Medical underwriting. What is involved?

December 17, 2012

What happens once you fill in a proposal form for life assurance, income protection or specified serious illness?

A proposal form for any of these types of insurance involves answering a number of health related questions with yes or no.  If you answer yes to any of the questions, you should provide as much information as possible to allow an underwriter to make a decision based on the information you have provided.  The main purpose of answering questions and providing information, is so the underwriter can assess whether you are at a higher risk of claiming from your policy than any other person of your age.  For instance, a smoker is, statistically, more likely to have a claim on a health related insurance policy than a non-smoker, so the price is higher.  The questions on the form are broken down into groups, some of which ask ‘have you EVER suffered from X’ and some ask ‘have you suffered from X within the LAST 5 YEARS’.

Depending on the information you provide and / or the level of cover you are applying for and your age, you may be asked to provide some more information on a particular illness or to complete a separate form specific to that illness.  Likewise, the life assurance company may request a report from your GP that provides them with more specific information called a PMA report – A Private Medical Attendant’s report.  They may also ask that you attend for an independent medical examination, which may also involve a stress ECG and blood tests.  The cost of any additional investigations such as the report from your GP or the medical exam is paid for by the life assurance company.

Even if you have never been sick in your life (other than colds and flus etc.), if your level of cover is very high and you are a slightly older applicant, there will be some additional medical evidence required.  For instance, a 48 year old person looking to take out income protection benefit of €150,000 per annum would have to attend for an independent medical exam, blood tests and a stress ECG.  They would also look for a report from your GP.  This allows them to have a full picture of your current health condition and subsequently, offer you a policy either with normal acceptance terms or with altered terms, which may involve a higher premium.

If all of the above sounds daunting, don’t be put off.  Our job is to guide you through this process and advise you of any requirements as you complete the form.  Make 2013 the year when you finally organise your protection cover.  Call an independent advisor today on 1890 254 000.