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PTSD (post-traumatic stress disorder) is evaluated by life insurance underwriters similarly to other mental health conditions, with the key variables being symptom severity, functional impact, hospitalization history, and the presence or absence of suicidal ideation. Mild to moderate PTSD that is well-managed with therapy and/or medication, without hospitalizations or suicidal ideation, typically qualifies for coverage at standard or table-rated offers. Severe PTSD with significant functional impairment or recent crisis presentations requires more careful carrier selection.

What Underwriters Evaluate for PTSD

Symptom Severity and Functional Impact — Mild to moderate PTSD with maintained employment and daily functioning is viewed most favorably. Severe PTSD causing disability, inability to work, or significant functional impairment results in higher table ratings. Carriers assess PCL-5 or similar severity measures when available in records.
Suicidal Ideation or Attempts — The most critical factor — identical to other mood disorders. Any suicidal ideation within the past 2–5 years results in postponement at most carriers. A prior attempt requires an extended stability period before coverage becomes available.
Psychiatric Hospitalizations — Any psychiatric hospitalization within the past 12–24 months triggers postponement. Carriers require demonstrated stability following discharge before considering an application.
Treatment Engagement — Active engagement with evidence-based treatment — such as EMDR, CPT, or medication-assisted therapy — is viewed positively. Documented treatment compliance demonstrates active management of the condition.
Substance Use History — PTSD frequently co-occurs with substance use disorders. Any active or recent substance abuse compounds the underwriting complexity and typically results in additional rating or postponement until documented sobriety is established.
VA Disability Rating (for Veterans) — A VA disability rating for PTSD is noted in underwriting but is not automatically disqualifying. Carriers evaluate the underlying condition directly based on medical records. A 70–100% VA PTSD rating alongside severe functional impairment is more restrictive; a lower rating with demonstrated stability is evaluated more favorably.

PTSD Profile: General Underwriting Outlook

PTSD Profile Typical Rating Best Achievable Notes
Mild-moderate, stable on treatment, no hospitalizations Standard to Table 4 Standard at select carriers Well-managed PTSD is insurable at many carriers
Moderate, hospitalization 2+ years ago, stable since Table 4–8 Table 4 with documented stability Time since hospitalization and stability record are key
Severe, functional disability, recent crisis Postponement or decline Postponement pending stability Stability period required before application is viable
Suicidal ideation within past 2 years Postponement Postponement at most carriers 2–5 year stability period typically required

Guidelines current as of 2025–2026. Verify with us before applying.

Have PTSD? Coverage May Be Available.

Many people living with PTSD qualify for life insurance — including veterans. We identify which carriers are appropriate for your specific profile before any application is submitted.

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Understanding Your Rating: Life Insurance Risk Classifications | Table Ratings Explained (B–J) | Flat Extra Ratings

Authoritative Resources: Life insurance underwriting practices are regulated by the NAIC. Insurers may check your health history through the MIB Group — you can request your free annual MIB report at mib.com.

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