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If your client is suffering from or has had an illness (known as a pre-existing medical condition), this may not automatically be covered should they take out a PMI policy.
Insurers use two methods of underwriting to establish what conditions may be excluded:
Fully Underwritten (Medical History Declaration)
Full medical history details are disclosed on the application form. Any on-going medical condition or one that is likely to recur may be excluded permanently or for a period of time.
Moratorium (deferred cover for a pre-existing condition)
Your clients do not need to complete a medical questionnaire with moratorium underwriting.
The insurer will automatically exclude any pre-existing conditions that you have received treatment and/or medication for, or had symptoms of, or asked advice on, or were aware of, during the five years immediately before your policy started.
If they do not have any treatment, medication or advice for those pre-existing conditions, and any directly related conditions, for two continuous years after the policy starts, then the conditions may become eligible for treatment and their exclusion removed from the policy.
It is best to advise your clients to contact the insurer before making a claim so that eligibility can be confirmed and to ensure that they get the most appropriate treatment.
Demonstration
If you would like to find out more about our PMI proposition please contact us on 0121 767 1020 or email: dasupport at dasupport@personaltouchfs.com
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