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underwriter mistake. What can I do.

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A

afalck

Guest
What is the name of your state? New York

What can I do if an insurance company offers me a Table-B rating when I think that I should be Prefered Best?

Does one company's decision to rate me as Table-B affect the way other insurance companies will rate me?


Thanks,


Arturo
 


ALawyer

Senior Member
Each company determines its own rating class. What Company A may find Table B may be regarded as Standard by another. They do not necessarily act in lockstep.

Each company has classes of risk that it is more comfortable with than others -- for example, for many years one company liked heavy people and did not regard weight as critical as others, nor penalize the obese nearly as much as most others. (It's CEO was "big", perhaps coincidentally.) Smart brokers knew that and sent the heavy to it.

However, one of the questions on most companies applications is "were you ever declined or rated by another life insurance company" and once Company A has rated you, you have to answer truthfully to Company X (or your policy is "contestable" for 2 years), and Company X's underwriteriters are human. It takes courage to rate someone standard who another professional has rated B. It happens all the time BUT it is far better to have applied to Company X first. And good brokers know what companies are lenient on and recommend you do not apply to A if you're likely to be a case that only X will underwrite. Others try to submit "trial applications" that can give them a preliminary indication of rating. Of course even if you get a "likely standard" reply back, when the company does the thorough underwriting and finds that the detailed medical records reflected you saw a doctor you did not disclose, and he was an ALS specialist and he said you had ALS......
 
A

afalck

Guest
Thank you for your response.

Does it make a difference if I accept the policy or not?

Is it better to try to get the original insurance company to reconsider their Rating (by sending them expert opinions) or is it better to just look for a new insurer?

Is there a set of standards or a regulatory organization?

There must be something that I can do if the underwritter makes a mistake.

(in my case, I was diagnosed with an in-situ melanoma 5 years ago, and it was removed immediately... the biopsy revealed that the melanoma was completely and cleanely removed... my dermatologist says I am at no higher risk of cancer than somebody who has never had a melanoma, but the underwritter is treating my in-situ melanoma as he would more severe cases)
 

ALawyer

Senior Member
As the company to reconsider. Get your doctor to provide you with some supporting information if it exists, and if the company is obstanite, get a broker to look for a new company that may react differently.

Also be prepared to understand it is possible the company did not necessarily make a mistake. Their underwriters may believe that if you had it once you are at much greater risk of having it again, and that if so, you may not catch it before it is a real threat.
 

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