Plain-English meaning

The maximum amount the insurer will reimburse for eligible claims during a policy year, subject to the policy terms.

Why the exact wording matters

A high reimbursement percentage can still leave substantial owner cost if the annual limit is reached. Check whether any benefit-specific sublimits apply inside the overall limit.

Where to verify it

  • Definitions section
  • Coverage or insuring agreement
  • Exclusions
  • Benefit or limit schedule
  • Claims section
  • State endorsement when applicable

Write this down when comparing policies

FieldPolicy APolicy B
Annual Limit
Where defined
What changes a claim
Question for the carrier