Mental health conditions: An insurance underwriter’s point of view
I’m Rachel Trainer a Development Underwriter at Scottish Widows.
One in four people will experience a mental health challenge of some kind each year. Because this is such a common disclosure, I’d like to tell you a bit about it to help you when you’re applying for protection insurance.
We understand how important the purpose of Protection is, whether it is protecting your family or mortgage. Our intention is always to try and offer people cover with the best terms possible.
As underwriters, it is important that we assess all risks presented to us. 22% of all Scottish Widows applicants have made a disclosure of poor mental health in their application forms.
96% of applicants who tell us about a mental illness are offered cover and of those, 87% will be accepted at standard rates for life cover. ( ie offered cover with no increase in their monthly premiums).
How do the questions we ask help us to make a decision?
Asking questions on the application form about mental health allows us to create an understanding of a person’s symptoms. We appreciate that for some people it can be a sensitive subject, rest assured that the answers will be used to help us make a fair assessment and offer the best possible terms.
From our perspective, it is important to offer a flexible approach when it comes to mental health as each person’s experience is unique. In many instances, we will call the applicant and give them the opportunity to tell their own story regarding their symptoms as often they have the best insight into their condition. In some circumstances, a GP report will be required to help with our assessment.
Some people will experience milder forms of mental health conditions such as bereavement or work-related stress. In general, these episodes are a reaction to personal circumstances or life events and are short-lived.
Other customers may experience chronic mental health conditions such as Post Traumatic Stress Disorder (PTSD), Bipolar Disorder or Schizophrenia.
Our application questions allow us to make that distinction between milder and chronic forms of mental health conditions, this enables us to consider the most appropriate terms for insurance.
Common application questions include:
- Have you needed any specialist help? Specialist support (psychiatrist) or inpatient treatment
- How much time off work have you needed?
- What type of treatment was required? Medication, CBT, counselling etc
- When were symptoms last experienced?
- Have you tried to take your own life or have thoughts of taking your own life?
Possible outcomes
For people experiencing milder forms of a mental health condition, as Underwriters, we would view this as there presenting no additional risk and an application would therefore be offered standard rates ( with no increase in monthly premiums).
Some applicants may experience symptoms which result in a poor response to treatment and require prolonged periods of time off work. Due to the unstable nature of their symptoms, we may apply an increase to their premium. If Critical Illness cover has been applied for a mental health exclusion may be added to the Total Permanent Disability part of the policy.
Severe forms of mental health conditions may have a big impact on a person’s overall physical health and in some cases be a risk to life. Severe forms can also be associated with other health risks such as alcohol and drug abuse. In these circumstances, we are unlikely to offer terms due to the higher risk presented.