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Every life insurance applicant is different. Life insurers must calculate each applicant’s risk to offer fair rates while properly accounting for the applicant’s risk. Life insurance companies have specialists called underwriters to examine all these factors and use mathematical formulas to arrive at life insurance rates that fit each situation. This article explains how life insurance underwriting works and offers some tips for securing better life insurance rates to help you get the coverage you need.
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Life insurance underwriting is the process where insurers evaluate an applicant’s information, such as age, health, and lifestyle, to determine the applicant’s risk and make policy approval and terms decisions.
Underwriting helps insurers calculate the premiums they must charge to account for a policyholder’s risk, coverage amount, and policy type. During underwriting, the underwriter will examine the application information, health records, statistical data, and medical exam results, if applicable. Insurers may differ in their formulas and procedures for calculating risk. As a result, each insurer may offer different rates for the same policy type and coverage amount.
To build a comprehensive risk profile, life insurance underwriters examine your health and financial picture. This involves two forms of underwriting:1
Medical underwriting entails evaluating the applicant’s health and lifestyle factors that can impact their risk. Medical exams are a big part of underwriting. The examiner gets a detailed health history and other health information. They also take blood and urine samples to analyze various health risks and lifestyle factors. Some policies don’t require a medical exam but may still ask basic health questions to help the insurer calculate risk.
Financial underwriting involves analyzing the applicant’s financial circumstances and needs to ensure the policy they apply for fits their situation. This helps applicants avoid overpaying for coverage they don’t need and maintain life insurance as a safety net. The insurer may analyze your assets, debts, and income during financial underwriting. Some insurance companies may also evaluate credit scores.
Life insurance underwriters analyze a range of factors to build a comprehensive risk profile and make decisions regarding approval, premiums, and terms:2
Don’t wait until it’s too late. Help cover yourself and your family with coverage from Aflac.
Get StartedThe life insurance underwriting process involves several steps:1
Underwriting starts at the application. You’ll provide basic information about yourself, such as your age, gender, job, lifestyle factors, and personal and family health history. You may have to authorize your insurer to access medical and other records to gather the necessary information and cross-check your answers. Insurers may also gather financial information, such as income, assets, debts, dependents, and bankruptcy history.
Many life insurance policies require a medical exam to verify that your application’s health information is correct. You can schedule the exam at your home or a medical exam facility.
During the exam, the examiner will gather more detailed information about your health history. They then collect vital statistics such as height, weight, and blood pressure. Examiners also collect blood and urine samples to analyze and confirm certain health and lifestyle factors.
Policies with no medical exam skip this step, shortening the process. However, they still often gather basic health information on the application.
After completing the application and medical exam, the underwriters evaluate all of your information. They analyze risk factors using this information to help determine eligibility, create a risk profile, and calculate premiums.
Once the insurer analyzes your information, they give you an insurance classification. There are several classifications, ranked in order from lowest to highest risk:2
Here are some ways to reduce your perceived risk to the underwriters and qualify for more cost effective life insurance rates:
Insurers examine many financial and medical factors to determine your premiums. This may seem overwhelming, but it also means you have many opportunities to improve in these areas and qualify for more cost-effective premiums.
Aflac considers a range of factors when underwriting policies to help you find fair premiums on the life insurance coverage you desire. Speak with an agent today to learn more about your options and get a quote.
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1 Forbes Advisor - Life Insurance Underwriting: What Is It & How It Works? Published August 6, 2024. https://www.forbes.com/advisor/in/life-insurance/underwriting-in-life-insurance/. Accessed May 27, 2026.
2 NerdWallet - Behind the Scenes: How Does Life Insurance Underwriting Work? Updated October 7, 2025. https://www.nerdwallet.com/insurance/life/learn/life-insurance-underwriting. Accessed May 27, 2026.
Content within this article is provided for general informational purposes and is not provided as tax, legal, health, or financial advice for any person or for any specific situation. Employers, employees, and other individuals should contact their own advisers about their situations. For complete details, including availability and costs of Aflac insurance, please contact your local Aflac agent/producer.
Aflac coverage is underwritten by American Family Life Assurance Company of Columbus. In New York, Aflac coverage is underwritten by American Family Life Assurance Company of New York.
Aflac life plans – A68000 series/Term Life: In Arkansas, Idaho, Oklahoma, Oregon, Texas, Pennsylvania & Virginia, Policies: ICC1368200, ICC1368300, ICC1368400. In Delaware, Policies A68200, A68300 & A68400. In New York, Policies NY68200, NY68300 and NY68400. Whole Life: In Arkansas, Idaho, Oklahoma, Oregon, Texas, Pennsylvania & Virginia, Policies: ICC1368100. In Delaware, Policy A68100. In New York, Policy NYR68100. B60000/Term Life: In Arkansas, Oklahoma, Pennsylvania, Texas & Virginia, Policies ICC18B60200, ICC18B60300, & ICC18B60400. Whole Life: In Arkansas, Oklahoma, Pennsylvania, Texas & Virginia, Policies: ICC18B60C10, ICC18B60100. Not available in Delaware, Idaho, New Mexico, New York, Oregon or Vermont. Q60000 series/Term Life: In Arkansas, Idaho, Oklahoma, Oregon, Pennsylvania & Texas, Policy ICC18Q60200M. In Delaware, Policy Q60200M. In New York, Policy: NYQ60200M. Whole Life: In Arkansas, Delaware & Oregon Policy Q60100M. In Idaho, Policy Q60100MID. In Oklahoma, Policy Q60100MOK. In New York, Policy: NYQ60100M. Not available in VA.
Aflac Final Expense insurance coverage is underwritten by Tier One Insurance Company, a subsidiary of Aflac Incorporated and is administered by Aetna Life Insurance Company. Tier One Insurance Company is part of the Aflac family of insurers. In California, Tier One Insurance Company does business as Tier One Life Insurance Company (NAIC 92908).
In AR, DE, ID, OK and VA: Policies ICC21-AFLLBL21 and ICC21-AFLRPL21; and Riders ICC21-AFLABR22, ICC21-AFLADB22, and ICC21-AFLCDR22. Not available in NY.
Coverage/plan levels may not be available in all states, including but not limited to [NJ, NM or VT]. Benefits/premium rates may vary based on plan selected. Optional riders may be available at an additional cost. Policies and riders may also contain a waiting period. Refer to the exact policy and rider forms for benefit details, definitions, limitations and exclusions.
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