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Scientific studies on the subject of gay morbidity
and mortality have been intertwined with vociferous political influence
from the outset. Either pro-gay or pro-traditional family institutions
led most of the studies, the results of which are highly criticized by
the other.
No study is universally acknowledged to have
resolved the question, and ultimately, life insurers want hard numbers
when they decide who will be offered policies and how to price them.
No life insurance company asks about a person's sexual orientation on policy applications.
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When one applies for a life insurance policy,
the insurer will perform routine blood tests to identify any problems
that will reduce life expectancy and, therefore, affect one's premium.
Kim McKeown, spokesperson for the Society of Actuaries, notes that no life insurance
company asks about a person's sexual orientation on policy
applications. "There are discrimination issues about trying to use that
kind of information for life insurance pricing," she says. Thus there
is no insurance actuarial data on whether gay men as a group have a
reduced average life expectancy due to HIV/AIDS.
However, a diagnosis of HIV/AIDS will bring a swift
life insurance rejection, no matter how well the patient is living with
the disease.
Insure.com polled 35 leading life insurance
companies and found that, as part of normal underwriting practices,
life insurers will automatically decline any applicant who turns out to
be HIV-positive. However, this blanket denial is notable given the
growing body of knowledge that shows there are tens of thousands of gay
men who have been HIV-positive and healthy for two decades now since
AIDS burst on the national scene in the 1980s.
Senior market reporter Phil Young of Insure.com
has, over the course of 10 years, examined hundreds of different life
insurance applications and company acceptance guidelines. Young states,
"While it's true that the life insurers do not ever ask about sexual
preference, it's also true that every one of them will decline any
applicant that proves to be HIV-positive. So, with their actions but
not their words, life insurance companies are making a bold statement
that anybody who is HIV-positive need not apply."
The Centers for Disease Control (CDC) states in a
June 2007 report, "HIV/AIDS Among Men Who Have Sex with Men," that men
who have sex with men (MSM) accounted for 71 percent of adult and
adolescent males diagnosed with HIV/AIDS in 2005, thus rendering them
ineligible for life insurance coverage at any price. Five to 7 percent
of adult and adolescent men identify themselves as MSM, according to
the report, so obviously MSM have a much higher risk of contracting the
disease — they are anywhere from 32.5 to 46.5 times more likely than
other men to be diagnosed. But insurance companies check for the
disease, not the behavior.
"Insurers
haven't had enough experience to know how long HIV applicants are going
to make it. If they created something now it would be so costly that no
one would want to buy it."
— Kevin Coughlin, Target Insurance Services
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Life insurance pricing is all about assessing
"risk," but so far no life insurance company has taken the leap to
collecting information on MSM and judging them to be engaging in "risky
behavior." Information on individual MSM behavior wouldn't be
verifiable, anyway.
AIDS/HIV has been able to drop out as a leading
cause of death for older age groups but not yet for the younger
generations. The CDC says in a June 2008 "National Vital Statistics
Report" that HIV is still a serious public health concern: "In 2006,
there were 12,045 estimated deaths from HIV disease. The preliminary
age-adjusted death rate for this cause declined significantly by 4.8
percent between 2005 and 2006. Following a period of increase between
1987 and 1994, HIV disease mortality reached a plateau in 1995.
Subsequently, the rate for this disease decreased an average of 33.0
percent per year from 1995 to 1998, and 3.3 percent per year from 1999
to 2005."
"For all races combined, in 2006," says the CDC,
"HIV disease was the 8th leading cause of death for the age group 15–24
years, an increase in rank from 11th place in 2005, and the 6th leading
cause of death for the age group 25–44 years. Between 2005 and 2006,
HIV disease exited the list of 10 leading causes of death for the age
group 45–64 years."
Kevin Coughlin of Target Insurance Services Inc., a
brokerage that helps agents find life insurance for high-risk
applicants, says it could take decades for insurers to have enough data
on any condition with treatments that rapidly advance in order to offer
policies to patients. "Insurers haven't had enough experience to know
how long HIV applicants are going to make it," explains Coughlin. "If
they created something now it would be so costly that no one would want
to buy it."
HIV "isn't a death sentence," says Coughlin. "But you have to go a lot further to be insurable."
Until there's a long history of living healthily with HIV, insurance companies are sure to continue their current practices.
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