This article shows you a better alternative to paying premiums every month or quarter as well as manage when premiums increase over time.

📚 Table of Contents

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• Why should you pay premiums yearly
• Why do health insurance premiums increase with time?
• Save to spend on premiums
• Where to invest?
• How much to invest?
  • Fixed premium plans
  • Increasing premium plans
• Paying health insurance premiums post-retirement

This article is a part of our detailed health insurance article series. Ensure you have read the other parts here: Show/Hide

Why should you pay premiums yearly

While most insurance premiums offer a monthly or quarterly payment plan, here is why you should avoid them and choose the annual plan:

• annual premiums are slightly cheaper
• there are higher risk of payment failures and other operational issues if you pay monthly or quarterly

Here the basic premise is that the more times you pay, the more is the risk of a payment failure or other problems which might lead to the policy lapsing. A policy in force for 30 years has

• 30 payments made if payment is made once a year
• 60 payments made if payment is made twice a year
• 360 payments made if payment is made once a month

If the chance of failure is say 1% per payment, a failure is least likely to happen once in 30 payments. However, at the same time, it is virtually inevitable at least once with 360 payments.

The insurance company extends courtesy to you by providing reminders to renew the policy, but that is not guaranteed. So do not count on getting a reminder to renew.

However, it may be difficult to cough up a large sum of money once a year on a specific date since that will likely strain the monthly budget. The following section shows a solution where you pay the premium monthly without straining the budget. This is especially important if the income is irregular.

Why do health insurance premiums increase with time?

Health insurance premiums go up due to two main reasons:

• age increase of the insured: as people become older, their risk increases in general regarding diseases. Premiums go up therefore, usually as per age-brackets like 35-40, 40-45 etc, to account for this risk
• too many claims in a short time. A good example is claims made due to the COVID-19 pandemic as shown in the image above.

Save to spend on premiums

We will use a modified version of the sinking fund to help you save for increasing health insurance premiums.

To recap, a sinking fund is a place where you save money every month to save for a significant expense that occurs once a year. An excellent example of using a sinking fund is a building fund that pools contributions from society members to spend on various maintenance activities. Read more about sinking funds here: Budget 101: How to save for periodic expenses: the sinking fund.

Where to invest?

A recurring deposit is one way of saving money monthly. However, a debt mutual fund offers a more straightforward alternative since you can take out as much as you need whenever you need it.

Steps to follow:

• choose any of the big AMCs. It could be one where you already have running investments
• choose a liquid or money market mutual fund
• start a new folio. This step is essential to keep the insurance amount separate from other goals
• choose your favourite MF investment portal (e.g. MFUtilities or MFCentral) or even the AMC website to start the SIP of 1/10th the premium
• put a reminder in your phone’s calendar to redeem (you can use MFUtilities’s saved instruction feature as well) to redeem the desired amount before the premium payment is due

How much to invest?

Fixed premium plans

Let’s say your insurance premium is 60,000/year, payable in June. Start a SIP of 5000/month in the fund of your choice. Every 12 months, you will have 60,000 plus some returns from the fund. Redeem the 60,000 to pay your premium. Let the SIP run continuously.

The plan described above works fine if the premium is constant, like a life insurance premium. However, we use a slightly modified plan for a health insurance premium that may increase.

Increasing premium plans

It is difficult to predict how much a health insurance premium will increase. Due to the COVID-19 pandemic, many health insurance providers have increased their premiums. Also, there is always a 10-30% jump in premiums whenever age increases into higher premium bands, like moving from the 35-40 band to the 41-45 band.

We will save more than 1/12th of the yearly premium to counter this increase. We will try to save 1/10th or 1/9th, budget permitting, every month. With the 1/10th plan, we will have saved the entire premium in 10 months, and the extra two months of saving will take care of a future increase.

For example, if the current premium is 60,000, then as per the 1/10th rule, start a SIP of 6,000/month. This account will have 72000 in 12 months (plus interest), and this 12,000 will be accumulated until the premium increases. Once the premium increases in the future, adjust the SIP amount again to make it 1/10th of the new premium.

Paying health insurance premiums post-retirement

Once retirement starts, any remaining balance in the health insurance premium fund will be used to pay the premiums in the first few years of retirement. Given the high costs of health insurance above 60, premium cost should be a prominent part of the expense planning in retirement. This article shows you how to estimate retirement costs: How can you figure out your expenses in retirement/FIRE?