Home Life insurance Guide to life insurance for transgender applicants Guide to life insurance for transgender applicants Insurance companies cannot discriminate against transgender applicants. Here’s everything else you need to know. Written by: Huma Naeem | Reviewed by: Nupur Gambhir Nupur Gambhir Nupur Gambhir is a content editor and licensed life, health, and disability insurance expert. She has extensive experience bringing brands to life and has built award-nominated campaigns for travel and tech. Her insurance expertise has been featured in Bloomberg News, Forbes Advisor, CNET, Fortune, Slate, Real Simple, Lifehacker, The Financial Gym, and the end-of-life planning service. | Updated on March 4, 2023 Why you should trust Insure.com Quality Verified At Insure.com, we are committed to providing honest and reliable information so that you can make the best financial decisions for you and your family. All of our content is written and reviewed by industry professionals and insurance experts. We maintain strict editorial independence from insurance companies to maintain editorial integrity, so our recommendations are unbiased and are based on a comprehensive list of criteria. Life insurance companies cannot reject applicants or charge them higher premiums for being transgender – and this type of discrimination is illegal. However, there are still some nuances transgender applicants need to understand.For starters, life insurance applications only include an option to apply as a female or a male — nonbinary is not an option. In addition, most insurers will underwrite you based on your gender, but some will underwrite you based on the gender you were assigned at birth. Additionally, gender-affirming care can impact your life insurance rates or eligibility, like any other pending surgery or prescription history can. Read on to learn more. Can you get life insurance if you’re transgender?Yes. Life insurance companies cannot reject you for being transgender and doing so would be illegal. Additionally, you can’t be charged a higher rate for being transgender. However, men are generally charged higher rates than women, so if you’re underwritten as a man, you may pay a higher premium than you would if you were underwritten as a woman. How life insurance companies underwrite transgender applicantsThere are no universal rules or guidelines for how insurers should underwrite transgender applicants, which means each insurer’s underwriting process is a bit different. While most insurers will underwrite you based on your gender, some may only underwrite you based on the gender you were assigned at birth. For the most part, non-binary is not an option on life insurance applications. Additionally, the insurers who underwrite you on your actual gender may only do so under certain circumstances, such as if you have gone through hormone therapy or gender-affirming surgery. Again, the way each insurer underwrites transgender applicants varies, so it’s best to shop around and ask multiple insurers about their process so you can find a company that best honors your wishes during the process. How gender-affirming care affects your life insurance application During the underwriting process, insurers weigh multiple factors to determine your rates. These include your age, gender, lifestyle choices and medical profile. If you are receiving gender-affirming care or have plans to, this may affect how much you pay for coverage. Again, insurers cannot discriminate against you for being transgender or receiving gender-affirming care, but any pending surgeries or prescriptions can impact rates. Surgeries are deemed risky procedures by insurers, so most applicants who have upcoming surgeries will receive a higher rate. Some might even defer acceptance until enough time has passed after the surgery to show that there were no complications. Likewise, if you are taking hormone therapy, most insurance companies won’t increase your rates — but this depends on how risky they view your prescription history. Your mental health history is also weighed in your rate calculation and people who take prescriptions for depression or anxiety may pay more for coverage. Instances of depression and anxiety are more than double in LGBTQ people than in cisgender people, according to the American Psychiatry Association. Each insurer is different in its underwriting approach, so again, shopping around is the best way to get the most affordable rate and coverage that is tailored toward you. QuickTake What is a life insurance beneficiary? 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Some insurers may honor your actual gender, while others may not, and comparing multiple insurance companies is the best way to find a company that allows you to purchase a policy that aligns with you.There are some other steps you can take to make sure you work with the right insurer.Work with an agent or broker: If you don’t want to do all the time-consuming legwork yourself, work with an agent or broker who can navigate the process. This person can advise you on which companies work best for your profile and will offer you the most affordable rate.If you suspect discrimination, contact your state’s insurance department: The insurance department will conduct an investigation, which will help prevent future applicants from facing the same discrimination. Get temporary life insurance if you need to: If you are getting gender-affirming care and have to postpone getting a traditional life insurance policy, purchase a short-term policy so you still have some coverage. Sources:The American Psychiatry Association.“Diversity & Health Equity Education: Lesbian, Gay, Bisexual, Transgender and Queer/Questioning.” Accessed March 2023. × Get Free Life Insurance Quotes Today! Zip Code Please enter valid zip Age Age 16 – 20 21 – 24 25 – 34 35 – 44 45 – 54 55 – 64 65+ Coverage Amount Coverage Amount $50,000 – $100,000 $100,000 – $200,000 $200,000 – $300,000 $400,000 – $500,000 $500,000 – $1,000,000 $1,000,000 – $2,000,000 $2,000,000 – $5,000,000 $5,000,000+ Coverage Type Coverage Type Whole Life Term Life Final Expense Not Sure Gender Gender Male Female Non-Binary Tobacco Use Yes No Compare Quotes Related Articles What is demutualization and what does it mean for policyholders? By Laine Adley Life insurance riders: What they are and how they work By Laine Adley What is a life insurance beneficiary? By Laine Adley What happens if you outlive your term life insurance? By Shivani Gite What is indexed universal life insurance? 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