Page 22 - iA Excellence -Field Underwriting Guide - Updated on July 2019
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POTENTIAL UNDERWRITING DECISION               APS
                    MEDICAL CONDITION
                                                         Life               DI             Life        DI

                Inflammatory bowel disease
                Crohn’s disease, no complications, no extra-intestinal manifestations
                Age at application < 20 years old
                All types                               Decline            Decline                No
                Age at application > 20 years old
                Diagnosis within one year            6 months: Defer     < 1 year: Defer
                                                                      > 1 to 5 years: Exclusion
                                                  > 6 m to 5 years: Rating  and Rating
                Mild or 1 attack
                                                    > 5 years: Standard  > 5 years: Exclusion
                                                      Defer 1 year       Defer 3 years
                Moderate or >1 attack                                 > 3 years: Exclusion and   Yes, if offer possible
                                                     > 1 year: Rating
                                                                           Rating
                                                      Defer 1 year       Defer 1 year
                                                                      > 1 to 5 years: Exclusion
                Operated (1 to 2 operations), no recurrence
                                                     > 1 year: Rating     and Rating
                                                                       > 5 years: Exclusion
                Severe or > 2 operations                Decline            Decline           Not applicable
                Ulcerative colitis, no complications
                Age at application < 20 years old
                All types                               Decline            Decline               No

                Age at application > 20 years old
                                                      Defer 1 year       Defer 3 years
                                                                     > 3 to 5 years: Exclusion
                Mild                               > 1 to 2 years: Rating
                                                                          and Rating
                                                 > 2 years: Standard to Rating  > 5 years: Exclusion

                                                      Defer 1 year       Defer 5 years
                Moderate                                              > 5 years: Exclusion and
                                                     > 1 year: Rating
                                                                           Rating
                                                                                           Yes, if offer possible
                                                                         Defer 1 year
                                                                     > 1 to 5 years: Exclusion
                Operated (1 operation), no recurrence, any type   Defer 6 months
                                                                          and Rating
                                                                       > 5 years: Exclusion
                                                                     Defer 1 year
                Removal of colon and rectum        > 6 months: Standard  > 1 year: Exclusion and
                                                                     Rating
                Total or partial removal of colon only, or   > 6 months: See Mild or   See Mild or Moderate    Yes, if offer possible
                ileostomy only                       Moderate above        above
                Severe or > 1 operation                 Decline            Decline          Yes, if necessary
                Irritable bowel syndrome – No organic disease
                Mild no disabling symptoms             Standard           Standard               No
                More severe symptoms – time lost from work  Standard      Exclusion              No

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