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How Medical Underwriting Works in Life Insurance

The word underwriting may sound complex, but it simply means assessing the risk of insuring a person or property and determining the terms, conditions and premium for the policy. In other words, underwriting in insurance is the process by which the insurance company checks your health, age, and other details before approving your policy.


In this blog, let’s understand what medical underwriting is, how it works, and how it affects your insurance application positively.

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Written ByShruti gujarathi
AboutShruti gujarathi
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Shruti Gujarathi has 5 years of experience in the BFSI sector, and as Manager – Digital Marketing at Bajaj Life Insurance, manages digital and content marketing. She has had hands-on experience in content strategy, performance marketing and Strategic Alliances over a career spanning 10 years, with deep expertise in insurance domain.
Reviewed ByRituraj Singh
AboutRituraj Singh
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Rituraj Singh,With over 6.5 years of experience in the insurance industry, Rituraj Singh, Manager- Product & Brand Marketing at Bajaj Life Insurance overlooks new product launches, compliance, and brand projects, leveraging artificial intelligence and technology to enhance outcomes.
Written on: 16th October 2025
Modified on: 17th October 2025
Reading Time: 15 Mins
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What is Medical Underwriting in Life Insurance?

Medical underwriting is the process by which an insurance company checks your health status before approving a life insurance plan . This check helps the insurer understand how risky it is to offer you a policy.

For example, if someone has diabetes or a heart condition, they may have a higher risk of health problems. So, the company may charge a higher premium or ask for more tests. If someone is healthy, young and does not smoke, their premium may be lower.


Types of Medical Underwritings

There are two main types of underwriting in insurance when it comes to checking health details:


  1. Full Medical Underwriting

    • In this type, you need to undergo certain medical tests.
    • The insurer may ask for blood and urine samples, X-rays, and reports from your doctor.
    • This is usually done when you are buying a high cover or if your age is above a certain limit.
    • It helps the Insurer understand your current health condition in detail.
       
  2. Simplified Issue Underwriting

    • Here, the insurer only checks the health details you give in the application form.
    • There are no medical tests involved.
    • This is faster and easier, but the coverage may be lower or the premium may be slightly higher.

    Both these types are useful in different situations therefore understanding them is important. Underwriting life insurance helps make sure the policy offered is fair for both you and the Insurer .


What is Full Medical Underwriting?

Full medical underwriting means a complete health check before issuance of the policy. You have to give health reports, test results, and sometimes even health certificates from your doctor. This helps the Insurer clearly see your health status.

This type is often used when you want to buy a large life cover or if you are older. Though it takes longer, it gives a clear picture to the underwriter and can help you get the right policy.


What is Simplified Issue Underwriting?

In simplified issue underwriting, you only need to answer a few health-related questions. You don’t have to do any medical tests.

This method is fast and is usually used for younger people or for small insurance covers. However, since the insurer does not check your medical reports, the premium may be higher compared to full underwriting.


Processes Involved in Medical Underwriting

Medical underwriting follows a step-by-step process. Here's how it works:


Step 1: Proposal Form Review

The Insurer checks the information you shared in your proposal form —like age, weight, smoking habits, medical history, etc.


Step 2: Medical Test (if needed)

If it's full medical underwriting, you may be asked to undergo some tests like:

  • Blood test
  • Urine test
  • Blood pressure check
  • BMI (height and weight)
  • ECG or X-ray (if needed) etc

Step 3: Underwriter’s Evaluation

The underwriter studies all your reports to decide:

  • Whether to approve your policy
  • If a higher premium is needed

Step 4: Decision and Communication

You get to know the outcome. This outcome indicates whether the insurance company:

  • Approves the application for coverage,
  • Offers coverage with specific terms, such as higher premiums due to health conditions, or
  • Declines the application based on the assessed risk.

This process ensures that the insurance company can offer you a fair policy that matches your health and needs.


Conclusion

Understanding underwriting meaning of life insurance is important before buying any policy. It simply means the process of checking health or financial details before giving insurance and is useful for life insurance underwriting .

If you plan to buy a life insurance plan, knowing about medical underwriting can help you prepare better.


FAQs

  1. What are medical underwriting terms?

    Medical underwriting terms are health-related factors that insurance companies use to assess your overall health These terms include your weight, height, blood pressure, BMI (Body Mass Index), pre-existing diseases like diabetes, and habits like smoking or drinking. The underwriter uses these terms to decide how risky it is to give you insurance and what premium you should pay. These checks make sure the policy matches your health.


  2. What are the three types of underwriting?

    There are three main types of underwriting:

    1. Loan underwriting – Evaluates your credit history, income and repayment capacity before approving a loan.
    2. Insurance underwriting – Reviews your health, lifestyle, or income details to decide eligibility, coverage, and premium.
    3. Securities underwriting – Assesses the risk of issuing shares or bonds for a company and helps determine their pricing
       
  3. What is the underwriting process in life insurance?

    The underwriting process in life insurance is when the insurance company checks your details before issuing you a policy. They look at your age, health, family medical history, lifestyle, and more. This helps them understand how healthy you are and if there is any risk in giving you life cover.


  4. What is the difference between financial and medical underwriting in insurance?

    Medical underwriting checks how healthy you are. It looks at your medical history, test results, and lifestyle.

    Financial underwriting checks your income, job, and how much money you earn. It ensures you can afford the premiums.


  5. What is the role of underwriting in insurance?

    Underwriting helps the insurance company understand the risk before giving you a policy. It checks your health and sometimes your income to decide if you can be covered and how much premium you should pay.

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The views stated in this article are not to be construed as investment advice and readers are suggested to seek independent financial advice before making any investment decisions. For more details on risk factors, terms and conditions, please read the sales brochure & policy document (available on www.bajajallianzlife.com) carefully before concluding a sale. Bajaj Allianz Life Insurance Company Ltd., Regd. office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006, Reg. No.: 116, CIN: U66010PN2001PLC015959, Call us on toll free No.: 1800 209 7272, Mail us: customercare@bajajallianz.co.in

BJAZ-WEB-EC-17295/25

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*Tax benefits as per prevailing Section 10(10D) and Section 80C of the Income Tax Act shall apply. You are requested to consult your tax consultant and obtain independent advice for eligibility before claiming any benefit under the policy.

~Individual Death Claim Settlement Ratio for FY 2023-2024

1Premium Holiday has to be selected at inception to avail this benefit and also depends on other policy terms & conditions


Bajaj Life Insurance Limited (Formerly known as Bajaj Allianz Life Insurance Company Limited) | IRDAI Reg no. 116

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%%Above illustration is for Bajaj Life eTouch- A Non Linked, Non-Participating, Individual Life Insurance Term Plan (UIN: 116N172V03) considering Male aged 25 years | Non-Smoker | Policy Term (PT)– 30 years | Premium Payment Term (PPT) – 30 years | Sum Assured opted is Rs. 1,00,00,000 | Online Channel | Standard Life | 1st Year Premium is Rs. 6,238. 2nd Year onwards premium is Rs. 6,659. Total Premium Paid is Rs. 1,99,349 | Medical Rates | Yearly Premium Payment Mode | Death benefit opted is lumpsum payout and monthly installments (Lumpsum Payout Percentage : 45, Income Payout Percentage : 55) | Premium shown above is exclusive of Goods & Service Tax/any other applicable tax levied, subject to changes in tax laws, and any extra premium and is for illustrative purpose only. This is inclusive of all the discounts mentioned above.

##Tax benefits as per prevailing Section 10(10D) and Section 80C of the Income Tax Act shall apply. You are requested to consult your tax consultant and obtain independent advice for eligibility before claiming any benefit under the policy.Above Tax benefit is calculated considering deduction of Rs. 150,000 and applicable tax rate of 31.20%.

@Term Insurance plan bought online directly from Bajaj Life Insurance has no commissions involved.

^^The Return of Premium amount is total of all the premiums received, exclusive of extra premium, rider premium and GST & /any other applicable tax levied, subject to changes in tax laws
Bajaj Life Insurance Limited (Formerly known as Bajaj Allianz Life Insurance Company Limited) | IRDAI Reg no. 116

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Disclaimer

Bajaj Life eTouch- A Non Linked, Non-Participating, Individual Life Insurance Term Plan (UIN: 116N172V04)

*Tax benefits as per prevailing Section 10(10D) and Section 80C of the Income Tax Act shall apply. You are requested to consult your tax consultant and obtain independent advice for eligibility before claiming any benefit under the policy.Above Tax benefit is calculated considering deduction of Rs. 150,000 and applicable tax rate of 31.20%.

~Individual Death Claim Settlement Ratio for FY 2023-2024

1Premium Holiday has to be selected at inception to avail this benefit and also depends on other policy terms & conditions


Bajaj Life Insurance Limited (Formerly known as Bajaj Allianz Life Insurance Company Limited) | IRDAI Reg no. 116


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