Medical Underwriting in Life Insurance

One of the critical steps in obtaining life insurance coverage is medical underwriting. It is a process that evaluates your health status and determines the level of risk associated with providing coverage. Insurance companies use the medical underwriting process to determine the premium amount and whether to provide coverage. Learn everything about life insurance medical underwriting in India so that you can make an informed decision.

One of the critical steps in obtaining life insurance coverage is medical underwriting. It is a process that evaluates your health status and determines the level of risk associated with providing coverage. Insurance companies use the...
One of the critical steps in obtaining life insurance coverage is medical underwriting....

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What is Underwriting in Life Insurance?

In Life Insurance, underwriting is the process of evaluating and determining the risk level associated with insuring an individual. It assesses factors like age, health, lifestyle, and past and current medical history to create a complete profile. Underwriting helps the insurer decide the terms of coverage, premiums, and other specifics. There are various types of underwriting in insurance, each tailored to address specific aspects of the policyholder’s risk.  

  • Medical underwriting
  • Financial underwriting, and 
  • Automated underwriting

What is Medical Underwriting in Life Insurance?

Medical underwriting in Life Insurance is like looking closely under the hood. It’s the process whereby the insurer assesses an individual’s health status to understand their unique risk profile. This process in insurance involves reviewing the applicant’s medical history, current health conditions, and other lifestyle choices. The insurer then decides on the details—how much coverage they can offer, the insurance premiums, and any specific exclusions or conditions that might apply. The bottom line is that insurance underwriting is all about tailoring the policy to fit the individual’s health profile while managing risk for the insurance company.

 

What are the Different Types of Medical Underwritings?

There are two kinds of medical underwriting in India: medical underwriting and simplified issue underwriting. Below is more information on the two:

Full Medical Underwriting

Under Full Medical Underwriting, an overall medical examination includes blood tests, urine tests, and other health checks. The insurance company may also ask for more medical records, such as X-rays, MRI scans, or other relevant reports, to understand the person's health condition fully. 

Simplified Issue Underwriting

In Simplified Issue Underwriting, applicants do not need a medical examination. They are asked a few questions about health, medical history, and lifestyle, and based on the answers, the insurer determines the risk involved in offering Life Insurance coverage without the need for detailed tests.

Who are the Underwriters and What is their Job?

Underwriters are specialists an insurance company selects to evaluate coverage risks. They are professionals who assess the potential risks and determine whether the insurance company should accept or decline an application. The underwriter evaluates factors such as the applicant's financial background, health status, lifestyle, and other relevant information. They use these assessments to make informed decisions and recommendations on the terms and conditions of the insurance policy. They make recommendations on the following:

 
  • Whether to issue the policy.
  • Whether medical conditions should affect coverage.
  • Whether to increase the premium (higher risk means a higher premium).

Process Involved in Life Insurance Medical Underwriting 

Here are the general steps involved in underwriting a Life Insurance Policy.

The underwriter will review your application form, check the details with you orally, and cross-verify them by reviewing relevant documents. If you’ve been accurate with filling out your application form, this process doesn't take much time. In case any detail is amiss, it will be corrected after the underwriter fact-checks with you.

You will be asked to undergo a series of medical exams. The suggested tests are based on the following factors.

  • Age
  • Pre-existing medical conditions
  • Details you’ve submitted in your application form
  • The policy you plan on buying
  • The coverage you aim to buy
  • The rules of the insurance company

 

Generally the following medical tests are suggested.

  • Blood Examination: This is done in order to check for smoking habits, diabetes,  heart diseases, bone diseases etc.
 
  • Urine Test: Apart from basic details, a urine test is also used to check for drug usage - alcohol and other drugs.
 
  • Basic Measurements: Height and weight checks are done to determine your Body Mass Index (BMI), which is used to assess your overall health.
 
  • Blood Pressure: Your blood pressure is also checked during the process to understand the risks related to your heart.

Usually, the following documents are requested at this stage:

  • Proof of age
  • Residential proof
  • Proposal form
  • Income proof and related documents
  • Medical history

In some cases, the underwriter can ask for a Motor Vehicle Report from the Department of Motor Vehicles to check your driving history and determine whether you are a risky driver and pose a risk of an accident. 

This is the final step where all the records and test results are considered to evaluate your application. You’ll be surprised to know that some basic parameters have a major role to play in deciding your premium cost. Parameters considered while rating your Life Insurance undertaking and the role they have to play.

 

  • Age
  • BMI (Body Mass Index)
  • Lifestyle: Habits such as smoking, and drug and alcohol consumption make you susceptible to health concerns and risks, including cancer. 
  • Existing health conditions: Health conditions expose you to increased risk. It is a major deciding factor for whether your application gets rejected (in case of a major condition) or if you have to pay a higher premium. 

Note: If you declare as a non-smoker but are found to be a smoker at the time of your death, your family might not receive the assured sum. It is best to furnish accurate details to your agent.

 

Exploring Life Insurance Options

As you're familiar with the medical underwriting process, let’s look at different life insurance plans available in India. The five most common life insurance plans are:

Term Life Insurance

Financial protection for a specific duration. No maturity benefit. Perfect option for people who want a financial safety net for their loved ones

Whole Life Insurance

Financial protection for a lifetime. Maturity benefits once completing 100 years of age. A perfect option for people who want lifelong coverage for their family

Endowment Plans

Financial protection plus guaranteed returns. Maturity benefits when the policy term ends. Perfect option for those who want life cover insurance and guaranteed returns

Unit Linked Insurance Plans (ULIPs)

Financial protection plus investment options. Maturity benefits when the policy term ends. For people who want life coverage and investment opportunities to build wealth

Retirement Plans 

Financial protection plus post-retirement incomes. Regular income till the policyholder is alive. Ideal for people who want financial protection plus post-retirement incomes

Why Choose ACKO Life Flexi Term Plan?

ACKO Life Flexi Term Plan is a Pure, Non-Linked, and highly flexible term plan that provides life protection for you and your loved ones. This unique plan from ACKO comes with added features, allowing you to customise the plan based on your changing needs. Here’s how

Customise Policy Term 

Based on your changing requirements, you can increase your policy term (once a year)  and decrease it (after 5 years). 

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Customise Sum Assured 

Depending on your needs, you can increase it (once a year) or decrease it after three years of policy tenure.

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Add Riders

 Customise your plan with useful riders: ACKO Life Accidental Death Benefit Rider, ACKO Life Accidental Total Permanent Disability Benefit Rider, ACKO Life Critical Illness Benefit Rider

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Add or Change Nominees

 Add, modify, or even change your nominees whenever you want.

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Choose Payout Option

 Decide how your nominee receives the benefit (monthly or one-time full payment)

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Save Taxes 

Easily save up to ₹54,600* on your taxes under Section 80C.

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Conclusion

Life insurance underwriting is critical in securing your family's financial protection. Underwriting ensures that your policy is tailored to your unique circumstances by carefully examining all possible risk factors, including age, health, lifestyle, and occupation. Remember that every step of the underwriting process, from your financial analysis to your medical evaluation, is crucial in determining the conditions and premiums of your policy. 

Frequently Asked Questions ( FAQs)

Here are the answers to the following questions related to the life insurance medical underwriting.

Underwriting is a process that can take as little as one week or as long as eight weeks, depending on how quickly the required information and test results can be delivered.

No, simply provide the information requested and pursue the necessary medical tests as soon as possible. This will speed up the insurance underwriting process.


 

Yes, You can buy Life Insurance without medical underwriting, but it typically depends on your policy type. 

If you don't qualify for a certain class of Life Insurance, you may be entitled to simple issue or guaranteed issue Life Insurance. 

Yes, Your medical examination findings will affect the premium. Typically, a greater number of health risks exposed during the medical underwriting process increases the premium.

In insurance, an underwriter is a professional who evaluates and assesses the risks associated with insuring people, businesses, or assets.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on industry experience and several secondary sources on the internet, and is subject to changes.

 

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Written by Neviya Laishram

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Reviewed by Vaibhav Kumar Kaushik Author info Icon

A professional Life Insurance writer, editor, and copywriter with a background in magazines, healthcare, education, and insurance.

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