● Underwriting

Underwriting

The Graded Death Benefit products have been designed for customers who are in less-than perfect health but who have a life expectancy of several years. The products are not suited to applicants with serious health or other risk issues or who have a limited life expectancy.

General Underwriting Information

  1. The Proposed Insured must be a U.S. citizen or must hold permanent resident status (green card) and must reside in the United States.  Applicants living in the United States on a basis of a temporary visa cannot be considered.

  2. All applications will be underwritten. In addition to the application questions we will obtain MIB, Pharmacy and MVR data.

  3. Although we anticipate that additional evidence will be rare, in addition to the routine telephone interviews we reserve the right to request additional evidence of insurability on any case.

Business Written Across State Borders

In cases where an application is taken outside the applicant’ state of residence it should be accompanied by form F1515 (Non-Resident Sale) and an explanation. If the explanation is in compliance with all state regulations and other laws, Fidelity Life will process the case. If not, the application will be rejected.

Occupations

Travel by missionaries (and related religious activities, diplomats, journalists, archeologists, volunteer and foreign aid workers who travel outside the United States) will not be considered.  Military and U.S. State Department personnel may be considered on an individual basis.  There are certain states which do not allow underwriting for foreign travel, so this section may not apply to your clients.

Height & Weight Limits

Height and Weight Limits

Application Questionaire

  1. Have you been diagnosed as having or been treated by a physician for:

    1. Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS) or AIDS Related Complex (ARC)?     ( ) Yes   ( ) No

    2. Alzheimer's disease (demential), Amyotropic Laterla Sclerosis (ALS), mental retardation or Down's Syndrom or do you require the assistance of another person for dressing, bathing, toileting, or mobility or do you us an oxygen tank?     ( ) Yes   ( ) No

  2. Have you, within the pas 2 (two) years:

    1. Had a heart attach (myocardial infarction) or stroke (cerebral vascular accident)?     ( ) Yes   ( ) No

    2. Had or are now awaiting an organ or bone marrow transplant (except as a donor)?     ( ) Yes   ( ) No

    3. Been diagnosed with cancer, received or been prescribed radiation or chemotherapy or have you received or been prescribed dialysis?     ( ) Yes   ( ) No

    4. Been confirned to or been advised by a licensed medical professional to be admitted to, a nursing home, hospice, extended care or special treatment facility or are you now hospitalized?     ( ) Yes   ( ) No

    5. Used controlled substanced such as cocaine, heroin, amphetamines, barbiturates or hallucinogens except as prescribed by a physician or been treated for or been advised by a physican to seek treatment for drug or alcohol use?     ( ) Yes   ( ) No

    6. Been advised by a licensed medical professional that your life expectancy is less than 24 months?     ( ) Yes   ( ) No

    7. Had more than one DUI (DWI) violation, been convicted of a felony or are you now on probation?     ( ) Yes   ( ) No

Need to speak to an underwriter? Call: 866-947-8739

  

Please note, this sample Application is from our generic form, and application questions vary somewhat from state to state.  For the questions applicable in your state, please see the Forms & Applications section of this website and you may download the appropriate Applications.