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Family History of Cancer Doesn’t Have to Cost Your Client the Best Rate Class

Active older man hiking a mountain trail, representing impaired risk life insurance clients living fully

A client in excellent personal health can still get pushed out of the best rate classes over something they have no control over: a parent’s or sibling’s cancer diagnosis. Here’s why that doesn’t have to be the case.

Key takeaways

  • Most carriers limit rate-class eligibility based on family cancer history, regardless of the applicant’s own health.
  • Some carriers disregard opposite-gender family cancer history entirely.
  • It’s worth checking a second carrier before assuming a client’s best rate class is off the table.

A couple of A+ carriers don’t underwrite family cancer history at all — meaning a client can still qualify for Best Class rates elsewhere, even with an adverse family history.

Why family cancer history usually hurts an offer

Family history of cancer can have an adverse impact on underwriting decisions, even when a client’s own personal health history is excellent. Most carriers limit which rate classes a client is eligible for when there’s a family history of cancer, regardless of how healthy the applicant themselves is.

Where the opportunity is

That’s not universal, though. A couple of A+ carriers don’t underwrite family cancer history at all, which means a client with a family history of cancer can still qualify for the full range of Preferred rate classes, including Best Class, with those carriers. Other carriers go a step further and disregard family history of opposite-gender cancers entirely — for example, a male applicant whose mother died of uterine cancer, or a female applicant whose father died of prostate cancer, wouldn’t be penalized for that history at all with those carriers.

Why this is worth checking before you quote

If a client’s family cancer history is automatically knocking them out of your default carrier’s best rate class, it’s worth checking whether a different carrier would treat that same history very differently, or ignore it altogether.

Let our underwriting team help you get the best offers for clients with a family history of cancer. Call us today.

Frequently asked questions

Can a client with a family history of cancer still qualify for Best Class rates?

Yes, with the right carrier. Some A+ carriers don’t underwrite family cancer history at all, meaning it has no impact on rate class eligibility, including Best Class.

Does family history of cancer in the opposite-gender parent still count against an applicant?

With some carriers, no. Certain carriers disregard family history of opposite-gender cancers entirely, such as a male applicant’s mother’s uterine cancer or a female applicant’s father’s prostate cancer.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-23

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency) connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners — with the impaired-risk and complex-case expertise to place business other IMOs and BGAs turn away.

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Not All High Cholesterol Cases Underwrite the Same Way

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A total cholesterol reading in the 260-275 range sounds like an automatic underwriting problem. In two recent cases, it wasn’t. Here’s what carriers actually look at beyond the headline number.

Key takeaways

  • The cholesterol/HDL ratio is often more informative to underwriters than total cholesterol alone.
  • Some carriers now overlook total cholesterol levels between 150 and 300 entirely.
  • Two real cases with cholesterol in the 260-275 range both qualified for favorable rate classes.

A total cholesterol of 275 with a 6.0 cholesterol/HDL ratio still came back Preferred — because the ratio, not the headline number, is what matters most to today’s underwriters.

What the numbers actually mean

The liver produces all the cholesterol the body needs on its own; dietary cholesterol from food causes the liver to send even more into the bloodstream on top of that. High cholesterol can lead to fatty buildup in the arteries, raising the risk of heart disease and stroke. But “cholesterol” isn’t one number — HDL is the “good” cholesterol that helps clear out LDL, the “bad” cholesterol, and triglycerides are another form of fat in the blood. The cholesterol/HDL ratio, calculated by dividing total cholesterol by HDL, is often more informative than total cholesterol alone: the higher the HDL, the lower the ratio, and the better that looks to an underwriter.

Underwriting has gotten more nuanced

In the past, carriers looked strictly at total cholesterol levels when underwriting a case. Today, some carriers can overlook total cholesterol levels between 150 and 300 entirely, and Preferred classes are available with favorable cholesterol/HDL ratios even when the total cholesterol number looks high on paper.

Two cases that prove the point

One client had a total cholesterol of 275 with a cholesterol/HDL ratio of 6.0, and was taking a prescribed cholesterol medication. That case came back Preferred. A second client — a 52-year-old male, non-smoker, seeking $500,000 of term coverage — had a total cholesterol of 260 with a ratio of 7.0, also on medication. That case still came back Non-Smoker Plus, a strong outcome despite the elevated numbers.

The takeaway

A cholesterol number in the 260-300 range doesn’t automatically mean a lower rate class. The ratio, the medication response, and which carrier is underwriting the case all matter more than the total cholesterol figure alone. Our life underwriting department has a heart for finding the best possible outcomes on cholesterol cases. Give us a call.

Frequently asked questions

Can a client with high total cholesterol still get a Preferred rate?

Yes. Some carriers can overlook total cholesterol between 150 and 300, and Preferred classes are available with a favorable cholesterol/HDL ratio even when the total cholesterol number is elevated.

Why does the cholesterol/HDL ratio matter more than the total cholesterol number?

The ratio accounts for how much “good” HDL cholesterol a client has relative to their total cholesterol. A higher HDL lowers the ratio, which underwriters generally view more favorably than the total cholesterol number on its own.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-23

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency) connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners — with the impaired-risk and complex-case expertise to place business other IMOs and BGAs turn away.

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Closing the Income Protection Gap for High Earners

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Traditional disability carriers do a reasonable job replacing income for low- and middle-income earners, then quietly fall short the moment a client’s income crosses roughly $150,000. Here’s why that gap exists, and how to close it.

Key takeaways

  • Percentage-based caps and flat dollar maximums leave high earners underinsured relative to their actual lifestyle needs.
  • Stacking supplemental coverage on top of a traditional policy closes that gap without disrupting existing coverage.
  • The underlying need doesn’t change with income level — only the size of the gap does.

Traditional disability carriers meet the 65% income-replacement target for most earners, then consistently fall short the moment a client’s income crosses roughly $150,000.

Why carriers underinsure high earners

Modern disability insurers are cautious, sometimes overly so, about accidentally over-insuring their clients, and that caution shows up most with highly compensated clients. In the past, the income replacement percentage was often left to a particular carrier underwriter’s subjective judgment. More recently, the Council for Disability Awareness has pushed to modernize that approach with a statistical analysis suggesting clients need to replace at least 65% of their income to maintain their standard of living through a disability.

Where the gap shows up

Traditional carriers often meet, and sometimes surpass, that 65% target for low- and middle-income earners. They consistently fall short for clients earning more than $150,000, where percentage-based caps and flat dollar maximums leave a widening gap between what the policy pays and what the client actually needs to sustain their lifestyle.

The solution: stacking supplemental coverage

Whether a client earns a modest income or a high one, the underlying need is the same: adequate income protection to sustain their or their family’s lifestyle during a period of non-productivity or severely diminished cash flow from a short- or long-term disability. For higher earners, stacking additional income protection on top of what traditional carriers provide turns “maintaining their current lifestyle through a disability” from a hope into something they can actually count on.

Contact your dedicated DI specialist today to learn more about how you can offer your clients a complete income protection plan, regardless of how high their income runs.

Frequently asked questions

Why do high-income earners often end up underinsured for disability?

Traditional DI carriers cap benefits well below what’s needed to replace a high earner’s actual income, largely out of caution about over-insuring. That leaves a gap between what a policy pays and the roughly 65% income replacement clients generally need.

How can advisors close the income protection gap for high-income clients?

By stacking supplemental disability coverage on top of a traditional carrier’s policy, specifically designed to cover the portion of income that falls outside standard carrier caps.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-23

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency) connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners — with the impaired-risk and complex-case expertise to place business other IMOs and BGAs turn away.

Connect on LinkedIn →

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Have a question about what you just read, or a case you’re working on? Tell us a bit about what you need, and a member of the SRS team will follow up with you personally — no obligation, no hassle.

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Case Placement: Super Standard Non-Tobacco for a Client With Pre-Diabetes

Active older man hiking a mountain trail, representing impaired risk life insurance clients living fully

A borderline blood sugar reading two years ago could easily read as a red flag on an application. For this client, it turned into a Super Standard Non-Tobacco offer, with a path to Preferred. Here’s how.

Key takeaways

  • Roughly one in three American adults has pre-diabetes, and it’s often reversible with lifestyle changes.
  • Carriers weigh the trajectory since diagnosis, not just the diagnosis itself.
  • Documented lifestyle changes after a pre-diabetes finding can materially improve the underwriting outcome.

A borderline blood sugar reading from two years ago came back Super Standard Non-Tobacco, with a path to Preferred, once diet and exercise changes were documented.

Understanding pre-diabetes

In the years before Type 2 diabetes develops, most people pass through an asymptomatic condition called pre-diabetes, marked by slightly elevated fasting blood sugar and sometimes other metabolic signals like high triglycerides, low HDL cholesterol, and excess abdominal fat. Roughly one in three American adults has pre-diabetes, and when it’s caught early, diet changes and weight loss can often head off the progression to full Type 2 diabetes entirely. One of our A+ carriers underwrites favorably on pre-diabetes cases that show a stable, well-controlled condition.

The case

Our client was a 55-year-old male, non-smoker, seeking personal coverage. He had a history of hypertension, well-controlled with medication and exercise. Two years earlier, a routine annual check-up revealed a blood sugar reading higher than normal. Follow-up testing confirmed pre-diabetes, and the client responded by adopting new diet and exercise habits.

Why this case improved

Since making those lifestyle changes, his condition had not progressed, putting him at lower risk of developing diabetes in the years ahead, provided he maintains the new habits. That trajectory, not just the diagnosis, is what carriers weigh most heavily in pre-diabetes cases.

The result

The potential underwriting outcome came back at Super Standard Non-Tobacco, with room for further improvement to Preferred through this carrier’s Healthy Lifestyle crediting program — a strong result for a case that started with a borderline blood sugar flag two years earlier.

Call our life underwriting team to discuss your client’s medical history today, and let’s work on your next success story.

Frequently asked questions

Can a client with pre-diabetes still qualify for a favorable life insurance rate?

Yes, particularly when the condition is stable and well-controlled through diet and exercise. In this case, a client with pre-diabetes and well-controlled hypertension qualified for Super Standard Non-Tobacco, with a path to Preferred.

What do underwriters look for in a pre-diabetes case?

They look at whether the condition has progressed since diagnosis, and whether the client has made lifestyle changes, like diet and exercise, that reduce the risk of developing full Type 2 diabetes. A stable or improving trajectory is viewed far more favorably than the diagnosis alone.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-23

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency) connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners — with the impaired-risk and complex-case expertise to place business other IMOs and BGAs turn away.

Connect on LinkedIn →

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Have a question about what you just read, or a case you’re working on? Tell us a bit about what you need, and a member of the SRS team will follow up with you personally — no obligation, no hassle.

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How DI Retirement Security (DIRS) Actually Works

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Clients who’ve maxed out their disability insurance coverage often assume there’s nothing left to add — but their retirement contributions could still be left completely unfunded if they got sick or hurt. Here’s how DI Retirement Security (DIRS) closes that specific gap.

Key takeaways

  • Retirement contributions themselves aren’t required to qualify for DIRS.
  • Benefits are non-taxable when the client pays the premium themselves.
  • Elimination periods of 180 or 365 days and benefit periods to age 65 or 67 make DIRS flexible to a client’s existing DI structure.

DIRS pays up to 15% of earned income toward retirement contributions during a disability — available to anyone earning at least $76,000 in a qualifying occupation class, even on top of maxed-out individual DI.

Who qualifies

DIRS provides coverage that helps individuals continue making retirement contributions if they become unable to work due to disability. Since retirement contributions themselves aren’t required to qualify, any individual in a qualifying occupation class (Class A through 5A Select) earning at least $76,000 per year can apply. Coverage doesn’t diminish eligibility for regular individual DI insurance either — a client can qualify for DIRS even if they already carry a regular individual DI policy up to the maximum issue and participation limits.

How the benefit is structured

If the insured becomes disabled beyond the policy’s elimination period, DIRS pays into a trust rather than directly to the client, and at the end of the benefit period, trust assets are distributed to the insured per the trust agreement’s terms. Benefits are non-taxable if the insured pays the DIRS premium themselves; they’re taxable if an employer pays the premium and it isn’t treated as income to the employee.

Key features

Coverage provides a maximum benefit up to 15% of earned income, subject to a monthly benefit cap that’s periodically updated, with a minimum benefit requirement of $1,000 per month. Available elimination periods are 180 or 365 days, and benefit periods run to age 65 or 67, with “Your Occupation” periods of two years, five years, age 65, or age 67. Optional riders include Future Benefit Increase, Cost-of-Living Adjustment, and a Mental/Nervous Substance Abuse Disorder limitation.

If DIRS is written as a stand-alone policy with no other DI coverage applied for or in force, simplified underwriting guidelines can apply, making it a straightforward addition even for clients who haven’t gone through full DI underwriting.

For more information, including current benefit caps and case design for a specific client, contact your disability income insurance specialist today.

Frequently asked questions

Who is eligible for DI Retirement Security?

Any individual in a qualifying occupation class, Class A through 5A Select, earning at least $76,000 per year, regardless of whether they already carry a regular individual DI policy.

Are DIRS benefits taxable?

Benefits are non-taxable if the insured pays the premium themselves. They’re taxable if an employer pays the premium and it isn’t treated as income to the employee.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-23

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency) connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners — with the impaired-risk and complex-case expertise to place business other IMOs and BGAs turn away.

Connect on LinkedIn →

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Have a question about what you just read, or a case you’re working on? Tell us a bit about what you need, and a member of the SRS team will follow up with you personally — no obligation, no hassle.

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