Page 21 - iA Excellence -Field Underwriting Guide - Updated on July 2019
P. 21

POTENTIAL UNDERWRITING DECISION               APS
                    MEDICAL CONDITION
                                                         Life               DI             Life        DI

                Epilepsy
                Idiopathic, good compliance with medication, good control, no side effects
                Absence (petit mal) or nocturnal only
                Within 2 years of diagnosis or last attack   Defer          Defer
                within 1 year
                                                   < 6 attacks per year:                 Yes, under
                Last attack > 1 year                   Standard           Exclusion       certain      No
                                                 ≥ 6 attacks per year: Decline           conditions

                Partial (including Jacksonian, focal, temporal lobe and psychomotor attacks)
                                                 Absence only: see Absence
                Within 2 years of diagnosis or last attack   above          Defer
                within 2 years                     Other: See Generalized
                                                        below                            Yes, under
                                                                                          certain      No
                                                 Absence only: see Absence               conditions
                                                        above
                Last attack > 2 years                                     Exclusion
                                                   Other: See Generalized
                                                        below
                Generalized, tonic-clonic (grand mal)
                                                                      Defer until 2 years of
                Diagnosis within one year               Defer                                    No
                                                                          diagnosis
                                                    < 6 attacks per year:
                Last attack within 3 years             Standard             Defer
                                                 ≥ 6 attacks per year: Decline           Yes, under
                                                                                          certain      No
                                                    < 6 attacks per year:                conditions
                Last attack >3 years                   Standard           Exclusion
                                                 ≥ 6 attacks per year: Decline

                Poor control, status epilepticus or serious underlying disease
                All types                               Decline            Decline               No
                Hepatitis
                                                                                       Yes, when declared information
                Present or chronic – All types          Decline            Decline
                                                                                             is incomplete
                Acute, totally recovered, liver functions normal   Rating to Decline  Exclusion to Decline  Yes
                – All types except hepatitis C
                Hepatitis C                             Decline            Decline               No
                High blood pressure/Hypertension

                Essential or primary, no complications, good compliance with medication
                Optimal control                      Usually Standard   Usually Standard
                                                                                         Yes, under
                Good or moderate control            Standard to Rating  Usually Standard  certain   No – Vital
                                                                                        conditions, if   signs
                                                   Defer until 6 months of   Defer until 6 months of
                Labile or poor control                                                 offer is possible
                                                     optimal control    optimal control
                With complications or secondary hypertension
                Any level of control or underlying cause  Rating to Decline  Decline        Yes, if necessary

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