A stroke or transient ischemic attack (TIA) in your medical history is a significant underwriting consideration — but not an automatic decline. Time elapsed since the event, completeness of neurological recovery, underlying cause of the stroke, and risk factor control are the primary variables. A minor TIA with full recovery several years ago may qualify at a table rating; a major stroke with residual neurological deficits requires individual consideration and typically has very limited options at standard carriers.
What Underwriters Evaluate After a Stroke or TIA
Stroke/TIA Profile: General Underwriting Outlook
| Stroke/TIA Profile | Typical Rating | Best Achievable | Notes |
|---|---|---|---|
| Single TIA, full recovery, 3+ years ago, risk factors controlled | Table 4–6 | Table 4 at select carriers | Most favorable stroke/TIA presentation |
| Minor ischemic stroke, full recovery, 3+ years ago | Table 6–8 | Table 6 with full documented recovery | Full recovery and time elapsed are the key factors |
| Moderate stroke, partial recovery, 3+ years ago | Table 8–10 or decline | Very limited options | Residual deficits significantly restrict the field |
| Stroke within past 12 months | Postponement | Postponement at most carriers | 12–24 month stability period required first |
| Multiple strokes or TIAs, or hemorrhagic stroke | Decline at most carriers | Simplified or guaranteed issue | Multiple events or hemorrhagic type severely limits options |
Guidelines current as of 2025–2026. Verify with us before applying.
Stroke or TIA History? Let’s Review Your Options.
Stroke underwriting is highly time-dependent and carrier-specific. We evaluate your specific event history and recovery against current carrier guidelines 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.