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HandWiki. Medical Underwriting. Encyclopedia. Available online: https://encyclopedia.pub/entry/35228 (accessed on 07 October 2026).
HandWiki. Medical Underwriting. Encyclopedia. Available at: https://encyclopedia.pub/entry/35228. Accessed October 07, 2026.
HandWiki. "Medical Underwriting" Encyclopedia, https://encyclopedia.pub/entry/35228 (accessed October 07, 2026).
HandWiki. (2022, November 18). Medical Underwriting. In Encyclopedia. https://encyclopedia.pub/entry/35228
HandWiki. "Medical Underwriting." Encyclopedia. Web. 18 November, 2022.
Medical Underwriting
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The content is sourced from: https://handwiki.org/wiki/Medicine:Medical_underwriting

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. 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. 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.

health insurance health information health

References

  1. "Risk Classification in Voluntary Individual Disability Income and Long-Term Care Insurance", American Academy of Actuaries, Winter 2001 http://www.actuary.org/pdf/health/issue_genetic_021601.pdf
  2. "Risk Classification in Individually Purchased Voluntary Medical Expense Insurance", American Academy of Actuaries, February 1999 http://www.actuary.org/pdf/health/risk.pdf
  3. "The "Uninsurables"". CBS News. 2007-05-23. http://www.cbsnews.com/stories/2007/05/23/cbsnews_investigates/main2843007.shtml. Retrieved 2007-06-27. 
  4. Michelle, Andrews (2007-08-07). "The Untouchables". Health. U.S. News & World Report. http://health.usnews.com/usnews/health/articles/070820/20preconditions.b1.htm. Retrieved 2007-10-27. 
  5. Marcus, Aliza (2008-05-07). "Baby Kendra's $300,000 Bill Pains Insurers, Inspires Candidates". Bloomberg News. https://www.bloomberg.com/apps/news?pid=newsarchive&sid=a4BEIIi_OauQ. Retrieved 2008-05-10. 
  6. Teresa Chovan, Hannah Yoo and Tom Wildsmith, "Individual Health Insurance: A Comprehensive Survey of Affordability, Access, and Benefits" , America's Health Insurance Plans, August 2005. A prior industry survey, conducted in 2002, had similar results: Thomas D. Musco and Thomas F. Wildsmith, "Individual Health Insurance: Access and Affordability", Health Insurance Association of America, October 2002. http://www.ahipresearch.org/pdfs/Individual_Insurance_Survey_Report8-26-2005.pdf
  7. "Experiences of Working-Age Adults in the Individual Insurance Market". Issue Brief. Commonwealth Fund. 2001-12-01. http://www.commonwealthfund.org/publications/publications_show.htm?doc_id=221522. Retrieved 2007-10-27. 
  8. Mark V. Pauly and Len M. Nichols,"The Nongroup Health Insurance Market: Short On Facts, Long On Opinions And Policy Disputes," Health Affairs - Web Exclusive, October 23, 2002, note 27
  9. Thomas D. Musco and Thomas F. Wildsmith, "Individual Health Insurance: Access and Affordability", Health Insurance Association of America, October 2002 http://downloads.heartland.org/15320.pdf
  10. "Experiences of Working-Age Adults in the Individual Insurance Market". Issue Brief. Commonwealth Fund. 2001-12-01. http://www.commonwealthfund.org/publications/publications_show.htm?doc_id=221522. Retrieved 2007-10-27. , Figure 1
  11. Teresa Chovan, Hannah Yoo and Tom Wildsmith, "Individual Health Insurance: a Comprehensive Survey of Affordability, Access, and Benefits" , see Tables 2 and 3. America’s Health Insurance Plans, August 2005 http://www.ahipresearch.org/pdfs/Individual_Insurance_Survey_Report8-26-2005.pdf
  12. Leigh Wachenheim and Hans Leida, "The Impact of Guaranteed Issue and Community Rating Reforms on Individual Insurance Markets," report prepared by Milliman, Inc. on behalf of America’s Health Insurance Plans, August 2007 http://www.ahip.org/content/fileviewer.aspx?docid=20794&linkid=179392
  13. Terhune, Chad "Health Insurer's Premium Practices Add to Profit Surge, Roil Customers", The Wall Street Journal, April 9, 2002 https://www.wsj.com/articles/SB1018305700460249160?mod=article-outset-box
  14. "The Illusion of Group Health Insurance: Discretionary Associations" , FamiliesUSA, March 2004 http://www.familiesusa.org/assets/pdfs/Disc_brief_summary350f.pdf
  15. Terhune, Chad "Insurers Avoid State Regulations By Selling Via Groups Elsewhere", The Wall Street Journal, April 9, 2002 https://www.wsj.com/articles/SB1018316884421632800?mod=article-outset-box
  16. "Health Care Marketplace | American Medical Security Group Says It Will Cease 'Reunderwriting' Practices - Kaisernetwork.org". http://www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=12773. 
  17. WSJ Reunderwriting http://www.rvhometown.com/HTML/Health/WSJ_Reunderwriting.htm
  18. Leigh Wachenheim, "Variation by Duration in Individual Health Medical Insurance Claims," Society of Actuaries, October 3, 2006. A similar occurrence had been observed in the small group health insurance market. Stephen Brink, James Modaff and Steven Sherman, "Variation by Duration in Small Group Medical Claims, Transactions of the [Society of Actuaries], 1991-92 Reports. http://www.soa.org/research/files/pdf/IH%20Durational%20Study_Final%201006.pdf
  19. "Individual health insurance: Closed block solutions", American Academy of Actuaries, May 2004 http://actuary.org/pdf/health/rate_may04.pdf
  20. Braun, Alexander; Xu, Jiahua (2020-03-31). "Fair Value Measurement in the Life Settlement Market" (in en). The Journal of Fixed Income 29 (4): 100–123. doi:10.3905/jfi.2020.1.084. ISSN 1059-8596. https://jfi.pm-research.com/content/29/4/100. 
  21. Updegrave, Walter and Ashford, Kate "The neutron bomb of health insurance" Money Magazine, February 13, 2007 https://money.cnn.com/2007/02/12/magazines/moneymag/insurance_rescission.moneymag/index.htm
  22. California Legislative database: AB1324, chaptered October 14, 2007 http://www.leginfo.ca.gov/pub/07-08/bill/asm/ab_1301-1350/ab_1324_bill_20071014_chaptered.html
  23. Lisa Girion, "Court curbs insurers' ability to rescind medical policies," The Los Angeles Times , December 25, 2007 http://www.latimes.com/news/science/la-fi-rescind25dec25,1,6638779.story?ctrack=1&cset=true
  24. General & Medical https://www.generalandmedical.com/cms/private-health-insurance/moratorium-underwriting/
  25. "What is Medical Underwriting in Health Insurance? | Healthcare Clarity". https://healthcareclarity.co.uk/private-medical-insurance-underwriting-choices/. 
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