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10/2/21, 9:52 AM - P - Coaching Actuaries

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Learn P 4 4.1 4.1.1 Introduction

Introduction

Many insurance policies have deductibles. There is no coverage provided for losses below the
deductible. The portion of loss below the deductible is the portion that is not covered by the
policy. The portion above the deductible is the insurer's responsibility.

Consider the following two cases:

1. If the loss is less than or equal to the deductible, then the entire loss amount is uninsured.
The policyholder has to bear the entire loss and the insurer pays nothing.

2. If the loss is greater than the deductible, then only the portion below the deductible is
uninsured. The policyholder will only be responsible to pay for the deductible. The insurer
reimburses the policyholder the amount of loss less the deductible.

In both cases, the sum of the amount paid by the policyholder and the amount paid by the
insurer will always equal the original loss amount. For this reason, think of the deductible as a
cost-sharing mechanism.

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