is a predetermined and fixed amount agreed upon when the policy is purchased.
Example: In a life policy with a sum assured of AED 2 million, the insurer will pay this amount upon the policyholder’s death or upon the policy’s maturity, regardless of the actual expenses or liabilities incurred.
While both the terms may seem similar, they are used in different contexts and offer different kinds of coverage.
Here’s a detailed comparison in terms of sum insured vs sum assured —
Parameter |
Sum Insured |
Sum Assured |
---|---|---|
Type of Insurance |
General insurance (health, motor, property, and so on) |
Life insurance (term, endowment, and more) |
Definition |
Maximum amount the insurer will pay for a claim |
Fixed amount guaranteed to be paid to the beneficiary |
Nature of Coverage |
Reimbursement-based, covering actual loss/damage |
Guaranteed payout regardless of actual loss |
Flexibility |
Can be adjusted annually based on needs |
Fixed amount that remains constant |
Review Frequency |
May be reviewed annually to accommodate changes (e.g., inflation) |
Does not change over the policy term |
Claim Process |
Pays based on actual expenses incurred |
Pays out a fixed amount upon death or maturity |
Common Examples |
Health insurance, motor insurance, property insurance |
Life insurance, endowment plans |
Both types of coverage and corresponding insurance categories are useful for different needs.
If you're looking to cover assets or expenses related to healthcare, property damage, or motor accidents, a sum insured policy is ideal. These policies help with reimbursement of actual loss or damage.
The sum insured product is suitable for —
If you are looking for long-term financial security for yourself or your family, especially in the event of death or policy maturity, a sum assured product is the right choice.
Yes, the sum insured (the amount you're covered for) is usually checked every year. This is done because things like the value of your property might go up over time or inflation might push costs like medical expenses higher. The review helps make sure your coverage is enough to protect you in case of a claim.
No, the sum insured is the maximum limit the insurance company will pay. If your actual loss or expenses are less than the sum insured, you'll only get back the amount of your actual loss, not the full sum insured.
For example, if your sum insured is AED 50,000 but your damage is only AED 30,000, you’ll only be paid AED 30,000.
The term ‘sum assured’ is usually used in life insurance (like life coverage). In non-life insurance (like health, car, or home insurance), this term isn’t used. But some policies may use similar terms, so it’s important to read the details in your specific policy document to understand what’s offered.