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How obtaining insurance for clients with diabetes is being made easier
28 November 2019
Obtaining insurance for clients with diabetes is being made easier by improvements in underwriting, explains Helen Dick, senior manager Underwriting and Claims Strategy, Scottish Widows
With cases of diabetes on the rise, access to insurance for those with the condition has never been more important.
We know that diabetes is a contributory factor to many serious illnesses and as such has always been a key factor in determining future health. I asked Dr James McCallum, GP and Associate Medical Director at St John’s Hospital Livingston and former Associate Medical Director for Diabetes and Endocrinology in Lothian, about the impact the condition has on wider health. He said: “Apart from the inconvenience of taking tablets or injections, we know that diabetes significantly increases rates of heart attack, stroke, kidney failure, blindness, sexual dysfunction and abnormalities of pregnancy. Life expectancy is reduced. People with diabetes also spend longer in hospital when they are admitted for other reasons and are more likely to develop other complications. Diabetes remains a huge public health concern.”
Two Types of Diabetes
Given it’s prevalence amongst the population, it’s worth taking a moment to remind ourselves of the facts around the two main types of diabetes to help understand why underwriters need to pay close attention to this condition:
Type 1: This is an autoimmune condition caused by the body attacking the pancreatic cells that produce insulin. Although it can develop at any age it usually presents in childhood/early adulthood. Around 10% of diabetics are Type 1.
Type 2: Here the body either doesn’t produce enough insulin to function properly, or the body’s cells don’t react to insulin. Although there are no lifestyle changes you can make to lower your risk of Type 1 diabetes, Type 2 diabetes is often linked to lifestyle factors with obesity being the main cause. Around 90% of diabetics fall into this category with an extra 1 million people living with the condition who don’t know they have it.
Underwriting philosophy
As more of the population is being diagnosed with diabetes, we’ve reviewed our underwriting philosophy and acceptance criteria for customers with diabetes. This has resulted in an increased number of customers with diabetes being offered protection cover, and an overall lowering of any additional premiums. This reflects the objectives of the ‘Access to Insurance’ working group led by my colleague Johnny Timpson, Scottish Widows Protect Technical and Industry Affairs Manager, in making protection cover available and affordable to as many people as possible.
So, what underwriting considerations and improvements have we made?
Increased acceptance rate
Since these changes have been in place we’ve identified a significant increase in our point of sale acceptance rate. We’re delighted that we’ve been able to open up insurance to so many more people at a time when recent figures from Diabetes UK show that the number of people with diabetes has more than doubled in the last twenty years. There are now almost 3.8 million people living with a diagnosis of the condition with 5.5 million people expected to be affected by 2030*.
The changes noted above, along with reducing our base rate premium loadings, enable more clients to be able to afford to protect themselves. A speedier and simpler customer journey also makes it easier to guide them through the application.
* Source: www.diabetes.org.uk
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