Question

Difficulty: HardRisk Classification

Review the following life insurance applicant profiles. Match each applicant's specific risk characteristics to the most appropriate underwriting classification and premium rating strategy.

  • An applicant with an unmanaged, progressive cardiovascular disease presenting an immediate and severe mortality risk.Declined Risk
  • An applicant in perfect health who actively participates in competitive skydiving on weekends, presenting a constant, non-health-related hazard.Substandard Risk with a Flat Extra Premium
  • An applicant with a well-documented history of chronic hypertension and slightly elevated cholesterol, where the mortality risk incrementally increases with age.Substandard Risk with a Tabular (Table) Rating
  • An applicant with an exceptional family medical history, optimal body mass index, zero tobacco usage, and a sedentary clerical occupation.Preferred Risk

Answer

Severe unmanaged disease matches with Declined Risk. Skydiving (constant hazard) matches with Flat Extra Premium. Chronic hypertension (increasing hazard) matches with Tabular Rating. Exceptional health matches with Preferred Risk.
The correct matches accurately align specific applicant hazards with their corresponding actuarial treatments. Severe unmanageable conditions are uninsurable (Declined). Constant avocational hazards warrant a static Flat Extra Premium, while health conditions that compound over time necessitate a percentage-based Tabular Rating. Flawless health metrics qualify for Preferred status.

Step-by-Step Solution

1
Analyze the applicant with unmanaged cardiovascular disease.
Identify this as an unacceptable risk level, mapping to Declined Risk.
Insurers cannot mathematically quantify and assume the risk of an immediate, unmanaged, progressive terminal illness.
2
Evaluate the difference between the skydiving applicant and the hypertension applicant.
Determine that skydiving is an avocational hazard requiring a Flat Extra Premium, while hypertension is a medical hazard requiring a Tabular Rating.
Avocational risks remain relatively constant regardless of age, warranting a static flat fee. Medical risks compound over time, requiring a percentage-based tabular surcharge.
3
Assess the applicant with optimal health metrics.
Categorize this profile as a Preferred Risk.
Above-average health, absence of tobacco use, and low-risk lifestyle qualify an applicant for the lowest possible premium bracket.

Key Concept

Underwriting Risk Classifications and Rating Methods
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