1. Different business risks: the insurance liability of health insurance is injury insurance, and the influencing factors are particularly complicated. There are many risk factors in health insurance, adverse selection and moral hazard are more serious, so in underwriting, health insurance is much stricter than life insurance. In addition, the risk of health insurance comes from medical service providers, because the quantity and price of medical services are largely determined by them, and it is difficult for insurance companies as payment methods to control. The risk of life insurance in this respect is very small, the core standard is human life, and the underwriting procedure is simple.
2. Different actuarial techniques: death rate, expense rate and interest rate are mainly considered when setting the premium rate for life insurance, while disease rate, disability rate and duration of illness (disability) are mainly considered when setting the premium rate for health insurance, and the calculation basis is the loss rate of insurance amount and the unexpired liability reserve.
3. Different insurance periods: Health insurance can be divided into short-term health insurance and long-term health insurance. Short-term health insurance refers to the health insurance whose insurance coverage period is less than 65,438+0 years and 65,438+0 years and does not include the guarantee renewal clause. Long-term health insurance refers to health insurance that has been insured for more than 65,438+0 years or has a renewal clause although the insurance period does not exceed 65,438+0 years. General life insurance contracts are mainly long-term contracts, and balanced insurance rates can be adopted during the whole payment period.
4. Different payment methods of insurance benefits: There are three main payment methods of health insurance benefits, namely, cost compensation or reimbursement, fixed payment and hospitalization subsidy. It should be pointed out that in order to prevent the insured from obtaining additional benefits through insurance, according to the principle of loss compensation, the insurer has the right to exercise subrogation for cost-compensated health insurance. Life insurance belongs to payment insurance. As long as there is an insurance accident agreed in the insurance contract, the insurance company will pay the insurance money according to the contract. There are three kinds: bonus, surrender premium and insurance premium.
5. Different terms of the contract: one of the responsibilities of health insurance protection is the responsibility of medical payment due to illness (excluding maternity), that is, the medical expenses incurred by the insured in medical treatment for diseases, and the insurer pays the corresponding medical insurance benefits for diseases according to regulations. Because health insurance is risky, difficult to control and unpredictable, in health insurance, the insurer's medical insurance payment responsibility for diseases often formulates many restrictive or restrictive clauses, such as medical examination clauses, deductible clauses and waiting period clauses. Life insurance is not as complicated as health insurance in terms of contract.
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