Your Guide to Multiple Sclerosis and Life Insurance

Due to the number of questions we get from people with MS, we have put together an explanation of the underwriting process for applying for life insurance when you have multiple sclerosis. We hope this information assists you during your application process. The disease might be unpredictable, but your expectations when applying for insurance doesn’t have to be.

What are the Factors companies look for when you have Multiple Sclerosis?

1. The Type of MS you have

There are 4 Types of Multiple Sclerosis

1. Relapsing-Remitting MS (RRMS)

This is the most common form of MS. People with RRMS have temporary periods called relapses, exacerbations, flare-ups or attacks. The time between relapses vary. During these relapses new symptoms appear or existing symptoms become more severe. These symptoms can last for varying periods and they fade away either partially or completely (remission). For some people their MS may be inactive for months, even years at a time.

2. Secondary-Progressive MS (SPMS)

You can only get SPMS if you’ve had relapsing-remitting MS. Once SPMS develops, relapses and remissions from inflammation slowly decrease or stop altogether. Instead, the disease and its symptoms steadily progress with accumulating disability.

3. Primary-Progressive MS (PPMS)

This is the rarest from of MS and is progressive from the start, with slow onset and steadily worsening symptoms. There is an accumulation of deficits and disability which may level off at some point or continue over months and years.

4. Progressive-Relapsing MS (PRMS)

PRMS is characterised by a steadily worsening disease state right from the beginning, with acute relapses but no remissions, with or without recovery.

2. Date of diagnosis

Time frames of how long someone has had the condition is the second factor underwriters will look at. They will want to know your age at the onset of symptoms, and how long you have been living with the disease. Most people who are categorized with RRMS are diagnosed with SPMS between 5 and 15 years into the disease. Thus, early diagnosing of multiple sclerosis is very important.

When you treat someone early on you can push out the period of time in which they may ultimately need assistance with walking – or the time they may need to use a wheelchair, for example.

If you are considering a policy, time is a factor. It is easier to get life insurance within the first two years after diagnosis and if you have mild MS symptoms. This brings as to the third factor influencing MS and life insurance.

3. Symptoms and course since diagnoses

Insurers will look at the severity of your MS symptoms:

The underwriters will also need to know approximately how many attacks, such as seizures, you’ve had in total. A high number may mean that your condition is worsening.

4. Treatment and Medication

Life insurers will want to see that your condition is under control and that you are receiving the optimal combination of therapies. This means that you are seeking medical treatment as necessary, taking any medications required and participating in rehabilitation therapies as needed.

The treatments that you are receiving for your condition can be a positive in the underwriters’ eyes. By receiving treatment, it shows you are attempting to manage and control your MS. However, the type of medications you are taking can cause different loadings on your policy due to the potential side effects they may have.

The underwriters will also ask you:

5. Current neurological status; what degree of disability exists?

An important factor for underwriters to consider when you are applying for life insurance with multiple sclerosis, is if you use any aides for mobility?  The company will need to know your Expanded Disability Status Scale (EDSS) – this is used by neurologists to measure MS dysfunction. For example, 0 – 1.0 is no disability and minimal symptoms, where as a scale of 6.0 means ambulatory impairment i.e. you need a cane to walk 100m.

To the degree that you are functioning in a lifestyle that is reasonably close to what would commonly be defined normal, your chances of both life insurance approval and reasonable premium rates will be greater.

6. More questions

At any time during the application process, the company will also request a PMAR (Private Medical Attendant’s Report) in which your Doctor will perform any needed investigations required for MS and life insurance.

How to prepare for your Life insurance application

There are measures you can take to prepare yourself before applying. Doing so will help your chances of getting approval. Use the following tips to put yourself in the best position possible:

Your Duty to Disclose

If you took out insurance before you knew you had MS, there is no requirement to tell your insurer about any changes to your condition since the policy started, unless you are making a claim, or unless the policy terms requires you to do so. When in doubt, ask your insurer what they require.

However, if you are diagnosed between the time you apply for the policy and when it goes “on risk” (that’s the date the insurer starts to cover you)or at any time beforehand then you must tell the insurer.

Conclusion

Remember, no two insurance companies will view your case the same way. They’ll all view your MS differently. Don’t let previous negative life insurance experiences deter your quest for coverage. If you would like more information about getting life insurance with multiple sclerosis, please call us on 1300 135 205.