Mental health history is an area where carrier guidelines vary more than almost any other underwriting category. Conditions like anxiety or mild depression that are well-managed often have minimal impact on life insurance rates — while more serious conditions require more careful carrier selection.
What Insurance Companies Look At
- Diagnosis: anxiety, depression, bipolar disorder, PTSD, schizophrenia, OCD, and personality disorders are all evaluated differently
- Severity and frequency of episodes: a single episode of major depression years ago is very different from recurring severe episodes
- Hospitalizations: any psychiatric hospitalizations — especially recent ones — are a significant underwriting flag
- Suicide attempts or self-harm history: prior attempts are the most serious underwriting concern and often result in postponement or decline for a defined period
- Current medications and compliance: being on a stable, effective regimen and compliant is a positive signal
- Functionality: ability to work, maintain relationships, and manage daily activities
- Time since last episode or hospitalization: stability over time is the most favorable factor
- Substance use history: combined with mental health conditions, it compounds underwriting concern
How Carriers Typically Respond
Mild to moderate anxiety or depression — well-controlled with medication or therapy, no hospitalizations, and stable employment — often qualifies for standard or slightly rated coverage. Bipolar disorder, PTSD, and schizophrenia are more complex but still insurable with the right carriers. History of suicide attempts typically results in postponement for 2–5 years after the last attempt, depending on the carrier.
Mental health underwriting is highly carrier-dependent. We know which companies take the most favorable view of specific diagnoses. Contact us for a confidential review.