Page 96 - Ebook health insurance IC27

The Insurance Times

For e.g, the morbidity premiums for infants and children are higher than
young adults due to increased risk of infections and accidents. Similarly, the
morbidity premiums for adults above the age of 45, the morbidity premiums
are steeper, as the probability of suffering a chronic or sudden ailment is
much higher.
(b) Gender - Women are exposed to additional risk of morbidity during child birth.
(c) Habits - Consumption of tobacco, alcohol or narcotics in any form has a direct
bearing on the morbidity risk.
(d) Occupation - Certain occupations are prone to accidents, like drivers,
blasters, electricians etc. Similarly, certain occupations are more prone to
health hazards, like X-Ray Machine Operator, Asbestos Industry Workers,
Miners etc.
(e) Family history - This has a great relevance as genetic pre-disposition (e.g, Asthma,
diabetes, certain cancers etc) does impact morbidity, and should be taken into
consideration while accepting risks.
(f) Build - Stout, thin, or average build up can also affect morbidity.
(g) Past illness/surgery - Past medical history is very important . It has to be
carefully ascertained whether the past illness has any possibility of causing
increased debility or impairment, and accordingly the policy terms should be
decided. For e.g, Kidney stones are known to recur and also senile cataract in
one eye can increase the possibility of cataract in the other eye.
(h) Current Health Status and other factors/impairments - This is important to
ascertain the degree of risk and insurability, and can be established by appropriate
disclosure and medical examination.
(i) Environment/Surroundings and Residence - These also have a bearing on the
morbidity ratio.

100 Guide for Health Insurance