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Financial Literacy

Insurance & Risk Management

Lesson

11

Why This Lesson Matters

Some problems are small: a bus fare you didn’t plan, a broken light, a sore throat. Your buffer (Lesson 6) can handle those. Some problems are big: a hospital stay, a serious road accident, a house fire, a sudden death in the family. These can cost more than you can save in months—or even years. That is where insurance belongs. It does not stop bad events from happening. It stops a bad event from destroying your finances.

In Sri Lanka, many families fall into debt after a medical emergency or an accident. A loan solves today and creates tomorrow’s pressure. Insurance solves today without debt. Together, your buffer + budget + insurance form your safety net: the buffer catches small shocks, and insurance catches big shocks.

“Self-insure the small. Transfer the big.”

Step 1: What Insurance Really Is (Simple, Clear, Honest)

Insurance is a way to share risk. Many people pay a small amount called a premium into a pool. When one of them faces a covered problem, money from the pool pays most of the cost. You are buying protection, not profit.

A few key words (plain language):

  • Premium: the regular amount you pay (monthly/quarterly/yearly) to keep the cover active.

  • Coverage / Sum insured: the maximum amount the insurer will pay for a claim.

  • Excess / Deductible / Co-pay: the small part you pay first so the premium is lower.

  • Waiting period: a time after you buy the policy during which some benefits don’t apply yet.

  • Exclusions: what is not covered (for example, some pre-existing illnesses for a period, or damage from illegal activity).

  • Grace period / Lapse: if you miss a premium and don’t pay within the grace period, the policy can lapse (no cover).

  • Claim: the formal request you make when something happens. The insurer pays based on the policy rules and your documents.

Think of common covers:

Health insurance / hospital cover. It helps pay hospital bills for accidents and illnesses. Some plans also pay a fixed “hospital cash” amount per day. Health cover reduces the chance you must take a high-interest loan during a medical shock.

Life insurance (pure term). If the person who earns for the family dies, a term life policy pays a lump sum to replace years of income or clear debts. This is protection only—simple, clear, and usually the best value. Some life policies mix saving + insurance (endowment/“with-profits”). These can be costly and lock money. If your goal is protection, term life is the clean option.

Motor insurance. If you ride or drive, you need cover. Third-party protects others you might injure or damage. Comprehensive also covers your own vehicle for theft/accident (subject to terms). Choose based on the vehicle’s value and your risk.

Property/contents insurance. Covers your home or belongings against fire, some natural events, and theft (subject to policy terms). If you cannot afford to rebuild or replace, insure the big items you rely on.

Personal accident insurance. Pays a benefit if you are disabled or die due to an accident. Often low-cost, useful for daily wage earners and riders.

Microinsurance. Small, low-premium policies for specific risks (for example, hospital cash or accident cover). These are useful when budgets are tight, but read the exclusions carefully.

Two honest truths keep you safe:

  1. Insurance is for low-frequency, high-cost events. Use your buffer for small, frequent costs; use insurance for rare, heavy ones.

  2. Never buy because someone pressures you. Buy because the math and risk make sense for your family.

“If a loss would break you, insure it. If a loss would annoy you, plan it in your budget.”


Step 2: Build a Practical Protection Plan

Start by reducing risk before you insure. Wear your helmet and seatbelt. Keep medicine for fevers at home. Fix loose wiring. Use surge protectors for important appliances. Save emergency contacts on your phone. Good habits lower claims—and premiums—over time.

Now decide what to insure first. Use this order:

  1. Health: A hospital stay can wipe out savings. Choose a plan you understand. Check room limits, co-pays, waiting periods, and exclusions. If full hospital cover is expensive, consider a higher deductible (you pay the first part; premium is lower) or a hospital cash plan as a starter.

  2. Life (term) for breadwinners: If someone depends on your income, protect them. A simple guide is 10× annual income or (debts + 5–10 years of essentials). Choose term (pure protection). Keep the premium affordable so you never miss payments.

  3. Motor: If you ride/drive for school or work, at least third-party cover (often required) protects others. If the vehicle is valuable and you cannot afford to repair/replace it, consider comprehensive.

  4. Property/contents (targeted): Insure what you cannot replace—the house structure, key tools, or the small business stock you rely on.

Keep premium affordability in mind. As a rule of thumb, try to keep protection premiums (health + term life + basic motor) within a reasonable slice of your monthly income (for many households, 5–10% is a workable range). Your emergency buffer stays alive—do not kill savings to pay for too much cover.

When comparing policies, use a one-page checklist:

  • What events are covered? What are the exclusions?

  • What is the sum insured or room limit?

  • What is the deductible / co-pay?

  • Are there waiting periods (for specific treatments, maternity, pre-existing conditions)?

  • What documents are needed for a claim?

  • How do I renew, and what happens if I’m late?

  • What is the complaints path if something goes wrong?

Make claims easy for your future self. Create a small claims folder (physical or digital) with policy numbers, copies of NIC/driver’s license, vehicle book, purchase receipts, and insurer hotlines. If something happens: safety first, then notify the insurer quickly, collect documents (bills, photos, police report if accident/theft), submit the claim form, and follow up politely. Keep notes of dates and names.

Watch for red flags when buying: promises of “guaranteed returns,” very long lock-ins when you mainly need protection, pressure to sign “today only,” or riders you don’t understand. If you want savings or investment, use the tools from Lesson 9. Let insurance remain protection.

Finally, review your cover once a year. Has income changed? Any new dependents? New debts? Adjust sums insured and beneficiaries. If premiums feel heavy, consider raising the deductible on hospital/vehicle cover (you pay a bit more in a claim, but premiums fall). Keep the plan light, clear, and affordable so it survives real life.

The Golden Rule

Insure the losses you cannot afford. Use your buffer and budget for the rest. Keep protection simple, clear, and affordable.



Which Tool Fits Which Risk?

Risk Example

Typical Cost

Best Tool

Why

Flu medicine, small clinic visit

Low

Buffer / budget

Common and affordable from savings

Phone screen crack

Low–Medium

Sinking fund

Predictable; plan ahead instead of insuring

Hospital surgery after accident

High

Health insurance

Rare but expensive—transfer the risk

Breadwinner passes away

Very high

Term life

Replaces income / clears debts

Motorbike hits another vehicle

High

Motor (third-party/comprehensive)

Legal/financial protection

House fire / major theft

High

Property insurance

Rebuild/replace beyond buffer capacity



Exercises: Your Turn to Protect

Exercise 1 — Risk Map (10 minutes). Draw four boxes: Small Impact, Big Impact, Likely, Unlikely. Place your risks: flu, bike scratch, hospital stay, house fire, breadwinner death. Mark which ones you will self-insure (buffer/sinking fund) and which ones you will insure.

Exercise 2 — Policy Snapshot. List any current policies (health, life, motor). Write the policy number, sum insured, premium, renewal date, and hotline. If you have none, write “None yet” and move to Exercise 3.

Exercise 3 — Compare One Cover. Choose one priority (health or term life). Get two quotations. Write the key differences: coverage, deductible/co-pay, exclusions, premium. Circle the one that is clearer and more affordable.

Exercise 4 — Claims Folder. Create a folder (paper or phone album) named “Insurance – Claims”. Add: NIC photo, policy pages, vehicle book (if any), receipts for big items you might claim, and a note with insurer hotlines. Put the folder where you can find it in a hurry.

Exercise 5 — Premium Rule. Decide your monthly protection budget (for example, 7% of income). Write: “I will fund health + life + basic motor within ___% and keep my buffer alive.”

Exercise 6 — Annual Review Date. Pick one date (e.g., your birthday month). Set a calendar reminder: “Review insurance: sums, beneficiaries, premiums, claims folder.”



Quick Win

Today, save your insurer/wallet hotlines in your phone and photograph any existing policy documents. Start your Claims folder now.

Common Roadblocks (and Simple Fixes)

“Insurance is a waste if I’m healthy.” You are buying peace for rare, expensive events. It feels unnecessary—until the day it saves you from debt.

“Premiums are too high.” Start with core protection (health + term life + basic motor). Use higher deductibles to lower premiums. Skip fancy riders you don’t understand. Keep the cover simple and within your set percentage.

“Agents keep pushing savings policies.” Be polite and clear: “I need protection only—term life.” If you want to save or invest, use Lesson 9 tools (FDs, funds). Don’t mix goals if the cost is unclear.

“Claims get rejected.” Rejections often come from exclusions, waiting periods, or non-disclosure. Read the key facts, tell the truth on forms, and keep documents. If rejected unfairly, escalate with your notes.

“I forget renewals.” Put all renewal dates on your bill calendar (Lesson 4). Turn on reminders two weeks early. A lapsed policy is like no policy.

Keeping Yourself Motivated

Protection is not exciting—but it is powerful. Write one sentence and keep it near your study table: “Insurance protects my family from big shocks.” Each time you update your claims folder, you are buying calm. Each time you renew on time, you are buying dignity. Share the plan with one trusted person so they know where documents are and whom to call.

Link this lesson to your whole system. Your buffer covers small surprises. Your budget funds premiums without stress. Your debt plan prevents borrowing to pay claims. Your investments grow the future. Insurance simply keeps the future safe from big storms.

“Prepare in calm so you can act in storms.”



Your First Step is Complete

You now know what insurance is, the key terms, and which risks to self-insure vs transfer. You can build a simple, affordable protection plan: reduce risk first, insure big losses, keep policies clear, create a claims folder, and review once a year. Keep your buffer alive and your premiums within a healthy slice of income. Protection should be boring—and that is a good thing.

Start today: complete your Risk Map, take photos of any policies, save hotlines, and compare one health or term-life option. Tell one family member where the claims folder is. This is how resilience grows—quietly, clearly, and with discipline.


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