Best life insurance companies for diabetics in 2021

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It’s easy to think that life insurance will be prohibitively expensive if you have diabetes. The good news is, there are plenty of opportunities for affordable life insurance for diabetics if you can prove consistent and effective treatment for 6-12 months or more, have a less severe diagnosis, and work with the right insurance company.

While you may pay more for a policy than someone of your age and gender without diabetes, some insurers are more lenient than others. An independent broker can identify which companies are friendlier to people with your specific diabetes type and treatment history.

The best life insurance companies for people with diabetes

Not every life insurance company handles diabetic applicants the same way. Depending on the severity, type of diabetes, and your treatment, some companies may be better for you than others.

Policygenius recommends diabetics looking for life insurance policies start by comparing rates from two of our partner insurers — Principal and AIG. Both companies offer Standard or better rates for a wide range of diabetics.

Principal

Principal is an excellent option for diabetics across the board. They are the only insurer that offers Preferred (second best) rates for people with adult-onset diabetes.

Here’s how Principal breaks down different types and severity of diabetes:

Other factors, including A1C levels and date of diagnosis also factor into classifications and are not reflected in the above chart. Certain other health conditions may lead to automatic application decline.

AIG

AIG is a good option for diabetics who have been diagnosed at age 50 or above. They also offer policies with Substandard rates to people diagnosed at younger ages.

Here’s how AIG breaks down different types and severity of diabetes:

Other factors, including A1C levels and date of diagnosis also factor into classifications and are not reflected in the above chart. Certain other health conditions may lead to automatic application decline.

Why does having diabetes matter to life insurance?

When you apply for life insurance, you’ll go through the underwriting process, which insurers use to assess the risk of insuring you (i.e., the likelihood of you passing away while your policy is active). This includes a look at your family’s health history, your hobbies, and your driving record. You’ll also undergo a routine medical exam and your insurer may request records from your doctor.

After underwriting, insurers assign you a health classification, which determines your premiums. The best class, Preferred Plus, gets you the lowest premiums, while Standard or below will result in higher premiums.

Since diabetes comes with health complications, you’ll be considered a greater risk than someone without diabetes and be charged higher premiums as a result. But it’s not an all-or-nothing scenario; underwriters will treat those with less severe and well-managed diabetes more favorably and you may still be eligible for the best health classifications with some providers.

What factors are taken into account for diabetics seeking life insurance?

If you’re a diabetic applying for life insurance, life insurance underwriters will look at the same health and lifestyle factors that they do with any applicant. But a few things are especially important for diabetics.

1. Age

Underwriters take into account not only the age you are when you’re applying (like they do with everyone), but also the age at which you were diagnosed with diabetes.

In general, the longer you’ve had diabetes, the riskier your profile. If you were diagnosed as a child, you’ll face higher premiums than applicants with late-onset diabetes. If you’re diagnosed after the age of 50, you may still qualify for better-than-average premiums. But in general, life insurance premiums increase with age. So, if you were diagnosed with diabetes later in life, your age might pose more of a risk than your diabetes diagnosis.

2. Type of diabetes

Type 2 diabetics are likely to have an easier time applying for life insurance. That’s because this type of diabetes, which accounts for about 90% of diabetic cases, is seen as more manageable than type 1 diabetes. Plus, type 1 diabetes usually surfaces when people are younger — meaning a diagnosis at a younger age and thus, higher premiums.

Type 1 vs. type 2

The examples below compare potential rate classifications for two shoppers with diabetes. Both policyholders are the same age (55) seeking the same policy type and coverage amount, but one person has type 1 diabetes that was diagnosed at a younger age, while the second person has type 2 diabetes that was diagnosed at a later age.

The policyholder with type 2 diabetes will likely receive a better health classification (Standard) than the policyholder with type 1 diabetes (Substandard) due to their type of diabetes and age of onset.

Life insurance for Type 1 diabetes

Type 1 diabetes (also referred to as insulin-dependent diabetes) is less common than type 2 diabetes. People with type 1 diabetes are usually diagnosed at a younger age (though not always), and face a greater risk of heart disease and stroke than type 2 diabetics.

If you have type 1 diabetes, you will likely be assigned a less favorable health classification during underwriting. But it’s important to compare quotes from different insurance companies. If you pose no other major health risks (for example, if you don’t smoke and maintain a healthy lifestyle), you could still secure competitive premiums.

Life insurance for prediabetes or type 2 diabetes

Type 2 diabetes is generally seen by insurance companies as milder than type 1. The same health risks (including heart disease and stroke) exist for type 2 diabetics and people with prediabetes, which can lead to type 2 diabetes. Maintaining a healthy diet and exercise can keep these risks at bay.

Having type 2 diabetes will still affect your health classification, but it won’t have as much of an impact on your monthly premiums as type 1 diabetes.

Life insurance for gestational diabetes

Many women are diagnosed with gestational diabetes during pregnancy, and while it’s a health concern, it typically goes away soon after childbirth. However, underwriters take gestational diabetes into account the same way they will other types of diabetes. The best way to avoid paying higher premiums is to apply for life insurance before you get pregnant or within the first trimester; otherwise, you’re better off waiting until after pregnancy.

3. Severity

The underwriter will also take your A1C levels into consideration to judge the severity of your diabetes. A1C levels in the 6.0-6.9 range are more likely to be viewed favorably and minimally affect your premiums; levels between 7.0-7.9 may raise your premiums somewhat but will still keep them relatively affordable, while having an A1C level of 8.0 or above will give you a riskier classification and, therefore, higher premiums.

Underwriters will also be on the lookout for diabetes-related complications such as diabetic retinopathy, diabetic neuropathy, and proteinuria. If these conditions aren’t well-managed, you’ll pay more for your policy.

4. Treatment and control

The type of treatment you receive for diabetes is relevant to how a life insurer views the condition, partly because it’s related to its severity. A person with diabetes who can keep their diabetes in check with smart diet choices is likely to get the most favorable ratings; those who use oral medication can likewise get a better rating than diabetics reliant on insulin.

Regardless of the type of diabetes you have, when you have it, or how severe it is, you’ll almost always secure better premiums if you show signs of treatment and management. Even if you’re a type 1 diabetic who uses insulin, you might still have more affordable premiums than a type 2 diabetic who isn’t seeking any treatment.

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Sample premium rates for diabetics: Preferred vs. Standard

People with type 2 diabetes, or who were diagnosed later in life, may not qualify for Preferred premium rates, but could qualify for Standard rates with certain insurers. While the cost of life insurance will be greater than someone of the same age without diabetes, it’s not as prohibitive as you might think.

As an example, below are sample average rates for a $500,000, 20-year term policy for a male applicant with a Preferred health classification compared to a Standard health classification, which is more common for type 2 diabetics.

Preferred vs. Standard premium rates

Methodology: Rates are calculated for a male non-smoker in Columbus, Ohio, obtaining a 20-year, $500,000 term life insurance policy. Quotes are based on a composite of policies from AIG, Banner, Brighthouse, Lincoln, Mutual of Omaha, Pacific Life, Principal, Protective, Prudential, SBLI, and Transamerica and may vary by carrier, term, coverage amount, health class, and state. Not all policies are available in all states. Rate illustration valid as of 1/29/2021.

Questions for diabetics applying for life insurance

During your life insurance paramedical exam or phone interview, you’ll be asked several general questions about your health history. If you have diabetes, insurers may follow up with some the following questions:

• Do you have type 1 or 2 diabetes?

• What is the date of your first diagnosis/onset?

• Do you measure your glucose daily?

• What is your last A1C reading and what is your A1C average for the last year?

• Are you taking insulin or other medications?

• Do you have any complications with your eyes, kidneys, or feet as a result of diabetes?

• Have you had any amputations?

• Are you on dialysis?

Some of these questions may seem invasive, but for your broker or agent to give you an accurate quote, it’s important to answer honestly. Every insurance company is different, so the questions may vary, but it’s good to be prepared so your application process is as seamless as possible.

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Non-traditional life insurance options for people with diabetes

If you were denied life insurance coverage or assigned a less favorable health classification because of a new diabetes diagnosis and have been undergoing steady treatment for a year or more, it’s worth working with a licensed independent insurance broker, like Policygenius, to see if your treatment translates to better premiums.

Beyond the typical options of term and whole life insurance, there are other ways to get the financial protection you need for your loved ones.

Final expense life insurance

There are two types of final expense life insurance: guaranteed issue life insurance or simplified issue life insurance. We only recommend looking into a final expense life insurance policy as a last resort because these types of policies are expensive for a low amount of coverage.

1. Guaranteed issue life insurance - High-risk individuals with severe diabetes can typically still get guaranteed issue life insurance. However, it’s more expensive than simplified issue whole life insurance and offers lower maximum coverage amounts, below $25,000 in most cases.

2. Simplified issue life insurance - If you cannot qualify for a fully underwritten life insurance policy but are only considered moderate risk, you should consider simplified issue insurance. There’s no medical exam involved, but you’ll have to answer a detailed medical questionnaire. Coverage amounts for these policies max out at $50,000.

Group life insurance

This option is only available to those whose employers offer it, and it’s not the same as purchasing private life insurance. Your employer pays most or all of the premium costs for a group life policy, so you’ll lose insurance if you switch jobs or lose your job (though some companies may allow you to transfer ownership of your policy to yourself so you can continue paying premiums and keep your policy).

Group life insurance won’t have enough coverage to fully protect your family if something happens, but it’s better than having no coverage at all, so we recommend taking advantage of this perk if it’s available. Group life policies do not typically require underwriting, so even if you have a pre-existing medical condition, you can get some insurance.

→ Learn more about the different types of life insurance

Methodology: How we chose the best life insurance companies for diabetics

The best life insurance company for one person might not offer competitive coverage or pricing for another. At Policygenius, we want everyone to easily find affordable and robust coverage.

Policygenius takes a comprehensive approach to determining the best life insurance companies out there for people with diabetes. We don't get paid for reviews and evaluate an extensive set of criteria to come up with a robust — and unbiased — analysis of carriers that will help you find the right one for your needs.

Our independent analyses are comprised of life insurance recommendations by experts in the field and quote data from the 11 life insurance companies we offer in our marketplace. Our life insurance company reviews and recommendations have helped over 30 million people shop for the most affordable life insurance policy for their needs.

→ Check out all our life insurance company reviews

Third-party ratings

Policygenius also weighs ratings from third-party agencies in our assessments. The most common third-party life insurance ratings come from:

• BBB

• A.M. Best

• J.D. Power

Most of the biggest life insurance companies are financially secure, and while you should look at all these ratings, keep in mind some reviews may be from customers who had particularly positive or negative experiences that aren’t necessarily representative of the company in general. Also worth noting, some smaller insurance companies don’t have standard J.D. Power ratings. However, when available, those ratings can give you an idea of customer satisfaction. The best-rated companies have high marks all around to provide peace of mind.

Shoppers can also see how big a company is by looking at its market share and the number of policyholders. Size is typically a good indicator of how well a company is doing, but shoppers shouldn’t be afraid to go with a smaller insurer, like a regional carrier or a membership carrier (like USAA), if it fits their needs.

An insurance company’s ratings and reviews can point you to an insurer you can rely on for your family’s financial protection. If you’re looking for life insurance but don’t know where to start, a licensed agent at Policygenius can work with you through the application process so you’re getting coverage from the best insurer for your circumstances at the most competitive price.

Most importantly, when you’re shopping for life insurance, never assume that you’re uninsurable, even if you have a riskier health condition, like diabetes. The right treatment paired with the right insurer will help you find an affordable life insurance policy that suits your needs.