By Fiona Leung on Oct 15, 2019
When you buy a life insurance policy, you are essentially transferring your financial risk to a life insurer which then becomes obligated to pay your beneficiaries based on the contracted amount of death benefit purchased. The life insurer is able to assume the risk because, based on its data, it knows when you are expected to die. It bases your premium payment on the assumption that you will live your full life expectancy. However, in order to make that determination about you, it needs to have a complete picture of your health condition, including your current status, your medical history, your family’s medical history, and your life style habits. So, as part of the life insurance application process, it orders medical records, asks many questions about your life style, and it typically requires a medical exam performed by one of its paramedical examiners.
What to Expect with a Life Insurance Application Review
With most life insurers, a medical exam is required for people age 40 and above who apply for more than $100,000 of coverage. Depending on your age and the amount of insurance you are applying for, a medical exam could consist of a range of tests, such as a urine sample, blood tests, an EKG. If you have certain health issues or past medical treatment, additional tests may be required. The older you are and the higher amount of coverage applied for, the more tests are required. The younger you are and the less amount of coverage you need, you may only need to supply a urine sample and blood work. Medical exam requirements do vary among the life insurers, where one may require more tests than others in similar circumstances.
Life insurers will first review your medical history based on the information you provided on the life insurance application. There are several questions on the application related to your current health status and your medical history. In signing the application, you authorize the insurer to obtain your medical records from any medical provider you list on the application. It can also access your medical records through the Medical Information Bureau (MIB), which compiles records from the all providers. While it’s not uncommon for people to forget parts of their medical history, you should be as thorough as you can in completing the medical questionnaire on the life insurance application.
Once you submit your application, the life insurer will schedule an exam to be performed by one of its paramedical examiners. The exam can be performed at your home or work location, and take less than 20 minutes. You will be asked more questions about your medical history and your life style habits, after which you will be weighed and measured. The examiner will then perform some basic diagnostics such as drawing blood, taking your blood pressure, and, in some cases performing an EKG test.
How to Ensure Positive Medical Exam Results
It’s not at all uncommon for people to “underperform” on their medical exam. The difference between a preferred status and a standard premium status can be just a few ticks on a meter or scale, which the examiner has to record and submit to the underwriter. Although you can’t compensate for some health issues, you can prepare for a medical exam in a way that can improve your results:
- Be well rested with at least two nights of solid sleep just prior to the exam
- Abstain from any alcohol, coffee and other caffeinated beverages
- Avoid salty foods or foods that contain high cholesterol within one full day of the exam
- Rest. Minimize your physical activity the day before the exam
It’s up to the Underwriters
Once the exam results and medical records are compiled, the life insurer’s underwriters will review them. For a clean bill of health, they will approve the issue of the policy as applied. However, if records or exam results indicate any issue that could adversely affect your health, now or in the future (i.e. high blood pressure or cholesterol, a high height/weight ratio), they will do one of four things: 1) Change the status of the policy – i.e., lower the status from preferred to standard – which can increase the premium cost, 2) Apply a rating that will increase the premium amount, 3) require additional records or tests, or 4) Decline the policy.
For minor issues, such as slightly elevated blood pressure or height/weight ratios, the insurer might allow retesting after six months, and, if they fall within normal ranges, they will change the status or remove the rating.
*This content is developed from sources believed to be providing accurate information. The information provided is not written or intended as tax or legal advice and may not be relied on for purposes of avoiding any Federal tax penalties. Individuals are encouraged to seek advice from their own tax or legal counsel. Individuals involved in the estate planning process should work with an estate planning team, including their own personal legal or tax counsel. Neither the information presented nor any opinion expressed constitutes a representation by us of a specific investment or the purchase or sale of any securities. Asset allocation and diversification do not ensure a profit or protect against loss in declining markets. This material was developed and produced by Advisor Websites to provide information on a topic that may be of interest. Copyright 2023 Advisor Websites.