CLHIA-ACCAP - Consumer Information

Guide to Critical Illness Insurance

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A GUIDE TO CRITICAL ILLNESS INSURANCE 20 The insurance company will share the decision with you or your agent if you are using one. If an offer is made, you may choose to go ahead with the coverage or not to proceed with it. Group critical illness insurance Employers who provide critical illness insurance as part of your benefit package may offer an option that does not require underwriting. You may have the flexibility to purchase additional group critical illness insurance by submitting evidence of insurability. Association plans Many professional associations, business groups such as a chamber of commerce or board of trade or university alumni groups, offer critical illness insurance to their members. These types of plans may be useful for people who are self-employed. Others join these plans to top up their employers' group benefits or to ensure they are covered if they change jobs. Premiums for association coverage usually increase as you get older and coverage has to be renewed every few years. This means you may have to provide evidence of your insurability, such as answering a detailed health questionnaire, when your coverage is renewed. Decision The application is approved. Standard The application is approved with a change to the contract that removes coverage for a specific covered condition(s). Exclusion The insurer may approve later on, pending the outcome of a medical investigation or based on a recent medical condition. Postpone The application is approved with an increase in premium based on the information provided. Rating The application is not approved. Decline Meaning At the conclusion of the review, the underwriter will make one of five decisions about the application: WHAT IS CRITICAL ILLNESS UNDERWRITING?

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