Evidence of Insurability
Evidence of insurability (EOI) is the information an insurance company requires to assess your health and determine whether you qualify for coverage. It typically includes details about your medical history, lifestyle habits, and current health status. The insurer uses this information to evaluate risk and decide whether to approve your application, exclude specific conditions, or adjust your premium rate.
EOI is often required when applying for individual health, life, or disability insurance, or when an employee in a group plan requests optional or additional coverage beyond the guaranteed amount. The process may involve completing a medical questionnaire, providing medical records, or undergoing a paramedical exam such as bloodwork or blood pressure testing. Once reviewed, the insurer determines whether coverage can be issued and under what terms.
Example:
If your group life insurance automatically includes $50,000 in coverage but you want to increase it to $200,000, you must complete an evidence of insurability form. The insurer reviews your health information before approving the additional amount.
What to Watch For:
Respond honestly and completely when providing medical information. Any misrepresentation could lead to denied claims or cancellation of coverage. Submit EOI forms promptly, as coverage for optional benefits does not take effect until the insurer has reviewed and approved your application. Keep a copy of your submission and confirmation of approval for your records.
