Claims Payout Estimator

ANA›Life Services Authority›National Calculator Authority›Claims Payout Estimator

.calc-container { max-width: 640px; margin: 2rem 0; padding: 1.5rem; background: #fff; border: 1px solid #ddd; border-radius: 8px; box-shadow: 0 1px 3px rgba(0,0,0,0.06); font-family: system-ui, -apple-system, sans-serif; } .calc-container h3 { font-family: Georgia, serif; font-size: 1.15rem; color: #1a1a1a; margin-bottom: 1rem; padding-bottom: 0.5rem; border-bottom: 2px solid var(--ac, #3d5a80); } .calc-row { display: flex; align-items: center; gap: 0.75rem; margin-bottom: 0.75rem; flex-wrap: wrap; } .calc-row label { min-width: 160px; font-size: 0.9rem; color: #333; font-weight: 500; } .calc-row input[type="number"], .calc-row select { flex: 1; min-width: 120px; max-width: 200px; padding: 0.5rem 0.6rem; border: 1px solid #ccc; border-radius: 4px; font-size: 0.9rem; font-family: system-ui, sans-serif; color: #1a1a1a; background: #fafaf8; } .calc-row input:focus, .calc-row select:focus { outline: none; border-color: var(--ac, #3d5a80); box-shadow: 0 0 0 2px rgba(26,74,138,0.12); } .calc-row .unit { font-size: 0.82rem; color: #888; min-width: 30px; } .calc-btn { display: inline-block; margin-top: 0.5rem; padding: 0.55rem 1.5rem; background: var(--ac, #3d5a80); color: #fff; border: none; border-radius: 4px; font-size: 0.9rem; font-weight: 600; cursor: pointer; font-family: system-ui, sans-serif; } .calc-btn:hover { opacity: 0.9; } .calc-result { margin-top: 1.25rem; padding: 1rem 1.25rem; background: #f0f6fc; border-left: 3px solid var(--ac, #3d5a80); border-radius: 0 6px 6px 0; display: none; } .calc-result.visible { display: block; } .calc-result-label { font-size: 0.78rem; text-transform: uppercase; letter-spacing: 0.06em; color: #666; margin-bottom: 0.25rem; } .calc-result-value { font-size: 1.6rem; font-weight: 700; color: var(--ac, #3d5a80); } .calc-result-detail { font-size: 0.85rem; color: #555; margin-top: 0.5rem; line-height: 1.5; } .calc-note { margin-top: 1rem; font-size: 0.8rem; color: #888; font-style: italic; } .calc-grid { display: grid; grid-template-columns: 1fr 1fr; gap: 0.75rem; margin-top: 0.75rem; } .calc-grid-item { padding: 0.6rem 0.8rem; background: #f8f9fa; border-radius: 4px; border: 1px solid #eee; } .calc-grid-item .label { font-size: 0.75rem; color: #888; text-transform: uppercase; letter-spacing: 0.04em; } .calc-grid-item .value { font-size: 1.1rem; font-weight: 600; color: #1a1a1a; } @media (max-width: 720px) { .calc-row { flex-direction: column; align-items: flex-start; gap: 0.3rem; } .calc-row label { min-width: auto; } .calc-row input[type="number"], .calc-row select { max-width: 100%; width: 100%; } .calc-grid { grid-template-columns: 1fr; } } .calc-chart { margin: 1rem 0; text-align: center; } .calc-chart svg { max-width: 100%; height: auto; } .calc-chart-legend { display: flex; flex-wrap: wrap; justify-content: center; gap: 0.6rem 1.2rem; margin-top: 0.6rem; font-size: 0.8rem; color: #555; } .calc-chart-legend span { display: inline-flex; align-items: center; gap: 0.3rem; } .calc-chart-legend i { display: inline-block; width: 10px; height: 10px; border-radius: 2px; font-style: normal; } .calc-related { max-width: 640px; margin: 2rem 0 1rem; padding: 1.25rem 1.5rem; background: #f8f9fa; border: 1px solid #e8e8e8; border-radius: 8px; } .calc-related h3 { font-family: Georgia, serif; font-size: 1rem; color: #1a1a1a; margin: 0 0 0.75rem; padding-bottom: 0.4rem; border-bottom: 2px solid var(--ac, #3d5a80); } .calc-related-list { list-style: none; padding: 0; margin: 0 0 0.75rem; display: grid; grid-template-columns: 1fr 1fr; gap: 0.4rem 1.5rem; } .calc-related-list li a { font-size: 0.88rem; color: var(--ac, #3d5a80); text-decoration: none; } .calc-related-list li a:hover { text-decoration: underline; } .calc-browse-all { margin: 0.5rem 0 0; font-size: 0.9rem; font-weight: 600; } .calc-browse-all a { color: var(--ac, #3d5a80); text-decoration: none; } .calc-browse-all a:hover { text-decoration: underline; } @media (max-width: 720px) { .calc-related-list { grid-template-columns: 1fr; } }

Claims Payout Estimator

Estimate the net insurance payout after applying deductibles, coinsurance, and policy limits.

Total Claim Amount ($)

Deductible ($)

Coinsurance Rate (%) Insurer pays this % after deductible

Policy Limit / Coverage Cap ($)

Sub-limit for Specific Loss ($) 0 = no sub-limit

Salvage / Recovery Value ($)

Calculate Payout

function claCalc() { var errEl = document.getElementById('cla-error'); var resEl = document.getElementById('cla-result'); errEl.style.display = 'none'; resEl.style.display = 'none';

var claimAmt = parseFloat(document.getElementById('cla-claim-amount').value); var deductible = parseFloat(document.getElementById('cla-deductible').value); var coinsurance = parseFloat(document.getElementById('cla-coinsurance').value); var policyLimit = parseFloat(document.getElementById('cla-policy-limit').value); var sublimit = parseFloat(document.getElementById('cla-sublimit').value) || 0; var salvage = parseFloat(document.getElementById('cla-salvage').value) || 0;

// --- Validation --- var errors = []; if (isNaN(claimAmt) || claimAmt 100) errors.push("Coinsurance Rate must be between 0 and 100."); if (isNaN(policyLimit) || policyLimit claimAmt) errors.push("Deductible cannot exceed the Total Claim Amount.");

if (errors.length > 0) { errEl.innerHTML = errors.join(''); errEl.style.display = 'block'; return; }

// --- Core Formula --- // Step 1: Amount subject to coinsurance after deductible var afterDeductible = claimAmt - deductible; afterDeductible = Math.max(afterDeductible, 0);

// Step 2: Apply coinsurance (insurer's share) var insurerShare = afterDeductible * (coinsurance / 100);

// Step 3: Apply sub-limit (if any) var afterSublimit = (sublimit > 0) ? Math.min(insurerShare, sublimit) : insurerShare;

// Step 4: Apply policy limit cap var afterPolicyLimit = Math.min(afterSublimit, policyLimit);

// Step 5: Subtract salvage/recovery var netPayout = afterPolicyLimit - salvage; netPayout = Math.max(netPayout, 0);

// Insured's out-of-pocket var insuredShare = afterDeductible * ((100 - coinsurance) / 100); var totalInsuredCost = deductible + insuredShare + Math.max(insurerShare - afterPolicyLimit, 0);

var fmt = function(n) { return '$' + n.toFixed(2).replace(/\B(?=(\d{3})+(?!\d))/g, ','); }; var pct = function(n) { return n.toFixed(1) + '%'; };

resEl.innerHTML = '### Payout Breakdown ' + '' + 'Total Claim Amount' + fmt(claimAmt) + '' + 'Less: Deductible- ' + fmt(deductible) + '' + 'Amount After Deductible' + fmt(afterDeductible) + '' + 'Insurer Share (' + pct(coinsurance) + ' coinsurance)' + fmt(insurerShare) + '' + (sublimit > 0 ? 'After Sub-limit Cap' + fmt(afterSublimit) + '' : '') + 'After Policy Limit Cap' + fmt(afterPolicyLimit) + '' + 'Less: Salvage / Recovery- ' + fmt(salvage) + '' + 'Net Insurer Payout' + fmt(netPayout) + '' + 'Insured Out-of-Pocket (est.)' + fmt(totalInsuredCost) + '' + '';

resEl.style.display = 'block'; }

#### Formula

Step 1 — After Deductible: Amount After Deductible = max(Claim Amount − Deductible, 0)

Step 2 — Insurer's Coinsurance Share: Insurer Share = Amount After Deductible × (Coinsurance Rate / 100)

Step 3 — Apply Sub-limit (if applicable): After Sub-limit = min(Insurer Share, Sub-limit)

Step 4 — Apply Policy Limit: After Policy Limit = min(After Sub-limit, Policy Limit)

Step 5 — Net Payout: Net Payout = max(After Policy Limit − Salvage, 0)

Insured Out-of-Pocket (estimate): = Deductible + (Amount After Deductible × (1 − Coinsurance/100)) + max(Insurer Share − Policy Limit, 0)

#### Assumptions & References

Coinsurance represents the insurer's percentage share of the loss after the deductible (e.g., 80/20 split means insurer pays 80%).
References: ISO Policy Forms; NAIC Claims Settlement Guidelines; Rejda & McNamara, Principles of Risk Management and Insurance, 13th ed.

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