What are the 5 P's in insurance?

Asked by: Prof. Rey Lebsack V  |  Last update: September 2, 2025
Score: 4.8/5 (74 votes)

This article outlines the “Five P's of Insurance” that I discuss with my clients when designing group benefits plans. The five “P's” include premium, plan, providers, participation, and performance. Consider these five elements of benefits design and rank them by importance.

What are the 5 C's of insurance?

That was how I best retained information, so I decided to take that approach for this article, which outlines the “5 Cs of Transformation in Insurance” which are: Communication, Customization, Connection, Cognition and Consensus.

What are the five types of health insurance?

Plan Types
  • Choose a Plan and Enroll. ...
  • Fee-For-Service (FFS) plans generally use two approaches. ...
  • Health Maintenance Organization (HMO) ...
  • HMO Plans Offering a Point of Service (POS) Product. ...
  • Consumer-Driven Health Plans (CDHP) ...
  • High Deductible Health Plan (HDHP)

What are the five most common types of insurance?

Home or property insurance, life insurance, disability insurance, health insurance, and automobile insurance are five types that everyone should have.

What are the five major sections to any insurance contract?

What Are the 5 Parts of an Insurance Policy?
  • Declarations Page as Your Policy Snapshot. ...
  • Insuring Agreements: Coverage Specifics. ...
  • Definitions: Clarifying Insurance Terminology. ...
  • Conditions for Policyholders. ...
  • Coverage Limitations.

The 5 P's: Create Your Marketing Strategy and Plan

18 related questions found

What is insurance and its principles?

The basic principle of insurance is that an entity will choose to spend small periodic amounts of money against a possibility of a huge unexpected loss. Basically, all the policyholder pool their risks together. Any loss that they suffer will be paid out of their premiums which they pay.

What are the 5 factors of health insurance?

Five factors can affect a plan's monthly premium: location, age, tobacco use, plan category, and whether the plan covers dependents. Notice: FYI Your health, medical history, or gender can't affect your premium.

Do doctors prefer HMO or PPO?

HMO plans might involve more bureaucracy and can limit doctors' ability to practice medicine as they see fit due to stricter guidelines on treatment protocols. So just as with patients, providers who prefer a greater degree of flexibility tend to prefer PPO plans.

What are the three 3 main types of insurance?

Then we examine in greater detail the three most important types of insurance: property, liability, and life.

What are the 4 pillars of insurance?

The Four Pillars of Insurance Investing
  • How Insurance Companies Record Earnings. ...
  • The Four Pillars of Insurance. ...
  • 1) Disciplined Underwriting. ...
  • 2) Risk Management. ...
  • 3) Expense Control. ...
  • 4) Product Distribution. ...
  • Epilogue.

What are the 5 P's of credit?

Such models include the 5C's of credit (Character, Capacity, Capital, Collateral and Conditions); the 5P's (Person, Payment, Principal, Purpose and Protection); the LAPP (Liquidity, Activity, Profitability and Potential); the CAMPARI (Character, Ability, Margin, Purpose, Amount, Repayment and Insurance) and Financial ...

What is the 5C analysis?

5C Analysis is a marketing framework to analyze the environment in which a company operates. It can provide insight into the key drivers of success, as well as the risk exposure to various environmental factors. The 5Cs are Company, Collaborators, Customers, Competitors, and Context.

What are the three D's of insurance?

What is Delay, Deny, and Defend?
  • Delay: Delay is the first of the three D's. A claim is submitted, and the games begin. ...
  • Deny: Once delay fails, the next step is implementing the second D: Deny. ...
  • Defend: If all else fails, the insurance company will bring out the third D: Defend.

What are the four types of policies?

The four main types of public policy include regulatory policy, constituent policy, distributive policy, and redistributive policy.

What is better, HMO pos or PPO?

A Preferred Provider Organization (PPO) has higher premiums than an HMO or POS. But this plan lets you see specialists and out-of-network doctors without a referral. Copays and coinsurance for in-network doctors are low.

What is the downside to a PPO plan?

Cons of PPO Plans

Less Coordination: Without a primary care doctor managing your healthcare, there's less oversight, and it can be harder to keep track of your treatments and appointments.

What does coinsurance mean?

Listen to pronunciation. (KOH-in-SHOOR-ents) The amount of money not covered by a patient's health insurance that the patient pays for each health care service. For example, if a plan covers 80% of the cost of a service, then the coinsurance that the patient pays will be the remaining 20% of the cost.

Is Blue Cross Blue Shield a PPO?

Preferred Provider Organization (PPO)

However, BCBS still pays more to in-network providers than out-of-network providers. People who are part of a PPO do not need a physician's referral to consult with a specialist. PPOs also usually offer drug coverage. Learn about Medicare referrals.

What is the most expensive health insurance?

Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums. Plans typically feature a small deductible or no deductible and cheap copays or coinsurance.

What are the 4 most important insurances?

Most experts agree that life, health, long-term disability, and auto insurance are the four types of insurance you must have. Employer coverage is often the best option, but if that is unavailable, obtain quotes from several providers as many provide discounts if you purchase more than one type of coverage.

Who are the gatekeepers to healthcare?

Primary care physicians are generally considered to be gatekeepers of patient treatment in health insurance. In long-term care, gatekeepers are requirements that must be met before an individual can receive payouts from their insurance plans.

What does subrogation mean?

"Subrogation," or "subro" for short, refers to the right your insurance company holds under your policy — after they've paid a covered claim — to request reimbursement from the at-fault party. This reimbursement often comes from the at-fault party's insurance company.

What is peril in insurance?

A peril is an event, like a fire or break-in, that may damage your home or belongings. The perils covered by your homeowners insurance are listed in your policy. The list of mishaps you're protected against ("perils" in industry speak) is broad.

What is insurance in simple words?

Insurance is a contract between an individual or business with an insurance company to help provide financial protection and mitigate the risks associated with certain situations or events. There are various types of insurance available, including health, dental and vision, life, auto, and legal insurance.

What are the three C's of insurance?

A number of these factors fall under what the Surety industry calls “The Three C's”; Character, Capacity, and Capital. All three of these are important to the underwriting process.