Knowledge Centre

Make better decisions by understanding insurance. Plain-language guides on cover, renewals and claims — no jargon, no sales pitch.

Latest insurance guides

Comprehension vs Third-Party Motor Insurance: What’s the Difference?
Motor Insurance

Comprehension vs Third-Party Motor Insurance: What’s the Difference?

6 min read · plain-language guide

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What Should You Check Before Buying Health Insurance?
Health Insurance

What Should You Check Before Buying Health Insurance?

7 min read · plain-language guide

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Making an Insurance Claim: The Steps and the Vocabulary
Claims

Making an Insurance Claim: The Steps and the Vocabulary

5 min read · plain-language guide

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The Five-Minute Renewal Checklist for Any Policy
Renewals

The Five-Minute Renewal Checklist for Any Policy

4 min read · plain-language guide

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No Claim Bonus, Explained Without the Jargon
Motor Insurance

No Claim Bonus, Explained Without the Jargon

4 min read · plain-language guide

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Group Health for Employees: What Employers Should Weigh
Commercial Insurance

Group Health for Employees: What Employers Should Weigh

5 min read · plain-language guide

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Comprehension vs Third-Party Motor Insurance: What’s the Difference?
Motor Insurance

Comprehension vs Third-Party Motor Insurance: What’s the Difference?

6 min read · General information, not insurance advice

Two words decide most of what a motor policy will pay for: whether the cover is third-party only or comprehensive. The difference is not a marketing label — it is the difference between insuring other people’s losses and insuring your own vehicle as well.

Third-party only

This is the statutory minimum. It covers your legal liability when your vehicle causes injury, death or property damage to a third party. It does not pay for repairs to your own vehicle, and it does not pay you if your vehicle is stolen or damaged by fire or flood.

Comprehensive

Comprehensive cover includes the third-party liability section plus a section that covers damage to your own vehicle — accident, fire, theft and natural calamities, along with any add-ons purchased. That is why it costs more.

What comprehensive does not mean

  • Not a full-bill guarantee. A compulsory deductible applies to own-damage claims, and depreciation on certain parts is deducted unless the zero-depreciation add-on is in place.
  • Not unlimited. For total loss or theft, the ceiling is the IDV declared in the policy.
  • Not everything. Drunk driving, driving without a valid licence, use of the vehicle outside the declared purpose, and wear and tear are typically excluded.

How to choose

  • For a new or recently bought vehicle, comprehensive cover is usually the sensible choice.
  • For an older vehicle, compare the IDV and the premium against the market value of the vehicle — the numbers occasionally point the other way.
  • Always look at the deductibles and add-ons together with the premium, not the premium alone.

What Should You Check Before Buying Health Insurance?
Health Insurance

What Should You Check Before Buying Health Insurance?

7 min read · General information, not insurance advice

Two health policies with an identical sum insured can pay very differently for the same hospitalisation. These are the clauses that decide it.

1. Waiting periods

An initial waiting period (commonly 30 days) applies from the start of the policy, except for accidents. A specified-disease waiting period of one to two years applies to listed treatments such as hernia, cataract or joint replacement. A pre-existing disease waiting period of two to four years applies to conditions declared at purchase.

2. Room-rent and accommodation limits

If the room category chosen exceeds the limit, some policies cap the entire payout proportionately, not just the room charge. It is worth reading the exact clause.

3. Co-payment and sub-limits

A co-payment clause means a fixed percentage of every claim is yours. Sub-limits cap specific treatments. Both reduce what you receive, and both are more common in senior-citizen policies.

4. Network hospitals

Cashless treatment is available only at network hospitals. Check the list where you live and where you work — and remember that reimbursement is still possible elsewhere.

5. Restoration of sum insured

If the sum insured is exhausted by one claim in a year, a restoration or reload benefit can make cover available again, subject to conditions such as a fresh waiting period for the restored amount.

6. Disclosures

Answer every medical question truthfully, even about minor or past conditions. Non-disclosure is the most common root cause of health claim disputes.

7. What is not covered

Read the exclusions page before the benefits page. It is shorter and more consequential.


Making an Insurance Claim: The Steps and the Vocabulary
Claims

Making an Insurance Claim: The Steps and the Vocabulary

5 min read · General information, not insurance advice

Claims differ by insurance type, but the vocabulary and the sequence of events are remarkably consistent. Knowing both makes the process far less disorienting.

The sequence

  1. Intimation — telling the insurer that an event has occurred. Each policy states a window; early intimation avoids avoidable disputes.
  2. Documentation — the insurer or TPA asks for the papers relevant to that claim type. Incomplete documents cause most delays.
  3. Assessment — a surveyor, medical evaluation or verification is used to quantify the admissible loss.
  4. Decision — the insurer communicates approval, part-payment or rejection as per the policy terms.
  5. Settlement — payment after applying deductibles, depreciation, co-payment, sub-limits or non-payable items.

The vocabulary

  • Deductible: the amount you bear before the insurer pays on that claim.
  • Depreciation: a reduction applied to the value of parts or the vehicle, based on age.
  • IDV: the maximum value of your own vehicle insured on a motor policy.
  • TPA: the third-party administrator that many insurers use to process health claims.
  • Pre-authorisation: prior approval for cashless treatment.
  • Sub-limit: a cap on a particular treatment or expense within the total sum insured.
  • Co-payment: a fixed share of the claim that the policyholder bears.
  • Non-payable items: consumables and services the policy does not reimburse.

If a claim is delayed or declined

Ask for the reason in writing with the clause relied upon, compare it with your policy wording, and respond with the documents that address it. Keep a dated record of everything. Our claim consultation helps you understand that reasoning — the decision itself always rests with the insurer.


The Five-Minute Renewal Checklist for Any Policy
Renewals

The Five-Minute Renewal Checklist for Any Policy

4 min read · General information, not insurance advice

Renewals are where most cover quietly drifts out of alignment with reality. Five checks, applied every year, prevent almost all of it.

  • Start early. Begin about a week before the due date. Health policies should never lapse; motor policies need an inspection if they do.
  • Re-check the values. Sum insured, IDV or cover amount against the current cost of replacement — not against last year’s figure.
  • Review the claims you filed. A claim affects the No Claim Bonus on motor and can influence commercial premiums; know the position before you renew.
  • Update the details. Nominee, address, vehicle usage, business locations, number of employees, new assets.
  • Re-read the exclusions. Especially if the policy has changed insurers or plans — the wording may have moved even if the premium did not.

Why it matters

An under-insured property claim is paid proportionately, not fully. A health policy renewed late can reset waiting periods. A motor policy that lapses loses its No Claim Bonus and needs an inspection. None of these are dramatic events — they are quiet ones, and they only surface at claim time.


No Claim Bonus, Explained Without the Jargon
Motor Insurance

No Claim Bonus, Explained Without the Jargon

4 min read · General information, not insurance advice

No Claim Bonus (NCB) is a discount on the own-damage portion of your motor premium, earned for every claim-free year at renewal. It is one of the few discounts you build yourself.

How it is usually earned

  • 20% after one claim-free year (commonly for private cars)
  • Step-wise increases for each subsequent claim-free year
  • Up to about 50% after five claim-free years

The exact slabs, and whether they apply to private cars, two-wheelers or commercial vehicles, are stated in your policy or the insurer’s schedule.

Three rules worth remembering

  • NCB belongs to the policyholder, not the vehicle — so it does not automatically transfer to a buyer.
  • Filing an own-damage claim usually reduces or removes it at the next renewal.
  • It can be carried to another insurer if you show the proper proof, such as an NCB retention letter.

The practical question

For a small repair, compare the bill against your deductible plus the NCB you would lose. If the numbers are close, paying yourself is often the cheaper decision over two or three years.


Group Health for Employees: What Employers Should Weigh
Commercial Insurance

Group Health for Employees: What Employers Should Weigh

5 min read · General information, not insurance advice

Group health cover is one of the most valued benefits an employer can offer, and one of the easiest to get wrong in the details.

The decisions

  • Sum insured per employee, and whether it is a flat amount or graded by seniority.
  • Family inclusion — dependants added for free, at a cost, or only as a top-up.
  • Maternity and pre-existing conditions — whether these are covered, and their waiting periods.
  • Claims experience — a year with heavy claims will be reflected at renewal.
  • Retention and exit — what happens to an employee who leaves, and to a retiree.

What employees often do not realise

Employer-provided cover generally ends with the job. It also may not continue into retirement. Many people therefore keep a personal policy running alongside — sometimes a smaller one purely to build waiting-period credit and to avoid being without cover between jobs.

Where CoverBima fits

We assist employers in understanding these considerations and in mapping them against existing arrangements. See commercial insurance assistance.


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