A claim pays the loss minus the deductible, never below zero and never above the policy limit. Two clamps — floor at zero, cap at the limit — turn a raw loss into the actual payout.
The example
$8,000 loss, $1,000 deductible, $25k limit.
| A | B | |
|---|---|---|
| 1 | Item | Value |
| 2 | 8000 − 1000 | $7,000 |
| 3 | Capped at 25k | → $7,000 |
The formula
The formula:
How it works
How it works:
- Subtract the deductible from the loss — the insured’s share.
- MAX(…, 0) floors it: a loss below the deductible pays nothing.
- MIN(…, limit) caps it at the policy limit.
- The result is the insurer’s payout; the insured keeps deductible + any amount over the limit.
Illustrative math only — not insurance, financial, or legal advice. Policy language, state regulation, and carrier rules govern actual claims, premiums, and coverage. Always read the policy and consult a licensed professional.
Try it: interactive demo
Loss, deductible, policy limit.
Variations
Insured's share
What they keep:
Without a limit
Just the deductible:
Percent deductible
Deductible as % of value:
Pitfalls & errors
Floor and cap. MAX at 0 and MIN at the limit — both clamps matter.
Per-claim vs annual. Know whether the deductible resets each claim or per year.
Not advice. Policy terms govern the real payout.
Practice workbook
Frequently asked questions
How do I calculate an insurance payout in Excel?
Why floor at zero?
What does the insured pay?
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