5 Things You Must Know About Tertiary Insurance

How Tertiary Insurance Works


5 Things You Must Know About Tertiary Insurance



 Tertiary insurance is a type of insurance that provides coverage once the primary and secondary insurance policies have reached their limits. It acts as an additional layer of protection for high-cost claims. Tertiary insurance helps companies manage catastrophic risks that could potentially bankrupt them.


Tertiary insurance kicks in when losses exceed the coverage provided by primary and secondary insurance. For example, if a company has a $1 million primary policy, a $5 million secondary policy, and a $10 million tertiary policy, the tertiary policy would start paying out once losses reach $6 million. Tertiary insurance allows companies to obtain high levels of coverage for major risks at an affordable price.

Types of Tertiary Insurance

The most common types of tertiary insurance are excess insurance, stop-loss insurance, and catastrophe coverage. Excess insurance provides additional coverage once primary limits have been reached. Stop-loss insurance protects against high-severity, low-frequency losses. Catastrophe coverage protects against events like hurricanes, floods, and earthquakes. Some companies use risk layering, combining multiple tertiary policies to achieve the desired level of coverage.

Who Needs Tertiary Insurance?

Tertiary insurance is typically purchased by companies in high-risk industries like energy, construction, and healthcare. It is also useful for companies with exposure to natural catastrophes or cyber threats. Any organization with a high chance of incurring losses beyond the limits of standard insurance policies can benefit from tertiary coverage.

Tertiary insurance provides an extra layer of financial protection for risks that primary and secondary insurance alone may not cover adequately. By managing exposures and spreading risk across multiple policies, companies can safeguard themselves from ruinous losses. With tertiary insurance, high-cost claims no longer have to pose an existential threat.

Understanding Excess Insurance and Reinsurance

Reinsurance and excess insurance provide extra layers of protection for insurance companies and large businesses. As a business owner, understanding how these work can help ensure your company is properly protected from major losses.

Excess Insurance

Excess insurance kicks in when a loss exceeds the coverage limits of your primary commercial insurance policy. It provides an extra layer of coverage so you’re not left footing the entire bill for a catastrophe. Excess policies are often purchased by companies that engage in high-risk activities or handle large amounts of valuable property or assets.

How Excess Insurance Works

Excess insurance attaches at a predetermined level of loss called the “attachment point.” Losses below this point are covered by your primary policy. Once the attachment point is reached, the excess policy responds to cover losses up to its own limit. Having multiple excess policies at different attachment points allows you to stack coverage and protect against losses of various severities.

Reinsurance

Reinsurance works similarly but at the insurance company level. Insurance companies purchase reinsurance to transfer some of the risk of the policies they write. Reinsurance helps insurers take on more policies and larger risks without overexposing themselves. It also provides an additional source of claims-paying funds in the event of a catastrophe.

Like excess insurance, reinsurance attaches at a certain level of loss. Primary insurers are responsible for losses below the attachment point, while the reinsurer covers a portion of losses above that point up to the reinsurance limit. Reinsurance allows primary companies to underwrite more business and stabilize their profits.

In summary, excess insurance and reinsurance are all about risk layering and financial protection. By sharing risk across multiple parties, these mechanisms help ensure individuals, businesses, and insurance companies alike are shielded from losses they cannot bear on their own. Understanding how excess and reinsurance work is key to putting together an insurance program that will fully protect your company’s assets and financial well-being.

Key Types of Tertiary Insurance Coverage

5 Things You Must Know About Tertiary Insurance
5 Things You Must Know About Tertiary Insurance

Excess Insurance

Excess insurance provides coverage for losses above the limits of your primary commercial insurance policies. It helps protect you from catastrophic losses that could put your business at financial risk. Excess insurance allows you to increase coverage without raising primary policy limits, which can be expensive. The most common types are property catastrophe excess and casualty catastrophe excess insurance.

Stop-Loss Insurance

Stop-loss insurance protects businesses from shock losses due to unforeseen events like natural disasters or lawsuits. It reimburses you for losses that exceed a predetermined amount.The most common types are medical stop-loss, cyber stop-loss, and professional liability stop-loss insurance. Stop-loss insurance allows companies to cap their risk exposure while providing employees generous benefits packages.

Reinsurance

Reinsurance is insurance for insurance companies. Primary insurers purchase reinsurance to transfer risk and free up capital. Reinsurers assume a portion of the primary insurer’s risk in exchange for a share of the premiums. Reinsurance allows primary insurers to take on more risk than they could alone,which benefits policyholders. It also stabilizes the insurance industry by diversifying risk globally.

Captive Insurance

A captive insurance company is a subsidiary formed to insure the risks of its parent company.Captive insurance allows companies to self-insure certain risks, gain direct access to reinsurance markets, and retain underwriting profits. Many large companies use captives to insure difficult-to-place risks, contain costs, and improve cash flow. Captives must follow regulations in their domicile to operate legally.

In summary, tertiary insurance coverage like excess insurance, stop-loss insurance, reinsurance, and captive insurance help provide an extra layer of protection for individuals and businesses. They play an important role in risk management and allowing the economy to function efficiently.

When Is Tertiary Insurance Needed?

Tertiary insurance provides an extra layer of protection for large, unpredictable losses. As a business owner, you need to consider tertiary coverage when your primary and secondary insurance may not be enough.

High-Risk Ventures

If your business operates in a volatile industry like construction, transportation, or healthcare, the potential for sizable claims is high. Tertiary insurance helps ensure you’re protected financially in the event of a costly lawsuit, disaster, or other unforeseen event. For example, a large trucking company may purchase tertiary auto liability coverage in case of a major accident.

Rapid Growth

When your company is scaling up quickly, primary insurance policies can lag behind your needs. Tertiary insurance fills in gaps so you have adequate coverage during periods of growth. For instance, if you’ve recently expanded facilities or hired many new employees, you may need extra protection until you can increase limits on your standard policies.

Unique Exposures

Some businesses have very specialized risks that are difficult to insure. Tertiary insurance provides a solution when standard markets won’t underwrite a policy for your unique exposures. For example, a company that handles hazardous waste may need tertiary coverage because regular insurers won’t offer a policy for such a high-risk operation.

Tertiary insurance gives you an added safety net in the event of an unforeseen loss that exceeds your normal coverage limits. While the premiums tend to be higher, the peace of mind and financial security can be well worth the investment, especially for businesses with risky exposures or changing needs. Review your current insurance portfolio to determine if tertiary coverage makes sense for protecting your company’s assets.

Benefits of Having Tertiary Insurance

5 Things You Must Know About Tertiary Insurance

When it comes to protecting your business, tertiary insurance offers several advantages over primary and secondary coverage alone.

Financial Protection From Catastrophic Losses

Tertiary insurance provides an extra layer of protection for massive, unpredictable losses that primary and secondary insurance may not fully cover. Things like natural disasters, cyber attacks, and product liability claims can cost tens or hundreds of millions of dollars. Tertiary insurance helps ensure your business’s financial stability even in worst-case scenarios.

Access to Reinsurance Markets

Reinsurance companies provide coverage for insurance companies themselves. By purchasing tertiary insurance, you gain access to reinsurance markets that can provide higher coverage limits and more specialized policies. Reinsurers also analyze risks very carefully, so tertiary policies often come with helpful risk management advice.

Tax Advantages

Tertiary insurance premiums are tax deductible as a business expense. The funds you contribute to a captive insurance company, a common form of tertiary coverage, can accumulate tax-deferred. You can then use these funds to help pay for future claims. This can provide significant tax savings versus paying for unexpected losses out of pocket.

Opportunities for Risk Layering

With multiple layers of insurance coverage in place, you have more flexibility in how risks are shared or retained. You can choose to keep more risk through higher deductibles or self-insured retentions for primary and secondary layers, knowing tertiary coverage will protect you from catastrophic loss. This risk layering approach helps control premium costs.

In summary, tertiary insurance should not be overlooked as an option to strengthen your business’s risk management strategy. While the coverage is not for everyone, for many companies the financial security, risk control benefits, and tax advantages it provides make tertiary insurance worth considering.

What is tertiary insurance in medical billing?


Comments