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What happens during underwriting?

How insurers review your application, what they check, and how long a decision takes.

Reviewed by a licensed life insurance agentUpdated [DATE]5 min read

What underwriting is

After you apply, the insurer assesses how likely it is to pay a claim, and sets your price to match. The result is a health class, such as preferred or standard, which determines your premium.

The steps

  1. Application. You answer questions about your health, lifestyle and the coverage you want.
  2. Records check. With your authorization, the insurer may review prescription history, the Medical Information Bureau (MIB) and motor vehicle records.
  3. More information, if needed. Some applications need a short phone interview, medical records from your doctor, or a medical exam.
  4. Decision. The insurer approves the policy as applied for, offers it at a different price, postpones it or declines it.
  5. Offer and delivery. If you accept, you pay the first premium and your coverage begins.

Types of underwriting

Accelerated

Uses data instead of an exam for eligible applicants. Decisions can come in minutes.

Simplified issue

A short set of health questions and no exam. Common for smaller policies.

Full underwriting

May include an exam and medical records. Takes longer, and is common for larger amounts.

Guaranteed issue

No health questions. Acceptance is guaranteed, with a waiting period and a higher price.

How long it takes

Decisions are often made in minutes. It can take a few days, and sometimes longer, when an application goes to an underwriter for review, when the coverage amount is high, or when medical records or an exam are needed.

How to keep it moving

  • Have your doctors' names, medications and dates of any diagnoses ready.
  • Answer every question completely and accurately.
  • Reply quickly if the insurer asks for more information.

Frequently asked questions

Will I need a medical exam?

Often not. Many insurers offer no-exam options for eligible applicants. The insurer may still ask for an exam or records before approving coverage.

What if my offer costs more than my quote?

Quotes are estimates. If underwriting places you in a different health class, the price changes. You can accept the offer, decline it or compare other insurers.

What happens if I leave something out?

Leaving out or misstating information can lead to a higher price, a canceled policy or a denied claim. It is always better to disclose.

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Marketing disclosures

Products, rates and availability vary by state and eligibility, and may depend on your truthful answers to a health questionnaire. Rates shown are illustrative estimates and are not guaranteed; your final premium is set by the insurance company after it reviews your application. Insurance is issued by third-party insurance companies, not by Quotient. Images on this site are for illustrative purposes and do not show real customers. Quotient does not provide legal, tax or investment advice.

No-exam and accelerated underwriting: Getting a policy without a medical exam depends on product availability and your eligibility, and on your truthful answers to a health questionnaire. The insurer may still request medical records or an exam.

Indexed universal and whole life: Cash value projections are illustrations, not guarantees. Non-guaranteed values depend on the insurer's credited rates and charges. Life insurance is not an investment or a retirement plan.

How we're paid: Quotient earns a commission from the insurer when a policy is issued. Commission varies by insurer and product. It does not change your premium or how results are ranked.

Curious about other prices or claims in our ads? Additional details are available on our Disclosures page.