Amy Danise asked:

There are three main ways a new life insurance policy is priced: Underwritten policies are those where you answer questions on your personal and family medical history and undergo a medical exam arranged by the insurance company; a simplified issue life insurance policy application asks you some medical questions but does not require a medical exam; and a guaranteed issue life insurance policy requires no questions and no medical exam. If you’re healthy, or even if you have a few medical problems, you’re likely to get the best insurance value from an underwritten policy, which is priced specifically for you. Simplified issue and guaranteed issue life insurance policies set a price that assumes risk that you may not have.

Whether you’re buying term life insurance or whole life insurance, you’ll likely be asked to undergo a medical exam. These are typically performed by licensed paramedicals who are often independent contractors hired by the insurance company. They will schedule a visit to your home for the exam and bring all the necessary supplies. The life insurance company foots the bill for the exam.

Health questions

When you submit your completed application for your life insurance policy, your agent or life insurer will call a paramedical service to let them know you require an life insurance medical exam. The service will then contact you to arrange a convenient time and place. You must have the exam or your application won’t be processed.

The life insurer may still request an attending physician’s statement (APS) from your doctor, but you cannot have the life insurance medical exam done by your own physician.

In a basic exam, the paramedical will take your medical history (even though you’ve already supplied it on your application), height and weight, blood pressure, pulse, and blood and urine samples. Beyond that, tests will vary based on your age and policy amount.

For example, MetLife will order an in-home EKG for applicants age 50 and older who are applying for face amounts of at least $1 million. For applicants age 70 and older who are applying for $2 million policies and higher, MetLife forgoes the paramedical exam and requires an exam by an M.D. chosen by MetLife (not your own doctor). The doctor will ask the same medical questions as a paramedical and get your height, weight, blood pressure and pulse, plus do a brief medical exam such as listening to your heart.

Jacki Goldstein, Vice President of Life Underwriting at MetLife, emphasizes that this is not a comprehensive medical exam and does not include sensitive issues, such as a breast exam for women. Goldstein also stresses that the M.D. life insurance exam is not a substitute for good routine medical care.

When age and face amounts get higher, a treadmill test may be required. For example, MetLife requires treadmill tests for applicants who are at least 50 and applying for over $10 million in insurance or applicants 76 and older applying for $5 million or more.

If you’re applying for a low face value policy, you may not even be asked to do a paramedical exam. For example, if you’re age 40 and applying for $50,000 of life insurance, MetLife requires no specific tests or measurements. And for some cases, MetLife asks for a “simple paramed” exam, encompassing the basic measurements and blood and urine work but without the paramedical question list. Guidelines for tests will vary among life insurers.

What are They Looking For?

The life insurance company wants to know if you have any health condition that could shorten your life  which in turn affects the insurer’s risk and your policy premium. When samples of blood and urine are collected, the insurer tests for HIV, cholesterol and related lipids, liver or kidney disorder, diabetes, hepatitis, prostate specific antigen (PSA) and immune disorders. The urine sample might go through routine analysis, plus screening for certain medications, cocaine and other drugs.

Results go to the life insurer’s home office for an underwriter to review. You can usually send a written request if you want a copy of the results, and some insurers will automatically send you a copy of your lab work. If there’s anything of concern about the lab results, you would need to consult your own doctor. Goldstein says, “It’s not uncommon to have abnormalities that don’t mean anything.”

A life insurance underwriter then reviews your application and the results of your medical exam. They decide your life insurance rating, which sets your premium. If there are lingering questions about your health, they may request additional information or medical tests. In the very rare event you are unknowingly quite ill  chronically or terminally  your application would be declined and you would have to look for a high-risk carrier or one that offers guaranteed issue life insurance.

Don’t Let Your Life Insurance Premiums Go Up In Smoke

Smokers pay higher premiums for life insurance because of their higher mortality rate. If any nicotine shows up in your results, you’ll be considered a smoker. The test also detects nicotine from a transdermal patch.

After the Life Insurance Exam Results

If your test results correlate with the classification used for your original life insurance quote, you’ll have no problem getting that rate. If a medical problem is discovered, you might be offered a life insurance policy with a higher premium.

There are two types of risk ratings: “flat” ratings, sometimes called temporary flat extras, and “table” ratings. Underwriters assess health conditions based sophisticated table to determine how to rate certain health conditions.

For instance, an underwriter might apply a flat rating for a short period of time for a person who has just had surgery. On the other hand, a person with high-blood pressure could receive a table rating, which increases premiums by a set amount for the duration of the policy, depending on your medical condition and age. If you disagree with a rating you receive, contact your agent.

Agents can find out if the rating can be revised based on supplemental medical tests to prove you qualify for a better rating.

Even if you end up declining the life insurance policy, your test results become part of your record in MIB Group’s database (formerly the Medical Information Bureau), a clearinghouse of medical information that insurers share which stores information for seven years after you apply for a life, health, disability income, long term care or critical illness insurance policy.

MIB is jointly owned by about 470 insurance companies. So, if you go shopping around for other term or whole life insurance policies, remember that your medical information is accessible to other insurers in the near future. Note that MIB’s database does not contain actual medical records but rather codes that represent medical conditions and tests, hazardous hobbies and even your bad driving record.

If you want to check your MIB file, or dispute information in it, you can obtain one free report annually at www.mib.com.

No Way, You Say?

Life insurance medical exams are really quite routine. But if you want to avoid a medical exam at all costs, you could buy a simplified issue life insurance policy, which requires only that you answer a few medical questions, or a guaranteed issue life insurance policy, which requires neither an exam nor questions.

Keep in mind, though, that if you’re in general good health, or even with a history of some health issues, you’ll likely get a much better rate by buying a life insurance policy that requires a medical exam.

Tips for a Better Life Insurance Medical Exam

Certain heal
th conditions simply cannot be masked, but to obtain the best possible results, here are some recommendations:

-Get a good night’s rest the night before your exam. -Don’t drink for at least eight hours before the exam.

-Avoid coffee, tea or other caffeinated drinks such as soda for at least one hour prior to the exam.

-Limit salt intake and high-cholesterol food 24 hours before your exam.

-Don’t engage in strenuous physical activities 24 hours before the exam.

Source: Exam & Profile Services, Beaver Dam, Wisconsin

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Bradley Steffens asked:

Many people think life insurance is useful only for a specific period in life: those twenty to thirty years when a person is married with children living at home. The assumption is that should a breadwinner die once the children are grown, the surviving spouse will be able to support himself or herself on a single income. In such a scenario, life insurance is necessary only a 10- or 20-year period. Those who share this outlook believe that term life insurance, which provides coverage for a limited number of years, provides all the protection they need. Because the coverage is closed-ended, term life is the least expensive kind of life insurance available.

Other consumers are not so optimistic. What happens, they wonder, if the surviving spouse becomes disabled? Even after the children grow up and move away, a disabled person will not be able to support himself or herself if the breadwinner dies. If the term life insurance has expired, the disabled spouse will have no safety net in the event of the death of his or her spouse. Similarly, a child may become disabled and unable to move out and support himself or herself like other children. With a disabled adult child living at home, the surviving spouse might not be able to meet all the expenses on his or her own.

Divorce can factor into life insurance decisions as well. A term life insurance policy might cover a “first” family, but many people divorce, remarry, and start new families. The number of people having or adopting children in their forties and fifties is increasing steadily. A term policy taken out in a breadwinner’s twenties or thirties will expire just as the new family is getting started, unless he or she has “renewable” term life. Even then, costs will go up.

It is possible for an older person to buy a new term policy, of course. The problem is that insurability is not guaranteed. If a person is in poor health or has had a serious illness, such as cancer, insurance companies can and will deny coverage. Even in ideal health, a person will pay much more for term life over the age of 50 than he or she would have much earlier, erasing some or all of the savings realized during the term of the first policy. For example, a 55-year-old woman will pay 6.8 times more for a 30-year, $500,000 policy than she would have at age 30–$2,210 a year compared to just $325 a year. Prices will increase by as much as 30 percent if the insured is just 10 pounds above the insurance company’s ideal weight. If the person weighs even more, rates will skyrocket.

Some term life policies are renewable without needing a physical exam. These policies cost more than standard term policies, but they allow the coverage to continue. The premiums rise with each renewable period, reflecting the greater risk of death as a person ages.

The best way to guarantee insurability and control insurance costs into middle age is to buy permanent life insurance, such as whole life insurance or universal life insurance. Permanent life insurance does not expire until the insured does. In addition, the premiums will not go up based on the health, weight, or age of the insured. If a permanent life insurance is taken out while a person is in his or her twenties or thirties, the premiums are much higher than those of a term life insurance. Because the premiums remain constant, however, they are lower than those of a term life policy taken out later in life.

Permanent life insurance also provides a way for consumers to generate savings, something that term life insurance does not. Term life is pure insurance in the sense that it insures the policyholder’s life and nothing else. Permanent life insures a life, too, but it also includes a mechanism for saving money. When the permanent life insurance policy is new, the cost of insuring the life is lower than the premium amount. The insurance company deposits the excess amount (minus the company’s fees and profits) into savings account. This money, known as the cash value, increases each time a premium is paid. The insurance company invests these funds in the open market. The returns on the investment are credited to the account. These gains are tax-deferred, meaning that they grow, untaxed, as long as the money is in the account. If the cash value is withdrawn or used to pay the premiums after the insured reaches retirement age, no taxes are paid on the gains.

The policyholder can access the accumulated cash value by withdrawing it, borrowing it, or using it as collateral for a loan. The insurance company also agrees to pay the cash value to the policyholder, if he or she cancels the policy.

There are basically two types of permanent life insurance: whole life and universal life. Both offer permanent coverage and cash value. They differ in the amount of flexibility they offer policyholders. Whole life offers set-it-and-forget-it simplicity. The death benefit, premium amount, and rate of cash value accumulation are fixed at the outset. Universal life allows the policyholder to modify the original contract, based on changing circumstances and needs. For example, if the policyholder loses his or her job, he or she can decrease the premium to make it more affordable. By contrast, if the policyholder receives a promotion, gets a better paying job, or enjoys growth in their own business, he or she can increase the premium amount to accumulate cash value more quickly. If the policyholder marries, has more children, buys a larger house, or for any reason needs a larger death benefit to sustain his or her family, he or she can increase the death benefit of the universal life insurance policy.

Universal life insurance accumulates cash value in a different way than whole life does. With whole life, the rate of accumulation is low, around 3 percent, but it is guaranteed and unchanging. With universal life, cash value accumulates at varying rates, depending on the performance of the insurance company’s investments. Typically, universal life outperforms whole life, and accumulates cash value more quickly. It is possible, however, for the opposite to happen. Many universal life policies offer a guaranteed minimum return, but it is lower than the return for a comparable whole life policy.

Permanent life insurance is a practical solution for consumers who worry about coverage and insurability later in life. Those who are happy with a simple, unchanging, guaranteed plan may opt for whole life. Those who want the option of adjusting the premium amount or the size of the death benefit may find that universal life offers the perfect combination flexibility and security.

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Michelle Sky asked:

There are so many different types of life insurance out there; it can be quite challenging to figure out which policy is right for you and your family.  Every person has a unique situation and special life insurance needs.  Here are a few things to consider when shopping for the perfect life insurance policy:

What are you trying to get out of your life insurance policy?

Life insurance coverage can help pay for your funeral arrangements, help support your family with the loss of your income, pay for your children’s college, be used to pay off your mortgage, and more.  Deciding what you want to achieve with your life insurance policy will help narrow down which type of policy and how much coverage is best for you.  There are numerous life insurance calculators online that can help you determine the amount of coverage that you need.  You also need to consider who you would like to insure and how long you need life insurance for.  You might want life insurance for yourself or you might want to include your spouse as well.

What type of policy would you like?

There are many different types of like insurance policies. Term life insurance provides coverage for a certain number of years. The term can vary from 1-30 years, and upon death of the insured, the policy pays out the face value to the beneficiary.  On the other hand, a whole life insurance policy combines a term life insurance policy with an investment portion.  The investment could be in stocks, bonds, etc, and the policy builds cash value that can be borrowed against.  Different types of whole life insurance policies include variable, traditional, and universal.  Both term and whole life insurance allow you to lock in the same monthly payment over the life of the policy.  Whole life insurance is typically more expensive than term.

Begin your search:

Once you have decided what type of policy, how many years of coverage, and the amount of coverage you need, you are ready to start shopping for the best life insurance policy.  It’s a good idea to get quotes from a few different life insurance companies.  There are many factors that go in to determining which life insurance policy is right for you, so you should take your time and do your research before you make any decisions.  Life insurance premiums can vary greatly depending on your age, amount of coverage, and the type of policy you choose. eLifeInsuranceSaver.com has made the process of shopping for life insurance online simple.  Filling out one simple form will allow you to compare quotes from multiple life insurance companies so you can find the perfect policy for you.

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