Recommend one Underwriting adjustment to address this risk while ensuring the Policy remains fair.

CS Professional · Insurance - Law & Practice · PYQS · June 2024
Recommend one Underwriting adjustment to address this risk while ensuring the Policy remains fair.

Answer & Explanation:

Underwriting Adjustment Recommendation: Of course, it is not about penalizing him, it is about bringing his premiums in accordance with the actual risks that his smoking creates. At the same time, it is hard not to be confused because it is entirely possible that in a few years, when Mr. Karan establishes his well-being after proper medical evidence and cessation of smoking, we may have a unique and golden opportunity to recalculate his premiums. Thus, it is clearly not just a matter of numbers; it is a matter of the soul that does everything to make Mr. Karan feel the need to follow a healthier path. In this case, the offer is placed in such a way that Mr. Karan himself would feel the desire to quit smoking, at the same time, it has personal benefits and falls entirely in line with the idea of an Insurance Company, forced to do everything possible for its customers to lead healthier lives. Apply an additional premium loading factor due to his history of hypertension. The exact loading would depend on the severity and management of his hypertension, as well as any associated health complications. Adjustment: Base Premium: Determine the base premium for a 45-year-old non-smoker with no significant health issues. Smoker's Surcharge: Add a premium increase (e.g., 30-50%) to account for the smoking risk. Health Loading: Add an additional loading (e.g., 20-30%) for the hypertension risk. By combining these adjustments, the policy remains actuarially sound and fair, reflecting Mr. Karan's individual risk profile while still providing him with the necessary coverage.

Topics: Underwriting

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