We have developed an Underwriting Guide to help you answer the questions on our application. This guide provides definitions of common medical and non-medical conditions and outlines relevant timeframes, factors and details to help you determine plan eligibility.
WHAT IF YOU AREN’T SURE ABOUT A SPECIFIC QUESTION? YOUR CLIENT MIGHT WONDER:
- Is a heart attack the same as congestive heart failure?
- Is the basal cell carcinoma they had removed last year considered cancer?
- What plan(s) are they eligible for if they suffered from a stroke 4 years ago?
If your client’s medical condition is more complicated, or you just want underwriting advice, please contact our underwriting team. You can email firstname.lastname@example.org or you can contact them directly at:
- Main line
- 1-877-796-9090 press 3
- Tara Vanderheide
- Director of Underwriting
- 1-877-796-9090 ext. 353
- Jennifer Sadler
- Senior Underwriter
- 1-877-796-9090 ext. 426
- Fine LeVan
- 1-877-796-9090 ext. 403
- Malek Mazouni
- 1-877-447-6060 ext. 377
- Elodie Courtequisse
- 1-877-796-9090 ext. 466
- Zaynib Vrga
- Trainee Underwriter
- 1-877-796-9090 ext. 464
UNDERWRITING Q & A
Our application does not ask if a client has been declined, rated or postponed.
The benefit of having access to underwriters is that we are able to be flexible in some circumstances.
Exceptions are granted on a case-by-case basis and must be confirmed in writing by underwriting. The Advisor includes the written confirmation with their application to ensure a smooth New Business process.
The most frequent questions to underwriting revolve around client eligibility given a particular medical condition.
Our application questions ask about time of diagnosis and treatment. There are a few specific exceptions for treatments that have been deemed preventative. Hormone replacement therapy after cancer treatment, or daily aspirin after a heart attack are both examples of medications that a client may be taking that do not count as “treatment” for the purposes of our questions.
Direct contact with an underwriter is the simplest way to establish whether or not a medication counts as treatment.
Hospitalization for the purposes of our application is an overnight stay (unless the person has had to remain in ER, waiting for tests) or formal admission into a hospital.
Marijuana is NOT a narcotic. If your client smokes marijuana more than 4 times per week, then smoker rates apply. Otherwise, oral ingestion of marijuana and smoking marijuana up to 4 times per week are eligible for non-smoker rates. This applies for all plans except for Preferred Elite.
Some common hazardous sports include skydiving, mountain climbing, bungee jumping, automobile and motorcycle racing, and scuba diving. These are determined on a case-by-case basis by underwriting. Please contact us.
Eligibility is subject to the application questions. Duration of time since offence, as well as pending charges, sentencing, conviction, incarceration, and probation details are all taken into consideration. Please refer to the application and contact us with any questions.
Applicants must be Canadian Citizens or Landed Immigrants. Applicants with a valid work permit will be considered for coverage up to a maximum of $250,000.
Any planned travel in the next 12 months that is less than 12 consecutive weeks is eligible for all plans except Preferred Elite. In circumstances that exceed 12 consecutive weeks, please consult underwriting.
Canada Protection Plan applications are subject to MIB search and reporting.
When you apply for Preferred and Preferred Elite plans, in addition to the usual simplified questions, depending on your client’s age and the amount of insurance requested, you may have to arrange for limited medical requirements, such as paramedical, blood and urine tests. All information relevant to the risk assessment of your client, including the application answers, the MIB report, and any age and amount requirements are referred to our Underwriting department for assessment. They will determine if your client is eligible for Preferred or Preferred Elite, and if not, which plan they are eligible for.
Preferred and Preferred Elite Age and Amount Requirements are as follows:
|Issue Age (Age Nearest)|
|18 – 70||71 – 80|
|$50,001 to $500,000||NM||PM + BCP|
|$500,001 – $1,000,000||PM + BCP||PM + BCP|
|Issue Age (Age Nearest)|
|18 – 70||71 – 80|
|$500,000 to $1,000,000||PM + BCP||PM + BCP|
Approved Paramedical firms:
- Hooper Holmes/Portamedic
- Quality Underwriting Services (QUS)