insured
Also called: peserta asuransi
The person whose life or health is protected under an insurance policy.
What it means
The insured is the person whose life or health is protected by an insurance policy. The insured can be different from the policyholder who pays the premium, for example a parent who buys insurance for a child. The insured status determines who is entitled to the protection benefits. The insured's data, such as age and health condition, affects acceptance and premiums.
Why it matters for families
Errors in filling in the insured's data can cause claims to be rejected because the information does not match. Families need to make sure the insured's name, date of birth, and health history are recorded correctly from the start. If the insured changes, for example due to marriage or the birth of a child, the policy needs to be adjusted. Also understand who is entitled to file a claim on behalf of the insured.
Example
Suppose a mother buys health insurance for her five-year-old child. The child becomes the insured, while the mother is the policyholder who pays the premium. When the child is treated, the mother handles the claim with documents in the child's name. The premium amount follows the policy terms.
Common misunderstanding
Some people equate the insured with the beneficiary. The correction: the insured is the party protected, while the beneficiary is the party who receives the benefit.