What Are Insurance Policy Limits? (2024)

What Are Insurance Policy Limits? (1)

Key Takeaways

  • Insurance policy limits are the maximum amount an insurer will pay out on each type of coverage you carry.
  • Various types of policy limits can appear on insurance policies, so it’s important to read your declarations page.
  • You may be legally required to carry a minimum policy limit.
  • The amount of coverage you need depends on a variety of factors unique to each type of coverage.
  • Your insurance agent can help you find the right insurance policy limits for your situation.

Definition and Examples of Insurance Policy Limits

Insurance policy limits tell you the maximum amount your insurance will pay for claims on each type of coverage you carry. If you incur additional expenses after your insurance pays up to the limit, you can be held personally responsible. In some cases, you can choose a policy’s limit. Other times, you may need to meet minimum requirements set by the government or another party to get the limit you want.

For example, most states require you to have a minimum amount of auto insurance coverage. Therefore, your insurance policy limits must be equal to or greater than those legal limits. The New York State Vehicle and Traffic Law, for instance, requires the following minimum policy limits:

  • No-fault (personal injury protection): $50,000 per person.
  • Liability insurance (bodily injury and property damage): $25,000 for bodily injury of one person, $50,000 for injuries resulting in the death of one person, $50,000 for bodily injury of two or more people in one accident, $100,000 for injuries resulting in the death of two or more people in any single accident, $10,000 for property damage liability per accident.
  • Uninsured motorists: Same as the liability limits.

Insurance policy limits will vary by the type of insurance coverage and your state’s requirements, but all insurance policies will have some kind of limit.

How Insurance Policy Limits Work

Insurance policy limits are listed on the declarations page of your policy documents. Each type of coverage typically has its own limit. However, in some cases, a single limit can apply to multiple coverage types.

When you’re selecting policy limits, you’ll need to consider the minimum/maximum amounts of coverage available from your insurer as well as any other legal requirements. It can also be helpful to consider how much coverage you might need in a worst-case scenario, such as if your home and everything in it is destroyed by a fire. Once you select your policy limit, your insurer will calculate your premium and deductible options.

Types of Insurance Policy Limits

When reviewing an insurance policy, you may come across various types of policy limits, including:

  • Per-occurrence limits: The maximum amount an insurer will pay for a single event/claim.
  • Per-person limits: The maximum amount an insurer will pay for one person’s claims.
  • Combined limits: A single limit that can be applied to several coverage types.
  • Aggregate limits: The total amount that can be paid out for all claims during a period (often a year).
  • Split limits: A combination of per-occurrence, per-person, and aggregate limits.
  • Special limits: A maximum payout for certain items covered on an insurance policy, such as a valuable piece of artwork on a homeowners policy.

Be sure to read the fine print when it comes to policy limits, as they can vary from one coverage type to the next.

What Factors Should Determine Your Insurance Policy Limits?

How do you know how much insurance you need? It depends. Here are a few examples of common insurance types and how to choose your policy limits for each one.

Car Insurance Policy Limits

When deciding how much auto insurance coverage you need beyond the required minimum, consider what would happen if you caused an accident and were responsible for vehicle repairs and medical bills. Ensure your property damage liability limit would cover the typical cost of vehicles in your area.

When setting limits for bodily damage liability and medical payments coverage, consider the legal limits along with the value of your assets. If you injure someone, you could face an expensive lawsuit. While $100,000/$300,000 is often recommended, you may need a higher limit if you want to protect valuable assets.

Note

You may also choose to purchase a personal umbrella policy to help cover excess costs.

Homeowners Insurance Policy Limits

When setting the policy limits for homeowners insurance, lenders will require you to meet a minimum amount of coverage if you have a mortgage. Beyond that, you’ll want to ensure you have adequate coverage to rebuild your home, replace your personal belongings, cover temporary living expenses, and pay for any injuries or damages that occur on your property.

Life Insurance Policy Limits

How about life insurance? In short, your policy limit should equal the financial obligations for the period you want to cover, minus your assets. Common financial obligations include:

  • Final expenses, such as burial and funeral costs
  • Estate taxes
  • Funds for a beneficiary’s adjustment period, such as to support a grieving spouse while they take time off work
  • Funds for the beneficiary’s bills and ongoing expenses
  • Outstanding debts, such as mortgages, auto loans, and credit card debt
  • Daycare costs
  • Other expenses, such as college tuition for your children or care for elderly parents

Assets could include your current savings, pension, Social Security benefits, other insurance policies, real estate, and college funds. Add up the expenses, subtract your savings, and you’ll have an idea of the life insurance policy limit that might cover the gap.

Note

If you want a shortcut, the general rule of thumb for buying life insurance is to set your death benefit at an amount equal to 10 times your annual income.

Insurance Policy Limits vs. Premiums vs. Deductibles

Three common terms when talking about insurance are policy limits, deductibles, and premiums. It’s crucial to note these interrelated key factors when reviewing and comparing insurance policies.

Policy LimitPremiumDeductible
The maximum amount an insurance company will pay for a specific coverage type.The amount you pay per month or year for insurance coverage.The amount you pay in the event of a claim before your insurance goes into effect.

Note

You can often adjust your deductible amount up or down. If you think the risk of a claim is low, you could raise your deductible to save on premium expenses. However, if you think a claim event is likely (such as when adding a new teen driver to your car insurance policy), you may want to lower your deductible, at least temporarily.

How to Set Insurance Policy Limits

Choosing the right limits for your needs is critical, as being underinsured could cause you to be sued and suffer a devastating financial loss. However, higher policy limits generally come with higher premiums, and you won’t get that money back if you don’t need to file a claim.

It’s a good idea to weigh your costs, risks, and benefits to find the right balance. If you need assistance or advice, reach out to your insurance agent. They can help you make sure you have the right policy limits for your specific situation.

Key Takeaways

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Sources

The Balance uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. New York State Department of Financial Services. "Minimum Auto Insurance RequirementsCoverage." Accessed July 16, 2021.

What Are Insurance Policy Limits? (2024)

FAQs

What Are Insurance Policy Limits? ›

Insurance policy limits define the maximum amount an insurer will pay out for a claim, and policyholders should fully understand these limits to ensure they have sufficient coverage to prevent out-of-pocket expenses in the event of damages or losses.

What are insurance policy limits? ›

Also known as your coverage amount, your insurance limit is the maximum amount your insurer may pay out for a claim, as stated in your policy. Most insurance policies, including home and auto insurance, have different types of coverages with separate coverage limits.

What does it mean to tender the policy limits? ›

A policy limits demand in a personal injury claim is a request made to an insurance company to pay the maximum amount an insurer has in their policy.

How do you explain single limit insurance? ›

A Single Limit policy provides one total amount that the insurer will pay for bodily injury and property damage as a result of one accident.

What is the difference between maximum covered loss and policy limit? ›

On the examination, policy limit will refer to the maximum insurer payment provided under a policy and maximum covered loss will refer to the loss (or total losses) above which no additional benefits are paid.

What is an insurance policy limit quizlet? ›

Policy Limit. The maximum amount a policy will pay for covered losses.

What is excess of policy limits? ›

Losses in excess of policy limits is an expression used in reinsurance agreements that refers to damages awarded by a court against an insurer in favor of the insured, due to the insurer's having failed to settle a third-party claim against the insured within the policy limits by reason of bad faith, fraud, or gross ...

What does it mean to settle for policy limits? ›

Once you accept a policy limits settlement, it typically signifies a conclusive settlement of that claim. This means you relinquish the right to pursue additional compensation from the insurance company related to that incident.

What is a letter requesting policy limits? ›

A well-written policy limit demand letter should include a detailed description of your personal injury accident. It should also contain evidence showing the insurance carrier why its insured is liable for your injuries. This evidence may include a copy of the accident report, photographs, and witness statements.

Can I sue for more than the defendant's insurance policy limits in California? ›

You can sue for the full extent of your damages allowed by law even if it is more than auto insurance policy limits. The defendant may be liable through personal assets. In addition, your own uninsured or underinsured policy or the defendant's umbrella coverage may provide compensation.

What does limit per policy mean? ›

In insurance, policy limits are the maximum dollar amount that an insurer will pay for covered damages or losses under an insurance policy. Policy limits may be expressed as a single limit or as split limits, with different maximums for each.

How is coverage limit determined? ›

Several factors determine the insurance limits for a given policy. First, applicable federal or state laws may inform policy limits. For instance, each state sets the minimum requirements for auto insurance liability. These limits ensure drivers carry at least a certain amount of coverage.

What is primary limit insurance? ›

Primary insurance is the policy that covers a financial liability for the policyholder as a result of a triggering event. Primary insurance kicks in first with its coverage even if there are other insurance policies. Only when the predetermined coverage limit has been exceeded would any other policies issue a payout.

What is an example of a policy limit? ›

For example, a policy may have a $100,000 limit of coverage for personal property, but a special limit of only $5,000 for jewellery. That means the maximum the insurer will pay for lost or damaged jewellery is only $5,000, regardless of how high your personal property coverage limit is.

What is the cap limit on insurance? ›

A cap or a sub-limit is the maximum amount that an insurance company will pay for a particular type of expense under an insurance policy. A group health insurance policy can have several sub-limits or no sub-limit. A policy with no sub-limits may have a higher premium than a policy with certain sub-limits.

What is policy limit and sum insured? ›

Sum insured or policy limit is the maximum amount your insurance company will pay out to cover an insurance claim. This limit is determined in your insurance policy and can vary depending on the type of coverage you choose to buy. How is sum insured calculated?

What is the difference between total insured value and policy limit? ›

Total insurable value (TIV) is the maximum dollar amount that will be paid out on an insured asset when deemed to be a constructive or actual total loss. The maximum coverage limit for an insurance policy is determined by conducting a full inventory of a property and its contents.

What are the best limits for car insurance? ›

You can check with your state's department of insurance or department of motor vehicles to understand what's required. That said, insurance experts recommend at least $100,000 per person and $300,000 per accident for bodily injuries, and $100,000 for property damage, or 100/300/100.

What is the difference between insurance premium and limit? ›

When you pay your premiums on time to keep your policy active, it enables your policy to reimburse you for covered losses. However, there are limits to how much your insurer will pay out per incident or over a specific time frame. These policy limits are also known as caps or limits of liability.

What are limits and exclusions in insurance? ›

Limitations are conditions or procedures covered under a policy but at a benefit level lower than the norm. Exclusions, on the other hand, are conditions or procedures that are completely omitted from coverage. Your health insurance policy should list all limitations and exclusions.

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