Select Page

When is medical evidence automatically requested… Everything you need to know

When is medical evidence automatically requested… Everything you need to know

For most clients, submitting an application where there are no medical or other disclosures will mean that terms are offered pretty quickly. Such clients are usually deemed as relatively low risk and as such medical evidence will not be required.  Where the client is slightly older or requires a particularly high sum assured however, they potentially pose more risk for the insurer and as such medical evidence may be requested. In such cases, setting the clients’ expectations in terms of what will be required is vital to ensure that they are aware of what is required and not taken by surprise. In this article we look at when medical evidence might be requested for different benefit types.

Life Cover

Whilst this insight isn’t specifically focused on business protection only, the life insurance underwriting limits highlighted are applicable to business, as well as individual life applications. We compare the requirements across each insurer for overall limits, GP report requirements, nurse screenings and medical examinations.

To read more click here

Critical Illness Cover

Like the previous life automatic medical underwriting limits insight, this article isn’t specific to business protection, but the thresholds apply to both business and individual critical illness applications. Once again, the limits for critical illness are slightly lower than life only, as we’ve examined in detail, focusing on all the various requirements that could be triggered from each insurer.

To read more click here

Income Protection

The Income Protection market has more insurers in the intermediated space than life or CI with the addition of the friendly societies that specialise in this area. Many of the friendly societies approach automatic medical evidence slightly differently to the traditional insurers with some not automatically requiring medical evidence at younger ages if at all. In this article we look at some of the nuances that advisers might want to understand in order to be able to avoid automatic medical evidence.

To read more click here

Family Income Protection

Finally, we take a look at the automatic medical evidence requirements for Family Income Benefit. Although based on the same limits as life and critical illness, advisers need to run a calculation over their clients benefit which is based on the monthly benefit and term of the plan. As always there are insurers that apply different forumla’s when calculating the automatic medical evidence requirement and in this article we explain each approach.

To read more click here

About The Author

Adam Higgs

Adam leads Protection Guru's detailed protection research and benchmarking of both product and operation features provided by insurers and has a vast knowledge of the protection market. He has been instrumental in building the protection comparison service Quality Analyser and maintaining the data to enable adviser to quickly and easily compare protection products based on qualitative measures. He also works with adviser firms to help in panel reviews and with insurers to help them understand the shape of the market, their strengths and the areas that could be improved in their products. In his spare time and when not spending time with his wife and two children, Adam is a keen Arsenal fan and enjoys hacking his way around a golf course.

Leave a reply

Your email address will not be published. Required fields are marked *


Contact Us


Protection Guru Awards

2024 Product Ratings

Cost of Living

Protection Forum

Provider Financial Strength Ratings

Claims facts & Figures

Visit our learning & development Hub


We use cookies to track usage of our website using Google Analytics. Click here to opt-out.
Share This