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MA-Life-Insurance-Producer-Exam : General-Provisions : 3 : : Underwriting Process

Risk assessment and classification

Underwriting Process

Underwriting is the process of evaluating risk, classifying applicants, and determining whether to accept, modify, or reject coverage. It's essential for maintaining insurer solvency and ensuring fair premiums.

Primary goals:
1. Assess risk accurately: Evaluate mortality risk
2. Prevent adverse selection: High-risk individuals more likely to seek coverage
3. Ensure equity: Charge fair premiums based on risk
4. Maintain solvency: Protect company financial health

Adverse Selection

The problem: People at higher risk seek more insurance, creating concentration of bad risks that could bankrupt the insurer.

Example:

Healthy person: "I'm healthy, I'll wait"
Sick person: "I need this now"

Without underwriting:
- Most applicants are high-risk
- Claims exceed premiums
- Insurer becomes insolvent

Key sources:
- Application: Primary source (personal, medical, lifestyle)
- Medical exam: Paramedical (basic) or full physician exam
- APS: Attending Physician Statement - records from applicant's doctor
- MIB: Medical Information Bureau - codes from past applications
- Inspection report: Third-party investigation (large cases)
- Pharmacy records: Prescription history (past 5-7 years)
- Credit report: Financial information

Medical Exam Requirements

Typical by amount:
Under $250K: No exam
$250K-$1M: Paramedical exam
Over $1M: Full medical exam
Over $5M: Extensive testing

(Varies by age and insurer)

Categories:

Physical: Health, medical history, family history, build, blood pressure

Moral: Character, honesty, financial stability, moral hazard (over-insurance)

Occupational: Hazardous jobs (miners, pilots, loggers)

Avocational: Dangerous hobbies (skydiving, racing, scuba diving)

Lifestyle: Smoking (2-3x higher premiums), alcohol, drugs

Approve Standard or Preferred

Standard: Normal premium, no exclusions

Preferred: Lower premium for superior health

Preferred Plus: Best class
Preferred: Very good health
Standard: Average risk

Approve with Rating (Substandard)

Table rating:

Standard: 100%
Table B (2): 150%
Table D (4): 200%
Table H (8): 300%

Example:
Standard: $1,000
Table D: $2,000

Flat extra:

Additional $ per $1,000 coverage

Example:
$5 per $1,000 on $500K = $2,500 extra

Temporary flat extra: Applied for limited period (5-10 years)

Exclusions

Specific causes excluded:
- Aviation: Private pilots
- War: Military in combat zones
- Hazardous activities: Racing, skydiving

Postpone

Delay pending:
- Test results
- Recovery from surgery
- Pregnancy
- Temporary condition

Decline

Reject due to:
- Terminal illness
- Unacceptable risk
- Moral hazard

FCRA requirement: Must provide adverse action notice if declined based on consumer report

No medical exam:
- Uses data analytics (MIB, Rx, credit, public records)
- Fast approval (minutes to hours)
- Up to $1-2M
- Younger applicants, no red flags

  • Underwriting purpose: Evaluate risk, set appropriate premiums, prevent adverse selection
  • Adverse selection: High-risk individuals more likely to seek coverage
  • Paramedical exam: Basic screening by nurse (vitals, blood, urine)
  • APS: Attending Physician Statement - medical records from doctor
  • MIB: Medical Information Bureau - database of codes
  • Table rating: Percentage increase (B=150%, D=200%)
  • Flat extra: $ per $1,000 of coverage
  • Temporary flat extra: Applied for 5-10 years
  • Exclusions: Specific causes not covered
  • Postpone: Delay decision pending event
  • FCRA: Requires adverse action notice
  • Accelerated underwriting: Automated, no exam

Risk assessment and classification

Underwriting Process

Underwriting is the process of evaluating risk, classifying applicants, and determining whether to accept, modify, or reject coverage. It's essential for maintaining insurer solvency and ensuring fair premiums.

Primary goals:
1. Assess risk accurately: Evaluate mortality risk
2. Prevent adverse selection: High-risk individuals more likely to seek coverage
3. Ensure equity: Charge fair premiums based on risk
4. Maintain solvency: Protect company financial health

Adverse Selection

The problem: People at higher risk seek more insurance, creating concentration of bad risks that could bankrupt the insurer.

Example:

Healthy person: "I'm healthy, I'll wait"
Sick person: "I need this now"

Without underwriting:
- Most applicants are high-risk
- Claims exceed premiums
- Insurer becomes insolvent

Key sources:
- Application: Primary source (personal, medical, lifestyle)
- Medical exam: Paramedical (basic) or full physician exam
- APS: Attending Physician Statement - records from applicant's doctor
- MIB: Medical Information Bureau - codes from past applications
- Inspection report: Third-party investigation (large cases)
- Pharmacy records: Prescription history (past 5-7 years)
- Credit report: Financial information

Medical Exam Requirements

Typical by amount:
Under $250K: No exam
$250K-$1M: Paramedical exam
Over $1M: Full medical exam
Over $5M: Extensive testing

(Varies by age and insurer)

Categories:

Physical: Health, medical history, family history, build, blood pressure

Moral: Character, honesty, financial stability, moral hazard (over-insurance)

Occupational: Hazardous jobs (miners, pilots, loggers)

Avocational: Dangerous hobbies (skydiving, racing, scuba diving)

Lifestyle: Smoking (2-3x higher premiums), alcohol, drugs

Approve Standard or Preferred

Standard: Normal premium, no exclusions

Preferred: Lower premium for superior health

Preferred Plus: Best class
Preferred: Very good health
Standard: Average risk

Approve with Rating (Substandard)

Table rating:

Standard: 100%
Table B (2): 150%
Table D (4): 200%
Table H (8): 300%

Example:
Standard: $1,000
Table D: $2,000

Flat extra:

Additional $ per $1,000 coverage

Example:
$5 per $1,000 on $500K = $2,500 extra

Temporary flat extra: Applied for limited period (5-10 years)

Exclusions

Specific causes excluded:
- Aviation: Private pilots
- War: Military in combat zones
- Hazardous activities: Racing, skydiving

Postpone

Delay pending:
- Test results
- Recovery from surgery
- Pregnancy
- Temporary condition

Decline

Reject due to:
- Terminal illness
- Unacceptable risk
- Moral hazard

FCRA requirement: Must provide adverse action notice if declined based on consumer report

No medical exam:
- Uses data analytics (MIB, Rx, credit, public records)
- Fast approval (minutes to hours)
- Up to $1-2M
- Younger applicants, no red flags

  • Underwriting purpose: Evaluate risk, set appropriate premiums, prevent adverse selection
  • Adverse selection: High-risk individuals more likely to seek coverage
  • Paramedical exam: Basic screening by nurse (vitals, blood, urine)
  • APS: Attending Physician Statement - medical records from doctor
  • MIB: Medical Information Bureau - database of codes
  • Table rating: Percentage increase (B=150%, D=200%)
  • Flat extra: $ per $1,000 of coverage
  • Temporary flat extra: Applied for 5-10 years
  • Exclusions: Specific causes not covered
  • Postpone: Delay decision pending event
  • FCRA: Requires adverse action notice
  • Accelerated underwriting: Automated, no exam
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