Home + health insurance accountability
Before you pay for peace of mind, check the math behind the policy.
PolicyMath toggles across home, health, auto, flood, pet, travel, disability, long-term care, and life insurance: accountability for required policies, opt-out math where self-insurance is possible, and ruin-protection analysis where it is not.
Some insurance is mandatory, some is optional, and some is only rational as catastrophe protection. PolicyMath separates expected value from effective ruin protection.
Leaderboard
Toggle insurance types. Rank insurers by payout friction, not brand trust.
| Rank | Insurer | Closed without payment | Trend | Paid claim probability |
|---|
MVP data is seeded for product shape. Home should ingest NAIC homeowners claims fields. Health should ingest denial/prior-auth/complaint/MLR sources where available. Replace placeholders with raw imports before public claims.
Calculator
Home vs health: what are you really buying?
Each mode uses the relevant average claim/spend exposure for EV, then separates that from effective ruin protection: catastrophic loss × payout probability × coverage share.
Expected value vs ruin protection
Invested premiums, normal expected payout, and catastrophic protection after payout friction.
How to read this chart
- Green is your self-insurance fund if premiums were invested instead.
- Orange is normal expected insurer payout over time.
- Blue is not full ruin protection. It is
effective ruin protection = catastrophic loss × payout probability × coverage share, with deductible/OOP exposure reflected in the calculator inputs.
Formula: effective ruin protection = catastrophic loss × payout probability × coverage share.
When green crosses blue, your invested reserve is larger than the insurer-adjusted catastrophe shield under these assumptions. Before that crossover, you are still relying on the policy for ruin protection.
Insurer profiles
Every insurer gets a receipt.
Coverage map
The same math works across insurance lines.
PolicyMath is designed around one reusable model: payout friction, expected paid value, invested premiums, and effective ruin protection.
Methodology
Use specific rates or critics will be right to dismiss it.
Home fields to pull
- Claims closed with payment
- Claims closed without payment
- Company, NAIC code, state, and year
- Complaint ratio, when available
Health fields to pull
Denial rates where reported, prior authorization rates, appeal overturn rates, complaint ratios, medical loss ratio, premiums, deductibles, coinsurance, out-of-pocket max, and HSA eligibility.
Disclaimer
Effective ruin protection means catastrophic loss × payout probability × coverage share. It is not guaranteed payment, and it is not the full size of the catastrophe. Home: closed without payment does not prove bad faith. Health: negative expected value can still be rational if the policy buys negotiated rates, tax advantages, and catastrophic protection.