Coverage with a health condition
A decline from one carrier tells you nothing about the next one.
Underwriters don't agree with each other. The same A1c reading that ends an application at one carrier is a standard rate at another, because each one writes its own manual. This site reads those manuals and publishes what they say.
Independent researchNo sign-up to read anythingSources cited on every page
PREF PLUSPreferred plusbase ratePREFPreferred+15%STDStandard+40%TABLE BTable B← controlled type 2+90%TABLE DTable D+140%GRADEDGraded benefitno payout yr 1–2Reasons
Start with the thing that got you here
Most people arrive after a diagnosis or a decline. Each page below covers what underwriters ask, which numbers move the decision, and which carriers stay open.
Diabetes
A1c, years since diagnosis, and whether you're on insulin decide almost everything.
Often standardHeart and stroke
Time since the event matters more than the event. Two years is the usual threshold.
Usually ratedCancer history
Stage at diagnosis and years in remission. Many carriers reopen after five.
Case by caseCOPD and respiratory
Severity, oxygen use, and smoking status. Mild cases are more insurable than people expect.
Limited ceilingHIV
Suppressed viral load and treatment adherence now open doors that were shut a decade ago.
Improving fastHigh cholesterol
The ratio, not the raw number. Treated cholesterol often rates better than untreated.
Often standardDeclined before
A decline is one carrier's opinion recorded in one database. Here's what to do with it.
Depends on whyNo time for an exam
Healthy but busy? Accelerated underwriting gets you full cover at full rates, without labs.
Best rates availableProducts
Four ways to buy cover without a medical exam
They are not interchangeable. The one that fits depends on your health, how fast you need the policy, and how much cover you're after.
Accelerated underwriting
Full term cover · no labs
The carrier checks prescription and motor vehicle records instead of drawing blood. If nothing flags, you get the same rate a medical exam would have earned you.
- Typical ceiling
- $2M–$5M
- Decision
- often same day
- Best for
- good health, no time
Simplified issue
Health questions · no labs
A short questionnaire replaces the exam. Answers are verified against records, so accuracy matters more than optimism. Cover starts immediately once approved.
- Typical ceiling
- $50k–$500k
- Decision
- same day to 2 weeks
- Best for
- managed conditions
Guaranteed issue
No questions · graded benefit
Acceptance is certain, which is why it costs the most and why the full death benefit usually doesn't apply for the first two or three years. Premiums are returned if you die inside that window.
- Typical ceiling
- $25k
- Decision
- immediate
- Best for
- after other declines
Final expense
Small whole life · fixed premium
Built to cover a funeral and outstanding medical bills rather than replace an income. Premiums never rise and the policy doesn't expire while you keep paying.
- Typical ceiling
- $50k
- Decision
- days
- Best for
- age 50 and over
The sequence
What actually happens after you apply
Three stages, in this order. Knowing what each one looks at is how you avoid the surprises.
You answer questions
Age, height and weight, tobacco use, medications, and the conditions you've been treated for. Understating anything here is the most common reason a claim gets contested later.
The carrier checks records
Prescription history, the MIB database, motor vehicle records, and sometimes a phone interview. This is the step the exam used to replace, and it's why no-exam no longer means no-scrutiny.
An underwriter assigns a class
Your file lands somewhere on the ladder, from preferred plus down to a table rating or a flat extra. That class, not the condition itself, sets your premium.
Questions
What people ask before they apply
Short answers here, worked examples on the linked pages.
Is no-exam life insurance more expensive?
Can I be turned down for a no-exam policy?
How much coverage can I get without an exam?
Will the carrier find out about a condition I did not mention?
Does a rating ever come off?
Do I need a Social Security number to get a quote?
Glossary
The words on your decision letter
Underwriting has its own vocabulary, and carriers use it without explaining it. These are the terms that change what you pay.
- Table rating
- A step above standard, usually lettered A to J or numbered 1 to 10. Each step adds roughly 25% to the standard premium.
- Flat extra
- A fixed dollar charge per thousand of coverage, added for a defined period. Used for risks that fade, like a recent surgery.
- Graded benefit
- A death benefit that doesn't pay in full for the first two or three years. Premiums are usually returned if death occurs inside that window.
- Contestability period
- The first two years, during which a carrier can investigate and deny a claim based on errors or omissions in the application.
- MIB
- A shared industry database recording prior applications and their coded reasons. Carriers check it; you can request your own file.
- Rate class
- The bucket your file lands in — preferred plus through substandard. It, rather than the diagnosis, is what sets the premium.
How this site is researched
Every condition page is built from carriers' own published underwriting guides and from state insurance department filings. Where a guide is public, we link to it. Where a carrier keeps its manual private, we say so rather than guess, and we mark the figure as an estimate.
No Exam Life Insurance Online is an independent publisher. It is not a carrier, not an agency, and it does not sell policies or take commissions on them. Nothing here is licensed advice about your individual situation — for that you need an agent licensed in your state, and every page says so where it matters.
Guides
Recently updated
Military and veteran life insurance: what SGLI covers and where it stops
SGLI pays up to $500,000 for $25 a month, and it ends 120 days after you separate. What…
CholesterolHigh cholesterol and life insurance: why the ratio beats the raw number
Carriers underwrite the total-to-HDL ratio rather than total cholesterol, and being on a statin usually helps rather than…
RespiratoryCOPD and life insurance: where staging sets the ceiling
GOLD stage, oxygen use and smoking status decide a COPD file more than anything else on the application.…