Medical underwriting is a health insurance term referring to the use of medical or health information in the evaluation of an applicant for coverage, typically for life or health insurance. As part of the underwriting process, an individual's health information may be used in making two decisions: whether to offer or deny coverage and what premium rate to set for the policy. The two most common methods of medical underwriting are known as moratorium underwriting, a relatively simple process, and full medical underwriting, a more indepth analysis of a client's health information.[1] The use of medical underwriting may be restricted by law in certain insurance markets. If allowed, the criteria used should be objective, clearly related to the likely cost of providing coverage, practical to administer, consistent with applicable law, and designed to protect the long-term viability of the insurance system.[2]
It is the process in which an underwriter considers the health conditions of the person who is applying for the insurance, keeping in mind certain factors like health condition, age, nature of work, and geographical zone. After looking at all the factors, an underwriter suggests whether a policy should be given to the person and at what price, or premium.[3]
- ^ "Medical Underwriting – Health Insurance Underwriting". Health 401k. 23 December 2011. Retrieved 19 January 2012.
- ^ "Risk Classification (for All Practice Areas)," Actuarial Standard of Practice No. 12, Actuarial Standards Board, December 2005
- ^ Xu, Jiahua (2020-01-02). "Dating Death: An Empirical Comparison of Medical Underwriters in the U.S. Life Settlements Market". North American Actuarial Journal. 24 (1): 36–56. doi:10.1080/10920277.2019.1585881. ISSN 1092-0277. S2CID 59483358.