What Are the Different Types of Commercial Insurance?

Commercial insurance (commercial insurance) refers to the form of insurance for the purpose of making profits through the operation of insurance contracts, which are operated by specialized insurance companies. A commercial insurance relationship is a contractual relationship concluded voluntarily by the parties. The policyholder pays insurance premiums to the insurance company according to the contract, and the insurance company bears the liability for compensation insurance premiums for property losses caused by the accidents that may occur according to the contract, or When the insured person dies, becomes disabled, becomes sick, or reaches the agreed age and time limit, he / she shall be liable for the payment of insurance benefits ^[1] . The so-called social insurance refers to the collection of insurance premiums to form a social insurance fund, which is used to provide basic living security for members who are incapacitated or lose employment due to old age, disease, childbirth, disability, death and unemployment. Kind of social security system.

business insurance

Insurance points

Social insurance refers to the mandatory implementation of legislation by the state, which is jointly funded by workers, enterprises (employer) or the community, and the state tripartite to establish an insurance fund for workers due to old age, work injury, illness, birth,

Commercial insurance is

The principle of commercial insurance is based on the principles of fairness, reasonableness, and risk sharing.

July 1, 2006, accompanied

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With the reform of the medical system, the commercial medical insurance types of major insurance companies have also adapted to the situation and gradually increased. So, what are the major types of insurance for commercial medical insurance by 2012? Which are they insured and which ones are not covered? What are the specific regulations when applying for insurance? The following briefly summarizes the types of medical insurance coverage:

General medical insurance

This type of insurance is the most extensive type of insurance liability in medical insurance. It is responsible for outpatient medical expenses and inpatient medical expenses due to illness and accidental injuries. Ordinary medical insurance generally adopts group insurance, or as an additional liability underwriting of individual long-term life insurance. Medical insurance is generally paid by compensation, and a maximum limit is set for each time.

Accidental Medical Insurance

This insurance is responsible for the medical expenses incurred by the insured for accidental injuries as an additional liability for accidental injury insurance. The insurance amount can be the same as the basic insurance, or it can be agreed separately. Compensation methods are generally used to pay medical insurance benefits. Not only must the insurance amount be the payment limit, but also the treatment period.

Inpatient medical insurance

This type of insurance is responsible for the medical expenses incurred when the insured needs hospitalization due to illness or accidental injury. It is not responsible for the outpatient medical expenses of the insured. It can use either compensation or fixed payment.

Medical insurance for surgery

This type of insurance is a single item of medical insurance and is only responsible for the medical expenses incurred by the insured for the operation, whether it is outpatient or inpatient surgery. Surgical medical insurance can be covered separately or as an additional insurance for accident or life insurance. The surgical medical insurance paid by compensation method only stipulates the insurance amount as the cumulative maximum payment limit, and the fixed medical insurance for the surgical medical insurance. The insurance company only pays the medical insurance premium according to the type of surgery performed by the insured.

Special illness insurance

This type of insurance treats the insured person with a specific disease as an insured accident. When the insured is diagnosed with a specific disease, the insurer pays the insurance premium at the agreed amount to meet the economic needs of the insured. A special illness insurance policy can cover only one specific disease or several specific diseases. It can be insured separately or as an additional insurance for life insurance. Generally, a fixed payment method is used. The insurer pays the insurance premium at one time according to the insurance amount, and the insurance liability is terminated.

Difference from social health insurance

First, the two properties are different. Commercial medical insurance is a type of insurance operated by life insurance companies using economic compensation methods. It is an aspect of socio-economic activities. It is implemented by both the insurer and the policyholder signing a contract on a voluntary basis. Life insurance companies can profit from it. Social medical insurance is a social security system established by the state to protect and improve the health of employees in accordance with the Constitution. It is enforced by legislation at the national or local level. It does not depend on the will of the individual and is a social welfare undertaking. Profitability.

Secondly, insurance objects and roles are different. Commercial medical insurance targets natural persons, and its role is to obtain certain financial compensation to reduce losses when the insured citizen pays medical expenses due to accidental injury or illness, not to protect the basic life of the insured, nor It has the role of maintaining social fairness. Social medical insurance mainly takes workers as insurance objects. When workers pay medical expenses due to illness, the social insurance department or its entrusted unit will give basic compensation, which is conducive to social stability and maintaining the society. Equity is actually an aspect of redistribution of national income.

Third, the relationship between rights and obligations is different. The rights and obligations of commercial medical insurance are based on a contractual relationship. Any citizen or legal person with full capacity can sign an insurance contract with an insurance company and pay insurance premiums in accordance with the contract. The right to claim insurance benefits, the amount of insurance depends on the amount of insurance premiums paid, that is, the relationship between the rights and obligations of the insurance company and the policyholder is an equivalent exchange relationship, which is expressed as multi-investment More insurance, less investment and less insurance, no insurance without insurance. The relationship between the rights and obligations of social medical insurance is based on labor relations. As long as workers fulfill their obligations for social labor, they can enjoy social medical insurance treatment. Sometimes, in order to facilitate management by economic means and increase labor cost awareness, A small amount of insurance premiums are required, but the insurance benefits they receive are not directly proportional to the amount of insurance premiums paid, that is, the relationship between rights and obligations is not equal.