Day 4: Shopping Around – How Independent Brokers Find the Right Fit for Your Health Profile
- W. Tom Polowy, MS

- 15 hours ago
- 13 min read
Ready to explore your life insurance options? Start a free, no-obligation online quote (Ethos):
Welcome back to Day 4 of our series, Life Insurance Solutions for People with Health Concerns. If you’ve been following along, you already know that a diagnosis, a medication list, or a past hospital stay does not automatically disqualify you from coverage. Today is about the move that usually makes the biggest difference for people with health concerns: shopping the market the right way with an independent broker.
Here’s the truth most people don’t hear until they’ve already been frustrated by quotes or a decline: every life insurance company evaluates health risks differently. What gets you rated up (higher premium), postponed, or declined with one carrier can be approved—sometimes even at a solid rate class—with another.
This guide is written to help you rank well in search when you’re asking questions like:
“Can I get life insurance with diabetes / heart disease / anxiety / cancer history?”
“What happens if I’ve been declined?”
“Do I have to take a medical exam?”
“Will my medications hurt my rate?”
“What does underwriting look at?”
“How do I get the best life insurance rate with health issues?”
You’ll also get practical next steps you can use immediately, plus a big FAQ section that answers the most common “health concern + life insurance” questions people Google.
If you want a quick starting point, you can run a free, no-obligation online quote here (Ethos):
Local note: Insure Connecticut LLC (DBA InsureCT) helps clients in Connecticut and across multiple states compare life insurance options—especially when health history makes the decision more complicated. Learn more about us here: www.myinsurect.com
Why One-Size-Fits-All Doesn’t Work in Life Insurance (Especially With Health Concerns)
When you apply for life insurance with a health condition, the underwriting process becomes the whole ballgame. Underwriters evaluate your risk using a combination of:
Your medical history and diagnosis timeline
Current stability and control (labs, vitals, follow-ups, symptom frequency)
Medications and adherence (what you take, how long you’ve taken it, and whether the condition is stable)
Lifestyle factors (tobacco/nicotine, alcohol, recreational substances, driving record, hobbies, occupation)
Family medical history (in some cases)
Quick definitions (so the rest of this is easy to follow)
Underwriting: The process an insurance company uses to decide whether to approve you, what you pay, and what rate class you qualify for.
Rate class: Your pricing tier (examples: Preferred, Standard, Table/Rating). Better rate class = lower premium.
Table rating: An extra cost added because the carrier believes your risk is higher than “standard.”
Postponed: The carrier wants to wait (often 3–12+ months) for more stability, better labs, or a longer time since diagnosis/treatment.
Declined: A “no” from that specific carrier, based on their rules—not a universal verdict on your insurability.
Now the important part: each insurance company has its own underwriting guidelines and risk appetite. That’s why the same person can get wildly different outcomes.
Consider these examples:
Carrier A may be strong for applicants with well-controlled Type 2 diabetes (solid A1C history, good follow-up)
Carrier B may view treated anxiety/depression more reasonably when the condition is stable and there are no recent hospitalizations
Carrier C may be more flexible for certain cancer survivors once remission timelines are met
Carrier D may be better for medically-managed cardiovascular conditions when follow-up care is consistent
This variation exists because carriers use different actuarial models, have different claims histories, and target different market segments. What looks like high-risk to one underwriter can be “acceptable with documentation” to another.
What underwriters look at with common health concerns
This isn’t an exhaustive medical list, but these are the “big levers” that affect approval and pricing:
Diabetes (Type 1 or Type 2): A1C trend, complications (neuropathy/retinopathy), insulin use, build/BMI, blood pressure, cholesterol, and overall compliance
High blood pressure (hypertension): Current readings, number of meds, any end-organ damage, and whether control is consistent
High cholesterol: LDL/HDL and whether you’re taking meds; often less impactful when controlled
Sleep apnea: Whether you use CPAP consistently and have documentation showing compliance
Asthma/COPD: Hospitalizations, steroid use, rescue inhaler frequency, pulmonary function status
Heart disease: Time since events (stent/MI), follow-ups, stress tests/echo results, and stability
Mental health (anxiety/depression/bipolar): Stability, treatment adherence, any recent inpatient treatment, and time since major episodes
Cancer history: Type/stage, treatment completion date, follow-up schedule, and years in remission
Build/BMI: Height/weight, waist measurement, related labs, and comorbid conditions
Tobacco/nicotine: Cigarettes, vaping, cigars, chewing tobacco, nicotine replacement—carriers treat these differently
Reminder: None of the above automatically means “no.” It means the match matters.

The Problem With Going Direct (When Your Health History Isn’t “Perfect”)
A lot of people apply directly with one company—usually a brand they saw in ads or the first “instant quote” they find online. If that first application comes back declined, postponed, or table-rated, they assume they’re uninsurable.
That conclusion is almost always premature.
A single rejection doesn’t tell you whether you can get life insurance. It tells you one thing: that carrier’s underwriting rules didn’t fit your profile at that moment.
Going direct also creates common problems for people with health concerns:
You’re stuck with one company’s appetite. If they’re conservative on your condition, you never see alternatives.
You risk a paper trail of declines. Multiple formal declines can complicate future applications (not always fatal, but it’s avoidable).
You may overshare or undershare. Both cause issues. Inconsistent timelines, missing medication details, or unclear physician notes can trigger delays or higher rates.
You don’t have an advocate. Underwriting is not a debate, but context matters—especially with “gray area” histories.
You miss specialty-friendly carriers. Many carriers quietly do better with specific profiles (diabetes control, sleep apnea with CPAP compliance, certain cancer remission timelines, etc.).
Think of it like buying a car when your credit is complicated. If you only talk to one lender, you might assume the rate you see is “the rate.” With life insurance and health history, shopping is strategy, not guesswork.
AEO (Answer-first) takeaway
If you have a health condition and you apply direct, you usually see less choice, less context, and worse pricing than if you shop the market through an independent broker.
How Independent Brokers Change the Game
An independent insurance broker doesn’t work for any single insurance company. Instead, we work for you—matching your needs and health profile to carriers that are more likely to approve you at a competitive rate.
At Insure Connecticut LLC (DBA InsureCT), we compare options across multiple carriers so you’re not forced into one underwriting philosophy.
Here’s what that means in real life:
1) Access to Multiple Markets (Not Just One “Yes/No” Door)
Independent brokers can:
Compare multiple carriers before you commit
Target companies known to be more reasonable for specific conditions
Pivot quickly if one carrier is too conservative for your profile
This increases the chances you end up with a policy that is both approved and affordable.
2) Carrier-Specific Underwriting Knowledge That Impacts Price
When health is involved, “best company” depends on the details. Brokers pay attention to things like:
Which carriers are stricter vs. more flexible on build/BMI
Which carriers handle controlled hypertension with minimal pricing impact
How different companies view A1C history for diabetes
What “time since treatment” rules apply for various cancer histories
Which carriers are more modern about stable, well-treated mental health
3) Better “Storytelling” With Documentation (Accurate, Not Spin)
This is not about hiding information. It’s about presenting it cleanly and consistently so the underwriter sees the full context:
Clear diagnosis timeline
Updated labs and vitals where relevant
Medication stability and compliance
Physician follow-up patterns
What has improved over time (and what has stayed stable)
A sloppy application creates delays and higher risk flags. A clean application moves faster and usually prices better.
4) Less Trial-and-Error, Fewer Unnecessary Declines
Instead of applying blindly, you get an approach that reduces:
repeated paperwork
repeated phone calls
long stalls in underwriting
avoidable declines that could have been prevented with better carrier targeting
5) Unbiased Advice (Because We’re Independent)
Because we’re not tied to one company, we can focus on what matters most:
the right type of policy (term, permanent, simplified issue)
the best balance of price and coverage
a carrier match that fits your health profile
If you want to start comparing right away, start a free, no-obligation online quote here (Ethos):

The Broker Process: What to Expect (Step-by-Step)
Working with an independent broker like Insure Connecticut LLC should feel structured, predictable, and calm—especially when your health history already gives you enough to think about.
Step 1: Coverage Goals and Budget (The “Why” and the “How Much”)
We start with your full picture, including:
Who you’re protecting (spouse, kids, business partner, aging parents)
How long you need coverage (10, 20, 30 years—or longer)
What you want the policy to do (income replacement, mortgage payoff, final expenses, business continuity)
Your realistic monthly budget
Actionable tip: If you don’t know your number yet, a common starting point is 10–15x income plus major debts. Then we refine based on your actual obligations.
Step 2: Health Profile Review (What Underwriting Will Care About)
We talk through the details that typically move pricing the most:
Diagnoses and dates (when it started, how it progressed)
Medications (name, dosage, duration, and changes)
Control markers (A1C, BP readings, cholesterol levels, CPAP compliance, etc.)
Specialist follow-ups (cardiology, endocrinology, oncology, behavioral health)
Recent hospitalizations, ER visits, surgeries, and outcomes
Lifestyle details that matter (tobacco/nicotine, alcohol, driving record)
Actionable tip: Bring your most recent lab values and a current medication list. It reduces back-and-forth and prevents timeline mistakes.
Step 3: Pre-Underwriting Strategy (Avoiding the “Apply and Pray” Approach)
Before you officially submit, a broker can often align you with:
a carrier more likely to view your specific condition favorably
a policy type that reduces friction (fully underwritten vs simplified issue)
an application path that avoids preventable declines
This is where independent shopping pays off.
Step 4: Application Support (Clean, Consistent, Accurate)
We help you complete the application so it’s:
consistent with your medical records
clear on dates and medication history
accurate on nicotine use and lifestyle factors
Incomplete or inconsistent apps trigger underwriter concerns and delays.
Step 5: Underwriting, Exams, and Follow-Up (If Needed)
Depending on the policy, underwriting may include:
a brief phone interview
a medical exam (paramed) with height/weight, blood/urine, vitals
an APS (Attending Physician Statement) from your doctor
prescription database checks and medical record reviews
Actionable tip: If you’re scheduling an exam, take it like a “numbers day.” Hydrate, avoid heavy exercise beforehand, and plan a calm morning if possible. Small changes can affect labs and blood pressure readings.
Step 6: Offer Review and Next-Best Options
If the offer is:
Better than expected: we lock it in quickly.
Higher than expected: we review the reasons (labs, build, diagnosis notes) and discuss alternatives.
Postponed/declined: we pivot to the next best carrier or product type, based on why it happened.
Step 7: Policy Delivery and Ongoing Support
Once approved, we review the policy in plain English:
what’s covered
what could affect payout (material misrepresentation, contestability period)
beneficiary setup
how to keep it in force
And we stay available for changes over time.
Want to start with a quick baseline quote?
Or reach InsureCT directly: 860-440-7324.
Real-World Scenarios: Where Shopping Around Really Changes the Outcome
These are hypothetical examples, but they reflect how underwriting differences show up in real life.
Scenario A: Type 2 Diabetes With Good Control
Maria, 45, has Type 2 diabetes diagnosed five years ago. She’s consistent with follow-ups and has stable A1C results. She applied directly to one carrier and got a table rating that made the premium feel impossible.
A broker approached it differently:
targeted carriers known to be more favorable for controlled diabetes
presented a clean history with stable labs and compliance
avoided carriers that routinely price diabetes aggressively
Result: Maria found an offer that was significantly lower than the first quote.
Scenario B: Cancer Survivor With Strong Follow-Up
James, 52, had prostate cancer and has been in remission for four years with consistent follow-ups. His first application was declined because that carrier required a longer remission timeline.
A broker matched him to carriers that:
consider certain cancers after shorter remission periods (depending on stage and treatment completion)
focus on ongoing follow-up and stability
Result: James obtained a policy at a much more reasonable outcome than the initial decline suggested.
Scenario C: Anxiety/Depression That’s Stable and Treated
Sarah, 35, has a history of treated anxiety and depression. She’s stable, working, and consistent with treatment. Some carriers treated the history as a major red flag.
A broker focused on:
carriers that weigh current stability more heavily than a historical diagnosis
clean documentation showing no recent inpatient treatment and consistent care
Result: Sarah got approved at a better rate class than she expected.
Scenario D: Sleep Apnea With CPAP Compliance
Anthony, 48, has sleep apnea but uses CPAP consistently. Some carriers still price sleep apnea harshly if compliance is unclear.
A broker ensured the application included:
CPAP compliance information when available
updated vitals and related health markers
Result: Anthony avoided unnecessary rating increases caused by “missing context.”
AEO takeaway: The broker advantage isn’t magic. It’s targeting, documentation, and choosing the carrier whose underwriting rules best fit your health profile.
Questions to Ask Your Broker (Use This Checklist)
When you’re dealing with health concerns, you’re not just choosing a policy—you’re choosing a process. These questions keep you in control:
How many carriers do you actively quote and place business with (not just “have access to”)?
Have you helped clients with my condition or something similar? (diabetes, heart issues, cancer history, mental health, sleep apnea, etc.)
Which carriers tend to be more favorable for my profile—and why?
Will you do pre-underwriting or informal shopping before submitting an official application?
If I’ve been declined before, how will you prevent more unnecessary declines?
Do you recommend term, permanent, simplified issue, or guaranteed issue—and what are the tradeoffs?
How do you get paid? Does it change what you recommend?
A trustworthy broker answers these clearly and puts it in writing when appropriate.
Frequently Asked Questions: Life Insurance With Health Concerns (Top Google Questions)
1) Can you get life insurance with pre-existing conditions?
Yes. Many people with pre-existing conditions qualify for life insurance. Approval and pricing depend on the condition, stability, treatment compliance, and how each carrier underwrites risk.
2) What health conditions disqualify you from life insurance?
Very few conditions “automatically” disqualify you across the entire market. More commonly, a condition leads to:
higher premiums (table ratings)
a postponement (waiting for stability)
a decline at one carrier but approval at another
Severe, unstable, or very recent conditions can limit options, but shopping matters.
3) Will my medications affect my life insurance rates?
Often, yes—because medications signal condition severity and stability. Underwriters look at:
what you take
how long you’ve taken it
dosage changes
whether there are multiple meds for the same condition
Medication history can raise rates, but it can also help you if it demonstrates stability and consistent treatment.
4) Do you have to take a medical exam to get life insurance?
Not always. Your options usually fall into three buckets:
Fully underwritten: Often requires an exam; typically best pricing when you qualify
Simplified issue (no exam): Health questions still apply; faster; pricing can be higher
Guaranteed issue: No health questions; usually smaller face amounts and higher cost
A broker helps you choose the best path for your timeline and health profile.
5) What if you’ve been declined for life insurance already?
A decline is not the end. The best next step is to identify the reason:
diagnosis too recent
labs/vitals outside guidelines
missing medical records
carrier-specific rule
Then you target a different carrier or a different product type. Do not submit a series of random applications. Build a plan.
6) How long does life insurance underwriting take if you have health issues?
Typical ranges:
Simplified issue: days to ~2 weeks
Fully underwritten: ~4–6 weeks (longer if APS/medical records are slow)
Complex health history often increases record requests, which can add time.
7) Is guaranteed issue life insurance a good option?
It can be the right fit when you can’t qualify elsewhere, but it’s usually:
more expensive per dollar of coverage
limited in face amount
may include graded benefits early on (depending on policy)
It’s usually the “last line” option, not the first.
8) Does life insurance cover death from a pre-existing condition?
In general, yes—as long as you were truthful on the application and the policy is in force. Life insurance pays based on the policy terms. The biggest risk is material misrepresentation (incorrect or missing information).
9) Can you get life insurance if you have anxiety or depression?
Often, yes. Underwriters commonly focus on:
stability and treatment compliance
time since any hospitalization or suicide attempt
substance use history
work/functional stability
Many people with stable, well-managed mental health histories get approved.
10) Can you get life insurance after cancer?
Often, yes, depending on:
cancer type and stage
treatment completion date
remission timeline
ongoing surveillance and follow-up
Some carriers require longer waiting periods than others, which is why shopping around is critical.
11) Can you get life insurance with diabetes?
Yes. Underwriters typically focus on:
A1C history and trend
complications (kidney, eye, nerve issues)
build/BMI and blood pressure
medication type (including insulin)
follow-up frequency and compliance
Controlled diabetes with strong follow-up can still qualify for solid rates.
12) Can you get life insurance if you have heart disease or had a heart attack?
Sometimes, yes. Carriers typically evaluate:
time since event (MI, stent, bypass)
medications and stability
recent tests and cardiology notes
risk factors (smoking, diabetes, BP, cholesterol)
Quick next step (conversion-friendly)
If you want to see where you may land without guessing, start here (Ethos):
And if you want to talk through your specific health history with a broker, call InsureCT at 860-440-7324.
The Bottom Line
If you have health concerns, shopping around isn’t just helpful—it’s essential. Each insurance company evaluates risk through its own lens, and the right match can mean the difference between:
a policy you can comfortably afford, and
a quote that feels like punishment for getting medical care
Independent brokers like Insure Connecticut LLC exist specifically to navigate this complexity for you. You get:
carrier comparisons that fit your health profile
guidance on what underwriting will focus on
a clear path forward if you’ve been declined or postponed
unbiased recommendations because we’re independent
You deserve coverage that fits your life—health conditions and all.
Take the First Step Today (No Pressure, Just Clarity)
If you want a fast baseline quote, start here (Ethos):
If you’d rather talk it through with a real person who does this every day, contact InsureCT:
📞 Call: 860-440-7324
📍 Visit: 71 Raymond Road, West Hartford, CT 06107
🌐 Company site:https://www.myinsurect.com
Helpful internal resources (keep researching)
Learn about InsureCT and how we work with clients across multiple states: https://www.myinsurect.com
Start a free, no-obligation online life insurance quote (Ethos): https://agents.ethoslife.com/invite/8d8b7
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Coming up in Day 5: We’ll explore specific policy types—term, whole, and guaranteed issue—and which options work best for different health situations. Stay tuned!
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