A deductible reduces the insurer's payment by a stated amount per claim or occurrence. Unlike a self-insured retention, the insurer typically handles and pays the claim in full and then seeks reimbursement from the insured.

Deductibles may apply to indemnity only or to indemnity and defense costs combined.

Alternative Names:

Policy Deductible, Loss Deductible

Why it Matters?

The distinction from a self-insured retention determines who controls the defense, which matters more than the dollar amount. Under a deductible the carrier ordinarily selects counsel and directs strategy from the outset, while an SIR frequently leaves control with the insured until exhaustion. Large deductible programs also carry collateral requirements, since the carrier bears credit risk on reimbursement.

Frequently Confused with

Frequently asked questions

How does a deductible differ from a self-insured retention?

How does a deductible differ from a self-insured retention?

With a deductible the insurer usually pays and seeks reimbursement while controlling the defense. With an SIR the insured typically pays and controls the defense until exhaustion.

Do deductibles apply to defense costs?

Do deductibles apply to defense costs?

It depends on the form. Some apply to indemnity only while others include defense expense, which materially changes the insured's exposure.