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Risk Related Life Insurance Terms and Medical Conditions Explained

Understanding Special Risk Life Insurance Coverage

Explore  High risk life insurance concepts with real-world examples. Whether you’re a client or advisor, our explanations are easy to understand.

Will I Qualify for Life Insurance with Type 2 Diabetes and an A1C Under 7.5?

Yes, many people with Type 2 diabetes and an A1C under 7.5 can qualify for life insurance, and some may qualify for surprisingly competitive rates. An A1C below 7.5 is generally a favorable starting point, but life insurance underwriting looks beyond a single lab result. The American Diabetes Association notes that A1C reflects average blood glucose over roughly two to three months and that an A1C of 7% or less is a common target for many people with diabetes.
Source: https://diabetes.org/about-diabetes/a1c
An underwriter will usually want to know how long you have had diabetes, whether your A1C is stable or improving, what medications you take, and whether you have complications involving your kidneys, eyes, nerves or cardiovascular system. Blood pressure, cholesterol, weight, kidney function and tobacco use can also influence your life insurance rate.
This is why two applicants with the same A1C can receive different offers. A person with consistent follow-up, good medication compliance, favorable kidney testing and no significant diabetic complications may be viewed differently from someone whose medical history shows worsening control.
For applicants seeking life insurance with diabetes, the strongest approach is often to compare several carriers rather than assuming one company’s decision represents the entire market.

I'm a pilot. Can I qualify for life isurance without an aviation exclusion rider?

Yes. Many pilots can qualify for life insurance without an aviation exclusion rider, although the result depends heavily on the type of flying you do and the insurer reviewing the application. Being a pilot does not automatically mean aviation must be excluded from your life insurance coverage.
Life insurance underwriters commonly consider whether you fly privately or commercially, your total flight hours, annual hours, aircraft type, ratings, experience, purpose of flying and any accident or violation history. Instrument-rated pilots with substantial experience and a strong safety record may present a different risk profile than a relatively new pilot engaged in higher-risk aviation activities.
FAA records can also help document experience and medical qualification. The FAA requires the appropriate medical certification for many pilots and uses different medical certificate classes depending on flying privileges.
Sources: https://www.faa.gov/ame_guide/app_process/general/classeshttps://www.faa.gov/pilots/medical_certification/get
Depending on the carrier and aviation profile, coverage may be available at standard or other competitive rates, sometimes with a flat extra premium rather than an aviation exclusion. Because life insurance underwriting guidelines for pilots vary significantly among companies, carrier selection can make a substantial difference.

How long after a heart stent procedure or an incidence of AFib will I need to wait to qualify for life insurance coverage?

There is no single waiting period that applies to every life insurance company after a heart stent or an episode of atrial fibrillation (AFib). In many cases, the more important question is whether enough time has passed to establish that the condition is stable and appropriately treated.
After coronary angioplasty or stenting, an underwriter may review the reason for the procedure, number and location of stents, remaining coronary disease, heart function, follow-up testing, medications and control of blood pressure, cholesterol and other cardiac risk factors. The American Heart Association identifies cardiac rehabilitation as appropriate for many patients following coronary angioplasty or stenting and emphasizes risk-factor management as part of secondary prevention.
Source: https://professional.heart.org/en/science-news/core-components-of-cardiac-rehabilitation-programs-2024-update/top-things-to-know
AFib is evaluated somewhat differently. Underwriters may consider whether the episode was isolated or recurrent, its cause, rhythm or rate control, cardiac testing, anticoagulation when indicated and stroke risk. Current ACC/AHA guidance emphasizes individualized assessment of thromboembolic risk and appropriate management.
Source: https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2023/11/27/19/46/2023-acc-guideline-for-af-gl-af
Some applicants can be considered sooner than they expect when current cardiology records demonstrate stability. Others may benefit from waiting for additional follow-up. Before applying, having complete cardiology records and current objective testing can materially improve how clearly the risk is presented to an underwriter.

Which life insurance carriers offer non-smoker rates for cannabis/marijuana users?

Some life insurance companies may offer non-smoker rate classifications to certain marijuana or cannabis users, but there is no universal rule across the industry. Carrier guidelines change, and frequency, method of use and the applicant’s overall health can all affect the decision. For that reason, naming one company as the “best carrier for marijuana users” can quickly become outdated.
Underwriters may distinguish occasional cannabis use from frequent or daily use. They may also consider whether marijuana is smoked, vaped or consumed in another form, whether it is recreational or medically prescribed, and whether there is any history of substance misuse or related medical or psychiatric concerns.
The method of use matters because smoking itself introduces additional health considerations. The CDC notes that cannabis smoke contains many of the same substances found in tobacco smoke and that cannabis can affect heart rate and blood pressure; research continues into its longer-term cardiovascular effects.
Source: https://www.cdc.gov/cannabis/health-effects/heart-health.html
For someone looking for life insurance as a marijuana user, accurate disclosure is essential. The better strategy is to have an experienced independent brokerage compare current underwriting guidelines across multiple insurers before submitting an application. One carrier may consider occasional cannabis use for non-smoker rates while another may classify the same applicant differently.

What life insurance rate can I expect if I have sleep apnea with CPAP compliance.

If you have obstructive sleep apnea and consistently use your CPAP, you may still qualify for favorable life insurance rates. CPAP compliance is important because underwriters are generally more comfortable when sleep apnea is diagnosed, appropriately treated and objectively controlled rather than untreated.
The National Heart, Lung, and Blood Institute explains that CPAP keeps the airway open during sleep and recommends using the machine whenever you sleep. Untreated sleep apnea is associated with serious health risks, including cardiovascular problems, while effective treatment helps address the underlying nighttime breathing obstruction.
Sources: https://www.nhlbi.nih.gov/health/cpaphttps://www.nhlbi.nih.gov/health/sleep-apnea
For life insurance underwriting, the diagnosis alone usually does not determine your rate. Insurers may review the severity of your original sleep study, apnea-hypopnea index (AHI), oxygen saturation, CPAP usage data, response to treatment, daytime symptoms and related conditions such as obesity, hypertension, heart disease or AFib.
A person with documented CPAP compliance, improved sleep-study findings, stable weight and well-controlled cardiovascular risk factors may be viewed much more favorably than someone with untreated or poorly controlled sleep apnea. Depending on the complete health profile and the carrier, competitive standard — and sometimes better — classifications may be possible. Current sleep-study and CPAP compliance reports can be especially valuable when shopping for coverage.

I am a U.S. citizen that travels to countries with a level 4 travel advisory. Will my life insurance policy cover me in those countries?

Possibly — but there are two separate questions: whether an existing life insurance policy would pay a claim and whether planned travel to a Level 4 country could affect a new life insurance application.
The U.S. Department of State defines Level 4 as “Do Not Travel,” its highest advisory level, used when life-threatening risks may exist and U.S. government assistance may be limited or unavailable.
Source: https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html
For an existing life insurance policy, coverage depends on the actual contract and its exclusions. Do not assume that a State Department advisory by itself cancels life insurance coverage. Review the policy language carefully, particularly provisions involving war, military activity, aviation or other exclusions. The NAIC specifically advises consumers to review life insurance exclusions and notes that some policies may contain war or non-commercial aviation exclusions.
Source: https://content.naic.org/consumer/military.htm
A new application is different. Planned travel to a Level 4 country may influence underwriting because the insurer can consider destination, purpose, frequency, duration and current security conditions, subject to applicable state law and carrier rules.If international travel is part of your work or lifestyle, disclose it accurately and compare carriers before applying. Underwriting approaches to foreign travel can vary considerably, particularly when the destination involves armed conflict, terrorism, kidnapping or severe political instability.