What are accumulators in insurance?
Claims Accumulator:
- An insurance company may establish a claims accumulator for an insured individual under a health insurance policy or a casualty insurance policy.
- The purpose of the claims accumulator is to monitor and tally covered medical expenses or claim payments made on behalf of the insured during a specified period.
- As the insured incurs eligible medical expenses or losses covered by the policy, they are recorded in the claims accumulator.
- Once the accumulator reaches a predefined threshold or limit, it can trigger certain benefits or changes in coverage under the policy. For example, in a health insurance policy, reaching a specific amount in the claims accumulator may lower the insured's deductible or coinsurance for future medical expenses.
Expense Accumulator:
- This type of accumulator tracks specific policy-related expenses outside of direct claim payments.
- It may record administrative costs or fees associated with the provision of coverage or processing of claims.
- Accumulation of expenses in the expense accumulator can impact factors like the insurer's underwriting results, profitability, and premium rates.