What Is Life Insurance Underwriting Process

What is Life Insurance Underwriting Process?

Insurance companies generally assess your risk profile during the life insurance underwriting procedure. 

Written by : Nitin Bhatia

Reviewed by : Lalit Lata

Lalit Lata

2020-10-11

1534 Views

9 minutes read

Applying for a life insurance policy is easy, especially when applied for online. It may take only a few minutes. Once you have given your basic details and provided the necessary information, your insurance application is then sent for the underwriting process. This process determines if you can get coverage, how much coverage can be approved for you, and at what cost. The underwriter, the person who evaluates your application, works on behalf of or for the life insurance company to look at your health and financial information to figure out if you are eligible to receive the rate you were originally quoted.

Underwriters use underwriting guidelines based on mortality statistics that are calculated by actuaries. All insurance products involve some degree of underwriting. For life insurance, the underwriter looks at data like your health and medical history as well as lifestyle information like your hobbies and financial ability. Let's understand the underwriting meaning in insurance in the following sections.

What is Underwriting in Life Insurance? 

Underwriting in life insurance is a term used to describe the consideration given to a life insurance application and to determine whether a policy applied for should be issued or if there are changes to be made depending on the person’s risk profile.

The process helps in the selection of risks for the insurance company involved in issuance of an insurance policy to the person in question.

Read more about the eligibility to buy a life insurance policy.

Underwriters are the organisation's risk managers. They help the organisation to keep actual experience within the mortality assumption used in calculating the premium rates, which helps the company to offer insurance cover at competitive terms, maintain equity between policyholders, and offer cover to as wide a group of lives as possible.

Two Parts of Life Insurance Underwriting 

There are broadly two parts to underwriting in insurance that can also be classified as the types of underwriting:

  • Financial Underwriting 

It helps the underwriter to make sure the amount you’re purchasing is in line with your family’s and your needs.

  • Medical Underwriting 

Here, the underwriters determine how much of a risk you are to insure by evaluating factors that may affect your mortality.

Did You Know?

The word "underwrite" first appeared in the 17th century, when insurance risk for foreign travel on maritime vessels was underwritten. 

Source: Investopedia

Claim Settlement Ratio

Life Insurance Underwriting Process

To understand better what is underwriting in insurance, first understand the underwriting process in insurance. The most important underwriting tools include the Proposal Form, Age Proof, Income Documents, Questionnaires Sales Report and a Client Confidential Report (CCR). These tools are used to implement the following process:

Step 1: Application Quality Check 

Your application is first gone through to make sure the information provided is complete and correct. Therefore, it is important you fill out your proposal form carefully and completely. Unless the missing information is related to your medical history, a minor change required in an application does not typically slow down the underwriting process. After this, your application goes into the official underwriting process. Each of the following checks can increase the turnaround time, but it is worth it to get you the right premium price you will need to pay over the policy term.

Step 2: Medical Examination

This step involves looking thoroughly at the results of your paramedical exam, conducted only if required for health proof. This medical test is a simple checkup with the doctor recommended by the insurance company. After the medical examination, the results are sent to the underwriter for evaluation. The information used by the underwriter is mainly of three types – basic measurements, your blood test and drug test. Basic measurements include regular metrics like height, weight, and blood pressure. Blood tests can get a lot of information on potential health risks such as heart disease, stroke, diabetes, and blood-borne illnesses, among others. Finally, a urine test for a full drug panel will alert the underwriter to the use of drugs, smoking and alcohol consumption.

Step 3: Final Application Rating

Once the underwriting process in insurance is complete and all your medical and financial backgrounds have been checked, you are either made a counter offer suggesting the changes based on your policy evaluation, or you are proudly offered the life insurance policy. Depending upon your acceptance or rejection of the new policy term, your policy is then issued. The whole process can take anywhere between three to eight weeks. After this, all that’s left to be done is to confirm the premium rate and sign the policy to put it in force to keep your family protected.

While not every applicant will require a detailed medical examination, underwriters may sometimes request an inspection report or independent information on the applicant's financial situation and lifestyle. The premium that you have to pay for your life insurance policy depends majorly on this evaluation based on factors like your age, medical history, gender, lifestyle, and job. However, you must remember that a life insurance policy should not be bought on the basis of lower premiums. While term insurance plans are usually known to have the lowest premiums, you can choose an insurance provider that offers a relatively higher implied investment return, a high death benefit and relatively lower surrender charges, and a high claim settlement ratio.

What are the Outcomes of Underwriting? 

The underwriter's risk estimate will determine how an insurance underwriting process turns out. You can also understand the importance of underwriting by the following outcomes it has: 

  • Acceptance

The insurance company will grant coverage to the applicant, typically at a rate that corresponds with the amount of risk, if the underwriter finds that the risk is acceptable. 

  • Rejection

The insurance company may deny an application for coverage if the underwriter finds that the risk or the chance of a claim is too high. 

  • Adjustments 

Occasionally, the underwriter will provide coverage but with changes to the policy, such as increased premiums, deductibles, or coverage limitations.

8 Warning Signs from Underwriters

While life insurance underwriting guidelines differ from business to business, most insurers look for certain common indicators when identifying "red flags." In response to these possible risks, insurers might reduce their coverage, raise their rates, or deny a life insurance application. 

Having a history of smoking and being diagnosed with potentially fatal diseases, including diabetes, heart disease, cancer, HIV/AIDS, or a blood-borne sickness, are two of the most significant grounds for denial of a life insurance application. A rejection may also result from the following other circumstances.

  • Obesity: If a policyholder has a body mass index (BMI) of 40 or more, the insurer would typically ask for further medical records. One typical cause of application rejection is a high BMI.

  • Uncontrolled blood pressure: Unless your blood pressure is under control with medicine, life insurance companies may refuse to insure you if you have high blood pressure. Stress that is unsuitable or poorly handled may cause adverse effects.

  • Risky Travel: If a policyholder wishes to travel to a risky or unstable country, insurance firms have the right to reject their application.

  • Drug usage: Using drugs will get you rejected. Every insurance provider has a policy regarding marijuana use.

  • Dangerous occupation: Those working in high-risk occupations, such as pilots or police explosives specialists, would need to look for coverage through employer plans or speciality carriers.

  • Alcohol usage: Your premiums will increase if you drink more alcohol than the average person. If the applicant has been drinking excessively, their application may be denied.

  • Risky hobbies: Applicants who participate in high-risk pastimes like skydiving or vehicle racing may pay significantly more for insurance or not be approved at all.

  • Bad driving record: If a candidate has a history of reckless or intoxicated driving, some insurance providers may reject them.

Summing Up

The process of underwriting aids in analysing the amount of insurance and the level of coverage you require. The insurance company can alter the initial quotations they provided to you as needed. Generally speaking, underwriting for all insurance kinds is done using actuaries' mortality statistics rules. However, the underwriting process for life insurance entails a thorough assessment of your age, gender, medical background, way of life, interests, and financial standing.

The insurance industry's underwriting procedure is its foundation stone. It is essential to understand the proper amount of risk covered by the right premium and all the features of life insurance before selling an insurance policy. The insurance company will not be able to appropriately price the premium if the risk is not properly checked. As a result, the other policyholders will be responsible for paying the additional risk. Furthermore, it would be unjust to charge the policyholder a larger premium. Therefore, the insurance business suffers losses when selling life insurance without underwriting, which also has an impact on consumers.

 

Glossary:

Underwriting Guidelines: Organisations use underwriting standards to decide whether a borrower is qualified for credit (loan). Underwriting requirements partly determine the amount, terms, and interest rates of new debt. These guidelines help shield banks from unwarranted risks and losses.

Insurance Actuary: An insurance actuary is an expert who assesses financial risks to determine an appropriate premium for policies. These experts apply mathematical theories and financial data to estimate suitable premiums and reduce risks for insurance businesses.

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FAQs Related To Underwriting Process in Insurance

Underwriting entails evaluating the applicant's age, health, lifestyle, employment, and medical history to ascertain the amount of risk the applicant poses to the insurer. Underwriters make decisions regarding the acceptance, rejection, or modification of the insurance policy terms based on this assessment.

Your application is sent for underwriting whenever you apply for life insurance. The procedure aids in analysing the amount of insurance and the level of coverage you require. An underwriter is assigned by the life insurance business to review your application and assess your financial and health status.

Due to the extensive evaluation of the applicant's health and lifestyle that goes into fully underwritten insurance, the process typically takes several weeks. On the other hand, policies with guaranteed issues and simplified issues may be underwritten more rapidly—sometimes in a few days.

While you will not be immediately denied life insurance due to a medical condition, you may have fewer options and pay more premiums for it.

No, the underwriting process for the insurance policy is free of cost for applicants.

Risks are divided into four categories by life insurance companies: declined, substandard, standard, and preferred.

The procedure of verbal and telemedical underwriting involves the insurance company's telemedical staff using a video chat to confirm the data submitted in a proposal form.

The underwriting process entails evaluating factors such as the applicant's age, health, lifestyle, employment, and medical history.