How Life Insurance Underwriting Works in Canada

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Updated on October 22, 2025

4 minute read

Buying life insurance is one way to protect your family’s financial future, but before your policy gets approved, there’s an important step called underwriting. While it may seem technical, this simply determines how much of a “risk” you are to insure and what premium makes sense based on that risk.

Read on to learn what life insurance underwriting is, how underwriters weigh different factors, and how you can lower your premiums.

Life Insurance Underwriting At a Glance

  • Life insurance underwriting is how insurers decide whether to approve your life insurance application and at what rate.
  • When you apply for coverage, you share personal details like your age, health, job, lifestyle, and even your driving record. The underwriter reviews that information, sometimes alongside a medical exam, to determine your overall level of risk.
  • If you’re in good health and have low-risk habits, you’ll likely pay lower premiums. If you have certain medical conditions or lifestyle risks, you may still qualify, but at a higher cost.

How Underwriters Evaluate You: The 6 Risk Categories

Underwriters look at several areas of your life to assess risk. Below is a quick overview of what they focus on and how you can strengthen your application.

Risk FactorWhat Insurers
Look For
How to Strengthen
Your Profile
Health
Metrics
Your overall health, including height-to
weight ratio, blood sugar, cholesterol,
and blood pressure readings.
Maintain a healthy diet, exercise regularly,
and schedule checkups to monitor key
health stats.
Family
Medical History
Whether close relatives have had
serious conditions (heart disease,
cancer, diabetes) at an early age.
Share full details honestly; you can’t
change your genes, but you can
demonstrate proactive healthcare habits.
LifestyleSmoking, alcohol use, and other
habits that can affect longevity.
Quit smoking, limit alcohol, and document
healthy routines (like exercise or stress
management activities).
Occupation
and Hobbies
Jobs or pastimes that could increase
risk (e.g., construction, aviation,
scuba diving).
If possible, show safety training or
certifications that reduce your risk level.
Financial
Health
Your income, debt levels, and ability
to maintain policy payments.
Keep finances in order as assurance that
you can maintain premiums long-term.
Driving
Record
Tickets, DUIs, or accidents can
signal risky behaviour.
Drive safely and maintain a clean record
for several years before applying, if
possible.

The 3 Types of Life Insurance Underwriting in Canada

In Canada, you’ll generally encounter three types of life insurance underwriting depending on how much coverage you want and how detailed your application is.

This is the most thorough (and most common) form of underwriting for traditional term or whole life insurance.

It typically involves:

  • A detailed health questionnaire;
  • A medical exam with a series of tests (e.g. blood and urine samples, blood pressure check);
  • Sometimes, access to your medical records or a report from your doctor;

Because the insurer gets a full picture of your health, the approval process can take a few weeks, but the reward is usually lower premiums for healthy applicants. If you’re seeking higher coverage amounts and are willing to undergo a detailed review, this may be the way to get the best possible rate.

Simplified issue life insurance skips the medical exam but still asks a short series of health questions. It’s a middle ground between full underwriting and guaranteed issue, as it’s faster and less invasive, but with slightly higher premiums to offset the unknown risks.

You can often get approved within days instead of weeks, making it a popular choice for people who want moderate coverage without the hassle of a medical appointment. This makes it ideal for Canadians with minor health issues or those who want quick approval without full medical testing.

Guaranteed issue life insurance guarantees acceptance, with no health questions, no medical exams, and no medical records. Because the insurer takes on more risk, the coverage amounts are usually smaller, and premiums are higher.

Many of these policies have a waiting period (typically two years) before the full death benefit is paid if the insured dies of natural causes. These are best for seniors or applicants who’ve been declined for other policies and need coverage to handle final expenses.

How Health Records Affect Insurance Premiums

What Actually Happens During the Underwriting Process

Once you’ve submitted your life insurance application, the underwriting process begins. First, you’ll complete an online or paper form with details about your health, lifestyle, and finances. Depending on the type of policy, you may also need to answer additional health questions or undergo a medical exam, which could include blood and urine tests or a doctor’s statement.

When all the information is collected, the underwriter reviews it alongside lab results, medical reports, and sometimes your prescription or driving history to get a full picture of your risk profile. After this evaluation, the insurer makes a decision: you might be approved, declined, or approved with certain conditions, such as a higher premium or modified coverage amount.

In some cases, the insurer may issue a postponement, meaning they can’t provide coverage at the time of your application. This is often due to health concerns that could improve over time, allowing you to reapply later. If you’re approved, you’ll receive a policy contract outlining your coverage, premium, and all the terms of your agreement.

It’s important to be completely honest throughout this process. Lying or leaving out details like a smoking habit or past medical condition might seem tempting, but it can lead to serious issues later. If the insurer finds false or incomplete information, your policy could be voided, and your beneficiaries might lose their payout. Transparency protects you and ensures the underwriter can fairly assess your application.

The Rise of AI and Predictive Underwriting in Canada

In Canada, several insurers are adopting AI-driven and predictive underwriting to speed up approvals and improve accuracy. Instead of relying entirely on manual review, these systems analyze large datasets to predict risk with greater precision.

For example, AI can:

  • Cross-reference public health data to estimate life expectancy trends
  • Assess applications in minutes, reducing waiting times from weeks to days
  • Identify inconsistencies or red flags automatically

For customers, that means faster decisions and, in many cases, more personalized pricing. Of course, data privacy remains a top concern, and Canadian insurers must comply with strict privacy and consent rules like the PHIPA (Personal Health Information Protection Act) in Ontario.

In the coming years, it’s likely that many simplified or smaller-coverage policies will have more assessments driven by AI, with traditional medical exams reserved for high-value policies. 

Key Advice from MyChoice

  • Make small, positive lifestyle changes before applying for life insurance. Even little changes show you’re taking care of yourself and reduce the perceived risk of insuring you.
  • Compare multiple insurers. Not all insurance companies weigh risk factors the same way, so shopping around can save you money.
  • Before applying, gather key details like your doctor’s contact info, medical history, and current medications. Being prepared helps speed up the process and prevent delays.

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