Obesity and Insurance Risk
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Obesity is regarded by insurance companies as a substantial risk for both life and disability policies. This risk increases proportionally with the degree of obesity. Mortality statistics for life insurance were the earliest indicator that the cost of obesity to the individual was a decreased life span and increased illness, particularly that affecting the cardiovascular and musculoskeletal systems.
The prevalence of coronary heart disease rises with increases in the body mass index in both men and women. Cigarette smoking greatly augments these risks in both sexes. Hypertension and diabetes are very common in obese persons and add further to the risks of vascular disease. Abdominal obesity (when the abdominal girth measured round the umbilicus exceeds the maximum measurement round the hips) is correlated with the risk of cardiac disease and stroke, independently of bodyweight. Insurance companies consider abdominal obesity as unfavourable and rate it accordingly.
Obesity (even that of moderate degree) greatly increases the chances of disability due to cardiovascular disease or musculoskeletal illness. In one study of 51 522 adult Finns, 25% of disability pensions in women were found to result directly from obesity.
Obesity causes increased health expenditure, decreased life span and productivity, and premature retirement. Insurance companies are compelled to build these risks into their policies. However, because the excess mortality occurs late in mild to moderate obesity, some companies may minimise this risk for life policies that mature early.
KeywordsBody Mass Index Obesity Abdominal Obesity Disability Pension Life Insurance
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- Andres R, Elahi D, Tobin JD, Muller DC, Brant L. Impact of age on weight goals. Annals of Internal Medicine 103: 1030–1033, 1985Google Scholar
- Blood Pressure Study 1979. New York: Society of Actuaries/Association of Life Insurance Medical Directors of America, 1980Google Scholar
- Brackenridge RDC, Baird IMcL. Build. In Brackenridge & Elder (Eds) Medical selection of life risks, 3rd ed., pp. 212–216, Stockton Press, New York and MacMillan Publishers, Basingstoke, 1992Google Scholar
- Build and Blood Pressure Study 1959. Society of Actuaries, Chicago, 1959Google Scholar
- Build Study 1979. Society of Actuaries/Association of Life Insurance Medical Directors of America, New York, 1980Google Scholar
- Dawber TR. The Framingham study. The epidemiology of arteriosclerotic disease. Harvard University Press, Cambridge, MA, 1980Google Scholar
- Diet and Health. National Academy of Sciences Press, Washington DC: National Academy of Sciences Press, 1991Google Scholar
- Dietary and Nutritional Survey of British Adults by the Office for Population Census and Surveys. HMSO, London, 1980Google Scholar
- Health of the Nation. HMSO, London, 1992Google Scholar
- Metropolitan Life Insurance Company Statistical Bulletin, New York, Jan–June 2–9, 1983Google Scholar
- National Institutes of Health Consensus Development Panel. Health implications of obesity, National Institutes of Health Development Conference Statement. Annals of Internal Medicine 103: 1073–1077, 1985Google Scholar
- Specialised Mortality Investigation. Actuarial Society of America, 1903Google Scholar
- United States Department of Health, Education and Welfare. Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service, 1979Google Scholar
- Vanltallie TB, Lew EA. Overweight and underweight. In Lew EA & Gajewski J (Eds) Medical risks: trends in mortality by age and time elapsed, Praeger Press, New York, 1990Google Scholar