More on Life Insurance
More on Life Insurance
Depending on the severity and treatment, type 1 diabetics may pay more expensive life insurance premiums.
Published November 2, 2020
TABLE OF CONTENTS
If you have type 1 diabetes (sometimes called insulin-dependent or juvenile diabetes), shopping for life insurance is more complicated and coverage can be more expensive. But as with other pre-existing medical conditions, you can still get affordable coverage depending on the severity and treatment.
Type 1 diabetes has no known cure and can develop at any age, though it is usually diagnosed in children, teens, and young adults. Because it’s less common than type 2 diabetes and less manageable because type 1 diabetics do not produce any insulin naturally, insurance companies are more likely to increase your rates if you have type 1 diabetes; some won’t insure you at all.
But certain companies, including AIG and Principal, treat applicants with type 1 diabetics more favorably than others and will still extend coverage, based on quotes provided by Policygenius partner insurers. Insurance companies will also look at your age, the severity of your diabetes, and your treatment plan when determining your insurability and premium rates.
Type 1 diabetics receive higher premium rates than type 2 diabetics
If your diabetes is well-managed, with favorable A1C/blood sugar levels and no significant kidney or liver problems, it’s possible to get life insurance
Severe cases of type 1 diabetes could lead to an application denial or lower health classification
Final expense life insurance and group life insurance are options that may be available if you have severe type 1 diabetes
The cost of life insurance premiums is determined by several factors, including your age and health. Generally, the younger and healthier you are, the lower your rates will be, while certain medical conditions — including type 1 diabetes — raise the price of premiums. If your condition is severe enough, it can disqualify you from getting coverage altogether.
During underwriting, life insurance companies set your premiums based on the likelihood that you will pass away before the term expires. To evaluate that risk, insurers use a classification system (ranging from Preferred Plus to Substandard), which determines how much you pay for your coverage.
People with type 1 diabetes usually don’t qualify for a rating above Substandard. Substandard ratings aren’t a specific rating classification like the others; instead, you’re placed in what’s called a table rating system, graded by either letters or numbers (typically either A-J or 1-10).
Your premium price will, on average, be the Standard price plus 25% for every step down the table:
A/1 = Standard + 25%
B/2 = Standard + 50%
C/3 = Standard + 75%
D/4 = Standard + 100%
E/5 = Standard + 125%
F/6 = Standard + 150%
G/7 = Standard + 175%
H/8 = Standard + 200%
I/9 = Standard + 225%
J/10 = Standard + 250%
If you have type 1 diabetes, you could be paying as much as 250% more on your premiums.
In addition to your overall health, insurance companies look at family medical history, hobbies, and if you smoke to decide your classification. If you have type 1 diabetes, you’ll still fall below a Standard rating, but it’s possible these other factors can help get you a better classification.
As an example, below are sample average rates for a $500,000, 20-year term policy for a male applicant with a Standard health classification compared to a Table 5 health classification, which is more common for type 1 diabetics.
|Age of applicant||Standard||Table 5|
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 10/30/2020.
You can see stark increases between a Standard and Table 5 rating premium. If you have type 1 diabetes, you could receive a health classification below Table 5 too.
Most importantly though, you can still get life insurance coverage if you have type 1 diabetes, especially if your blood sugar levels are well managed (as evidenced by HBA1C test results). You can also save on premiums regardless of current health conditions by applying for life insurance at a younger age and paying premiums annually instead of monthly.
Having type 1 diabetes makes life insurance premiums more expensive than if you have type 2 diabetes or no diabetes, based on quotes provided by Policygenius partner insurers. Type 1 diabetics typically face a greater risk of heart disease and stroke than type 2 diabetics, so it’s much harder to get good rates. The younger you are at the time of your diabetes diagnosis, the less favorable your life insurance health classification will be.
Type 1 diabetes is also rarer than type 2 diabetes, which accounts for 90-95% of cases in the U.S. and is seen by insurance companies as a more manageable condition since it can be reversed with certain treatments or medications.
While having type 1 diabetes will likely mean a less favorable health classification assignment, it’s important to compare quotes from different insurance companies because some insurers might offer you more favorable rates than others.
Traditional underwriting includes a written application, phone interview, and medical exam. If you have type 1 diabetes, an insurance company will almost always request an additional Attending Physician Statement (APS) from your doctor to get a better picture of your overall health.
An APS is a standard summary of your medical history that includes descriptions of your health and a checklist of medical conditions the insurer needs to know. It’s typically required if you have any history of chronic medical conditions.
Compare the market, right here.
Policygenius saves you up to 40% by comparing the top-rated insurers in one place.
If you are denied traditional life insurance coverage because you have a severe case of type 1 diabetes, there are other ways to get the financial protection you need for your loved ones.
There are two types of final expense life insurance: guaranteed issue life insurance or simplified issue life insurance.
Guaranteed issue life insurance is great for high-risk individuals with severe type 1 diabetes. As long as you do not currently have a terminal illness, you’re likely to be approved for coverage. However, it’s more expensive than simplified issue whole life insurance and offers lower maximum coverage amounts, typically at or below $25,000.
Simplified issue life insurance is a type of whole life insurance that is good for people who don’t qualify for a fully underwritten life insurance policy but are only considered moderate risk. Qualification depends on how severe your type 1 diabetes is, so coverage is not a guarantee. You’ll have to answer a detailed medical questionnaire, but there’s no medical exam involved. This is your best bet for getting an affordable life insurance policy with coverage up to $50,000.
Some employers offer group life insurance as an employee benefit. This isn’t an option available to everyone, and it’s not the same as purchasing private life insurance because it is based on your employment status. Your employer pays most or all of the premium costs, so if you lose your job or switch companies, you’ll no longer be insured.
Group life insurance offered by employers does not typically require traditional underwriting, so it’s available even if you have pre-existing conditions like type 1 diabetes. 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.
If you have type 1 diabetes and it is well-managed, you can get approved for life insurance coverage. But if you have a more severe case or have other health complications as a result of your type 1 diabetes, you may be declined for traditional life insurance.
Term life insurance and permanent life insurance policies (including whole life insurance) are available to type 1 diabetics. If you don’t get approved due to the severity of your condition, final expense life insurance and group life insurance are other options available.
Insurance companies base premium rates on several factors, including health. Type 1 diabetes is considered a serious chronic medical condition, so you’ll pay more than someone who doesn’t have diabetes.
Rebecca Shoenthal is a life insurance editor at Policygenius in New York City, specializing in buying life insurance and the ins and outs of life insurance ownership. She's edited business books by the country’s top academics, politicians, journalists, thought leaders and CEOs, including venture capitalist John Doerr’s Measure What Matters, entrepreneur Scott Belsky's The Messy Middle, NYU Stern professor Scott Galloway's The Four, and technologist John Maeda's How to Speak Machine.