Why Are Insurance Policies So Difficult To Understand? (2024)

As a business owner or homeowner, understanding an insurance policy before purchasing should be easy. Unfortunately, insurance companies are notorious for using complicated verbiage that is nearly impossible for policyholders to understand what is covered and excluded. Insurance companies are aware that policyholders don’t understand the complex and lengthy legal text packed into policy pages. Lawmakers now require insurance policies to be written in digestible language that policyholders can review and understand, even if they don’t have a law degree.

“Plain English” laws have been in practice since the 1970’s and currently more than half of all of the states are following this law. However, many policyholders do not understand what their policy entails and the associated risks. Although there has been much progress in readability with these insurance contracts, there is still work to be done. An example of a policyholder not fully understanding their coverage is the expectation that an insurance company will pay for the entire cost to rebuild a business destroyed by a natural disaster. Most insurance companies have limits on the amount of money disbursed after a total loss, and gaps in coverage often exist. For a business owner, this means that it is possible not to receive the full amount of money needed to rebuild after a disaster.

Many policyholders believe their homeowners or business insurance policy will cover water damages such as sewer backups, sump pumps, and drains. However, most insurance policies exclude this type of damage. This example is why the legal system should hold insurance companies accountable for the confusing wording implemented in the insurance documents that a policyholder is expected to understand. However, the courts typically side with the insurance companies and agree that policyholders are responsible for understanding the wording within the policies.

Some insurance companies still use complicated and manipulative tactics to confuse policyholders. The courts still hold clauses that insurance companies are required to be precise with language, and the terms must be presented and not hidden. Overall, the conflict between insurance policies that are easy versus hard to comprehend is still present. However, we hold insurance companies accountable by fighting for our clients.

Brandon Lewis and our team at Strategic Claim Consultants work on your behalf to increase your claim’s payout, reduce frustration, and expedite your restoration. Thousands of residential and business insurance policyholders have trusted us with their claims – and we’ve been successful in getting them the settlement they’re entitled. Contact us today for a free consultation so that we can understand your needs and determine if we are the right fit to represent you!

Why Are Insurance Policies So Difficult To Understand? (2024)

FAQs

Why Are Insurance Policies So Difficult To Understand? ›

In other words, insurance contracts are complicated because they have to cover all their bases in case of a lawsuit or a large claim. Increased regulation has pushed insurance companies to make the contracts denser, making them difficult to read for the average policyholder.

Why is insurance so hard to understand? ›

Insurance companies are aware that policyholders don't understand the complex and lengthy legal text packed into policy pages. Lawmakers now require insurance policies to be written in digestible language that policyholders can review and understand, even if they don't have a law degree.

How to understand an insurance policy? ›

How to read your insurance coverage
  1. Read the overview on your declarations page. ...
  2. Learn insurance terminology. ...
  3. Train your eagle eye and read the fine print. ...
  4. Ask yourself questions. ...
  5. See what's covered (your insuring agreement) ...
  6. See what's not covered (your exclusions)

What is the simplest way to understand life insurance? ›

Life insurance is an agreement between you and your insurance company. You make regular payments, called premiums, and the insurance company pays your beneficiaries a tax-free lump sum when you pass away.

How to answer insurance questions? ›

Below are some best practices to consider:
  1. Contact a lawyer. ...
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. ...
  3. Ask specifically that your statement not be recorded. ...
  4. Give brief answers. ...
  5. Don't volunteer information. ...
  6. Answer only the question asked.

Why is it so hard to read insurance policies? ›

Miller says years ago, insurance contracts were easier to understand. But over time, new laws, regulations, court cases and differing opinions started to add complexity to the contracts. In other words, insurance contracts are complicated because they have to cover all their bases in case of a lawsuit or a large claim.

What is insurance explained easily? ›

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.

What is the easy method for insurance? ›

Easy Method

This method has you multiplying your annual gross income by 70% and then multiplying that by 7. This gives you seven years of wages at 70%. For example, if your gross income is $65,000, then with the easy method, your life insurance requirement is ($65,000 × 0.7) × 7 = $318,500.

What is the best way to explain 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. If you have no insurance and an accident happens, you may be responsible for all related costs.

What is the basic concept of life insurance policies? ›

Life Insurance can be defined as a contract between an insurance policy holder and an insurance company, where the insurer promises to pay a sum of money in exchange for a premium, upon the death of an insured person or after a set period.

What is insurance in one word answer? ›

Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury.

What is insurance best answer? ›

Insurance is a contract (policy) in which an insurer indemnifies another against losses from specific contingencies or perils. There are many types of insurance policies. Life, health, homeowners, and auto are among the most common forms of insurance.

What not to say when applying for life insurance? ›

LYING ABOUT DRUG USE OR TOBACCO & ALCOHOL USE

An applicant for life insurance must disclose lifestyle habits, good and bad, including use of alcohol or use of tobacco.

How many people don't understand health insurance? ›

A majority of consumers who experienced denied claims report difficulty understanding what their health insurance covers (65%), what they'll owe out of pocket (57%), and their EOBs (52%).

Why is US healthcare so complicated? ›

The problem boils down to trying to provide accessible, quality healthcare while still being able to compensate healthcare workers fairly. The balance is difficult and sometimes seems impossible. What are the problems we have to overcome, and is there a chance the system could ever change?

Do people understand insurance? ›

Thirty-nine percent of insured Americans say they do not understand what their health insurance covers, and 35% say they have trouble navigating their insurance coverage. Difficulty navigating health insurance rings especially true for those who say they are in poor health (42%).

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