Life Insurance Underwriting

In India, the life insurance underwriting process evaluates an individual's risk to determine the appropriate premium. This process ensures the insurer offers fair coverage while managing potential risks. Read on to learn everything about the underwriting process, including the factors considered, how it works, and how to obtain the best policy for your needs.

In India, the life insurance underwriting process evaluates an individual's risk to determine the appropriate premium. This process ensures the insurer offers fair coverage while managing potential risks. Read on to learn everything about the underwriting...
In India, the life insurance underwriting process evaluates an individual's risk to determine...

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What is Underwriting in Insurance?

Underwriting in insurance is the process by which insurers assess the risk associated with insuring an individual or entity. It’s a critical function that determines whether an insurance application should be accepted, how much coverage to provide, and at what premium rate. This process helps insurance companies balance risk exposure and ensure profitability while providing applicants with appropriate coverage options.

Who is an Underwriter in Insurance?

An underwriter in insurance is a professional responsible for assessing and evaluating the risks associated with insuring a person, business, or asset. They determine whether an applicant qualifies for insurance, how much coverage should be offered, and at what premium rate. Underwriters analyse various risk factors and help insurance companies make informed decisions that balance risk and profitability.

How Underwriting Works in Life Insurance

If you're applying for life insurance, the underwriter will evaluate your risk profile through a "Life Insurance Underwriting" process. This procedure considers many factors that could influence your insurance premiums, and other factors. The underwriting phase for life insurance starts after you apply. It involves determining the appropriate coverage level and policy premium. 

An underwriter is assigned to your application to determine your risk profile. This allows the insurance company to adjust the premium and coverage as necessary. Underwriting for life insurance involves a comprehensive evaluation of age, gender, medical history, lifestyle, interests, and financial stability. It is based on actuarial mortality rate calculations, a standard practice in the insurance industry.

2 Types of Life Insurance Underwriting

The life insurance industry uses several distinct underwriting methods. Learn about the many forms of life insurance underwriting by reading the advice below.

Financial underwriting in life insurance is evaluating an applicant's financial status to determine the risk of insuring them and to classify them fairly so that appropriate premium rates can be charged. 

During the underwriting process, the insurance company will review the applicant's financial information, including their net worth, salary, and other financial obligations, to confirm that they are buying an appropriate amount of coverage.

In life insurance, the ability to pay the premium on time is verified throughout the underwriting process. As a result, applicants for insurance receive policies based on their ability to adhere to the payment schedule.

The following insurance documents are essential for a financial underwriter to review.

 

Proof of Income

  • Salary certificates, Form 26AS, or Income Tax Returns or TDS certificates
  • Financial documents include credit card or bank statements, CIBIL scores, etc.
  • Profit and Loss Statement, Memorandum of Agreement, Board Resolution, etc. of the Company.

 

Additional identifying documents

  • A copy of the Permanent Account Number (PAN) card
  • A copy of the Aadhaar card
  • A copy of a recent utility bill (gas, water, electricity, or telephone).

 

All aspects of an individual's health and medical history are considered throughout the medical underwriting process (if any). After thoroughly evaluating the applicant's health, the underwriter grants coverage for the policy.

The insurer's premium would be loaded or set at a greater rate than usual if their health risk was high. The insurer may delay or decline coverage if the health risk is particularly significant. There could also be a waiting period or an exclusion clause in more high-risk situations of individuals.

A health insurance underwriter will ask for information like.

  • Pre-existing diseases 
  • A doctor's prescription
  • Tests and samples from diagnostic testing
  • A medical examination report and, when applicable, a family medical history.

Policyholders should be honest about their details to ensure a smooth and timely underwriting process. Being truthful allows the insurance company to estimate their risk profile accurately and, thus, the premium they will have to pay. It also ensures that the claim is not denied at a later stage due to incorrect information provided during the underwriting process. By providing accurate information, policyholders can expect fair pricing and no surprises in the future.

Step-by-Step Life Insurance Underwriting Process

The insurance underwriting procedure involves the following steps.

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Proposal form review

  • The insurer will review the completed proposal form for accuracy first. This form requires careful completion.
  • The insurer verifies the supporting papers.
  • The underwriting procedure follows verification of the application's details.
  • When you apply for an insurance policy, the underwriter evaluates your financial stability to see if you can afford the premium.
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 Medical examination

  • If your insurance policy needs verification of your health, the medical exam results will be reviewed.
  • The underwriter evaluates the medical reports, which may include the results of a blood test, a drug test, and some basic measures (height, weight, and body mass index), before deciding whether or not to approve the insurance policy.
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 Final approval

  • The underwriting procedure may take between three to eight weeks.
  • Once all the information has been verified, the insurance application is either accepted or denied.
  • If the application is accepted, the premium and policy are confirmed.
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Timelines and Outcomes of Underwriting

How Much Time Does It Take to Underwrite a Policy?

Mostly, two to eight weeks may pass during the underwriting procedure for life insurance. The underwriter checks the details you've provided in the proposal form to ensure you can afford the premium. If you are honest about the information you provide, the insurance company can authenticate your coverage and the premium smoothly. Consequently, be forthright while communicating with insurance providers.

What Are the Outcomes of Underwriting?

When applying for life insurance, your application goes through an underwriting process where the insurance company assesses your risk level. There are four possible outcomes of this process: acceptance, postponement, rejection, or counteroffer.

  • Acceptance: When the risk is considered typical, the insurance application is accepted without charging any additional premium.
  • Postponement: High but only temporary risks may be postponed in life insurance policies until they diminish or are eliminated.
  • Rejection: If the risk is too great, the insurance coverage will be denied.
  • Counteroffer: If the insurance company deems the risk too high at the current rate, they may offer a counterproposal. This could include a shorter policy term, a lower sum assured, a higher premium, a waiting period, or temporary or permanent exclusion.

Factors that Can Affect Life Insurance Underwriting

Underwriting standards for life insurance vary from company to company, but there are some universal parameters that most insurers follow when looking for "red flags." Insurers may respond to these potential dangers by decreasing their coverage, charging more premiums, or rejecting an application for life insurance. 

Among the most important reasons for rejecting a life insurance application are a smoking history and a diagnosis of potentially fatal diseases like diabetes, heart disease, cancer, HIV/AIDS, or a bloodborne illness. Other factors that can lead to rejection may include the following:

Obesity 

In most cases, an insurer would request further medical documentation if a policyholder has a body mass index (BMI) of 40 or above. A high body mass index (BMI) is a common reason for application denial.

Uncontrolled blood pressure

Life insurance companies may deny coverage if you have high blood pressure unless it's controlled with medication. Adverse reactions might result from inappropriate or unmanaged stress.

Travel

Insurance companies may refuse a policy if the policyholder wants to visit a dangerous or unstable country.

Drug use

Use of narcotics will result in a rejection. Each insurance company has its policy on marijuana use.

Risky occupation

Applicants with high-risk employment, such as pilots and police bomb specialists, may need to seek coverage via speciality carriers or employer plans.

Alcohol use

The more alcohol you consume than the usual person, the higher your premiums will be. The application could be rejected if the applicant has been drinking heavily.

Dangerous hobbies

If applicants engage in high-risk hobbies like skydiving or auto racing, they may be charged far more for insurance or denied coverage altogether.

Applicants with poor driving record

Some insurance companies might turn down an applicant with a history of dangerous or drunken driving.

Addressing Common Concerns in Life Insurance Underwriting

Does Having a Medical Condition Mean Automatic Rejection of Life Insurance?

Having any of these conditions is not an automatic denial of insurance. Nonetheless, you could have fewer options and a higher insurance cost. But bear in mind that as medical science progresses, other choices may become available. In those days, a person with an HIV diagnosis couldn't acquire medically underwritten insurance. 

What to do if You Are at a Higher Risk of Rejection?

People are accepted for coverage despite having a minor or easily managed health condition. You have two primary choices if your medical history or current health concerns make it likely that you will not "pass" a mandatory medical examination. 

  • One option is to apply for a Guaranteed Issue Life Insurance Policy, which requires no medical exam and is underwritten with a shorter application. Guaranteed Issue Life Insurance Policy is characterised by higher premiums and reduced coverage limits. Most people don't need them, but they could be useful if you can't get regular life insurance.
  • If you are employed, another choice is to enroll in a Group Life Insurance Plan provided by your employer. Group insurance typically has lower premiums and sometimes doesn't even necessitate a physical examination (unless you apply for coverage over a certain limit).

Common Life Insurance Plans in India 

In India, various life insurance plans are available. Each has unique features and benefits, catering to the diverse needs of individuals and families. Common options include:

Term Life InsuranceLife coverage for a specific duration. A perfect option for people who want a financial safety net for their loved ones.
Whole Life InsuranceFinancial protection for a lifetime, along with saving components. Maturity benefits once completing 100 years of age.
Endowment PlansFinancial protection plus guaranteed returns. Maturity benefits when the policy term ends. A 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. This is for those who want life coverage and investment opportunities to build wealth.

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ACKO Life Flexi Term Plan is a Pure, Non-Linked, highly flexible life insurance option offering pure protection. It's designed to provide coverage for you and your family, with unique features to adjust the coverage and terms as your needs change over time. 

Customise Policy Term 

Based on your changing requirements, you can increase your policy term (once a year)  and decrease it (after five 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 ACKO Life Accidental Death Benefit Rider, ACKO Life Accidental Total Permanent Disability Benefit Rider, and 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 

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Conclusion

The underwriting process in life insurance assesses an applicant's risk profile to determine coverage eligibility and premium rates. It involves collecting personal information like age, health history, lifestyle, and sometimes conducting a medical exam. For high-value policies, insurers may review medical records and financial data. This data helps classify applicants into risk categories, directly impacting premium rates and coverage terms. Increasingly, insurers use predictive analytics to streamline underwriting for faster, more precise decisions. 

In conclusion, underwriting ensures fair premium pricing and financial stability for insurers, providing policyholders with coverage tailored to their unique risk factors while helping manage overall policy costs.

Frequently Asked Questions (FAQs)

Here are some common questions about life insurance underwriting.

No, the life insurance underwriting process is free for applicants.

Life insurance companies categorise risks into four types: standard, preferred, substandard, and declined.

Verbal/tele-medical underwriting is a process in which the tele-medical team of the insurance company uses a video call to verify the information provided in a proposal form.

Some of the common factors are age, lifestyle, occupation, gender and medical history. 

Medical underwriting and financial underwriting are two types of underwriting in life insurance. Policyholders should be honest about their details to ensure a smooth and timely underwriting process.

No, the life insurance underwriting process is free for applicants.

Life insurance companies categorise risks into four types: standard, preferred, substandard, and declined.

Verbal/tele-medical underwriting is a process in which the tele-medical team of the insurance company uses a video call to verify the information provided in a proposal form.

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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