Medical underwriting

Sometimes insurers need some extra information about your health and lifestyle to consider you for insurance cover.

We call this medical underwriting. If you have been asked to complete underwriting, it can be completed online or over the phone.

Man on the phone

Two ways to apply for medical underwriting

It’s entirely up to you how you submit your application and the questions we ask you will be the same, whatever method you choose. The checklist below explains the type of information we’ll need. 

If you have any questions, need any additional support or would prefer an alternative application format, please do get in touch on 0345 601 2177 or at muw@unum.co.uk.

A person with a glasses fills an application online

1. Online application

You’ll need your email address and your policy number. You can get this from your employer or their adviser.

Click ‘Start your online application’ below and enter your name and email address. We’ll send you an email within a few minutes with a link to your application.

Your progress will be saved, allowing you to return to this application if you need to finish it later. Just return to the email and re-click the link. However, once you sign the application, you won’t be able to make any further changes.

Start your online application
Medical underwriting call

2. Telephone interview

You can set up a telephone interview on a date and time to suit you. We ask you to set aside an hour to make time for any questions. Although interviews typically last around 30 minutes or less, please ensure you do block out the full hour. It’s also best for you to be somewhere quiet where you can speak freely.

We’ll call you at your chosen time using a standard audio call on a landline or mobile number of your choice. We don’t use Teams or Zoom for these calls.

Arrange your telephone interview

Application checklist

You don’t need to prepare too much. However, if you have access to your medical records or any correspondence from your doctor or a specialist, it might be useful to have these to hand. This can often speed things up as we may not need to get in touch with your GP.

 We’ll ask you about the topics listed here:

  • Your occupation (and whether you travel for business)
  • Your lifestyle, including your current height, weight and waist measurement
  • Whether you take part in any hazardous sports or activities
  • If you have had any recent or significant sickness absence
  • Some questions about your medical history, including your physical and mental health. This may include specific details such as dates, tests or investigations, treatment and time off work. You only need to tell us the things you can remember.
  • Details of any significant illness in your immediate family (parents and siblings) before the age of 65
  • Whether you’ve been declined, or accepted on special terms, by another insurer in the last 3 years.

What happens next?

We may need to contact you for some additional information or ask your GP for a report based on your medical records. Very occasionally, we might ask you to attend a medical examination, blood test or ECG. We will arrange everything and pay any doctors fees. 

Once we have reached a decision about your cover, we will share this with your employer, usually via their financial advisers. Your HR team will be able to tell you what we decided.

If you have any questions, please contact us on 0345 601 2177 or at muw@unum.co.uk.

Frequently asked questions
Frequently asked questions about medical underwriting

  • No, we can use the same online application or telephone interview for both policies.

  • Your cover is an employee benefit, arranged by your employer. The policy documents are provided to whoever manages employee benefits at your company. If you have any questions that we do not answer here, please contact your HR team.

  • Under our policies, a set amount of cover is provided to eligible employees without us needing to know more about their health and lifestyle. We call this set amount the ‘non-medical limit’.

    If your benefit exceeds the non-medical limit, we’ll need to know more about your health and lifestyle before we can accept the excess. 

    Over time, your benefit may have increased in line with your earnings. This might mean that your benefit now exceeds the non-medical limit for the first time, so we need to ask you some questions about your health and lifestyle. 

  • Sometimes we’ll need to obtain a report from your GP, ask you to attend an examination, or have some simple blood tests. We will arrange everything and pay any doctors fees.

    Once we have reached a decision about your cover, we will share this with your employer, usually via their financial advisers. 

    Don’t be surprised if you don’t hear from us. This just means we are in touch with your employer’s financial advisers. Once the underwriting process is complete, your HR team will be able to tell you what we decided. 

  • If you need help for any reason, please do contact us using the details below, or ask your HR team to contact us for you. We’ll be very happy to support you in any way we can.

  • Temporary cover

    Group Income Protection

    If temporary cover applies, we will provide cover for the amount of benefit that is being underwritten. 

    However, we will not pay benefit for absences caused by a medical condition for which the member: 

    • Received treatment, care or services (including diagnostic measures) or 
    • Took prescribed drugs or medicines 

    in the 12 months before temporary cover started.

    Group Life Insurance

    If temporary cover applies, we will provide cover for the amount of benefit that is being underwritten up to a maximum of £5 million. 

    However, we will not pay benefit for death arising from a medical condition for which the member: 

    • Received treatment, care or services (including diagnostic measures) or 
    • Took prescribed drugs or medicines 

    in the 5 years before temporary cover started.


    Forward underwriting bar

    Where a forward underwriting bar applies, we will allow increases in benefit without the need for further underwriting as shown below.

    Group Income Protection

    We will allow an initial increase of up to 10% of benefit without the need for further underwriting. We call this the forward underwriting bar.

    If increases in benefit add up to less than the forward underwriting bar, the excess will be carried over and a further 10% is added at the following policy renewal and at each subsequent renewal.

    If the benefit increases exceed the accumulated forward underwriting bar, we will let you know that further medical underwriting will be required for the excess. Benefit increases are subject to a maximum benefit entitlement, which is specific to the policy and shown in the policy conditions. 

    If the forward underwriting bar is exceeded within 12 months of the date the application form or telephone interview was completed, we may be able to use that information to consider the increase. If this is the case, please contact us and we will advise whether any further information will be needed.

    Group Life Insurance

    We will allow an initial increase of up to 10% of benefit without the need for further underwriting. We call this the forward underwriting bar.

    If increases in benefit add up to less than the forward underwriting bar, the excess will be carried over and a further 10% is added at the following policy renewal and at each subsequent renewal.

    Further underwriting will be required if:

    • benefit increases exceed the accumulated forward underwriting bar, or
    • the total benefit exceeds £5,000,000, or
    • 5 years have passed since the last underwriting decision

    If further underwriting is required within 12 months of the date the application form or telephone interview was completed, we may be able to use that information to consider the increase. If this is the case, please contact us and we will advise whether any further information will be needed.


    Once & done  

    Where ‘’Once & done’’ applies, we will allow increases in benefit without the need for further underwriting as shown below.

    We will allow salary-related increases in benefit without the need for further underwriting.** We call this “Once and Done.”

    Salary-related means that the underlying benefit calculation basis remains the same and the increase is solely the result of an increase in salary.

    If the benefit basis changes, then underwriting will be required for the next increase.

    Benefit increases are subject to a maximum benefit entitlement, which is specific to the policy and shown in the User Guide or Policy Schedule.

    **For Group Life and/or Dependants insurance ‘’Once and Done’’ is limited to a combined benefit of £5,000,000.

  • One of our experienced underwriters will phone you at the agreed time and ask you questions about your health and lifestyle. The call will be recorded and we’ll use your answers to help us make an underwriting decision.

    A telephone interview enables us to gather the information very efficiently and our underwriter can answer any questions you may have.

    You may find it helpful to review any medical records you have access to, in preparation for the call, however this is not essential. We only ask you to tell us about the medical information you remember.

  • There’s no difference. The questions we ask are the same whichever route you choose. We offer three options so you can select the application process that works best for you:

    • An online application. You will receive a copy of the application for your records.
    • A recorded telephone interview with one of our experienced underwriters, which can be booked at a date and time that works for you.
    • A PDF form which you can complete offline, in your own time.

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