How Insurers Price Their Products – Rating and Underwriting Basics

🌟 Introduction

Ever had a client ask,

“Why is my premium this much?”

Behind that number lies a careful process called rating and underwriting.
In simple words: insurers study the risk, decide the premium, and set conditions before issuing a policy.

Let’s break this into easy concepts that every advisor can explain confidently

🧾 What is Rating?

Rating means calculating how much premium should be charged for a specific risk.

It’s like preparing a bill in advance for a future unknown loss.

Insurers use historical data, risk statistics, and actuarial models to decide:

  • What risks exist

  • How likely a loss is

  • How much it may cost

Example

Two drivers apply for motor insurance:

  • A 22-year-old with accident history

  • A 45-year-old with clean driving record

The younger driver pays more because their risk rating is higher.

Higher risk = Higher premium
Lower risk = Lower premium

🛡️ What is Underwriting?

Underwriting is the decision-making process where the insurer examines a proposal and decides:

  • Should we insure this person/property?

  • At what premium?

  • With what terms and conditions?

Underwriting checks whether a risk fits into the insurer’s appetite (acceptable risk levels).

Think of it like

A bank checks your credit before giving a loan.
Similarly, insurers check your risk profile before giving protection.

🤝 Relationship Between Rating & Underwriting

Rating tells how much to charge.
Underwriting decides whether to insure and how to insure.

Together, they ensure two things:

✔️ Fair premium for the customer
✔️ Financial safety for the insurer

🧠 What Do Underwriters Look At?

Depending on the product (life, health, motor, fire), they may review:

  • Age and gender

  • Occupation and lifestyle

  • Medical reports

  • Claims history

  • Location of property

  • Construction and safety features

  • Driving patterns (for motor insurance)

Anything that changes the chance of loss is evaluated.

💡 Real-World Example

A factory applies for fire insurance.

Underwriter checks:

  • Fire safety measures (extinguishers, sprinklers, alarms)

  • Distance from fire station

  • Whether flammable materials are stored

  • Past fire incidents

  • Building age and wiring condition

If safety measures are poor — insurer may:

  • Load extra premium

  • Add conditions (like installing fire equipment)

  • Or decline the proposal

This protects both the business and the insurer.

🧰 Tools Used in Rating & Underwriting

Insurers rely on:

  • Actuarial data (claim statistics, mortality/morbidity tables)

  • Field surveys and inspections

  • Medical tests (for life/health policies)

  • Past loss experience

  • Technology tools, telematics, AI, credit scoring etc.

Modern underwriting is tech-driven, but the logic remains the same — evaluate and price the risk correctly.

🧠 Why Advisors Should Understand This

When you know rating & underwriting basics, you can:

✅ Explain premium differences confidently
✅ Guide clients to improve insurability (safety measures, better disclosure)
✅ Prevent proposal rejection by collecting correct information
✅ Build trust and credibility as a knowledgeable advisor

💬 Advisor Script Suggestion

When a client questions premium:

“Insurance premium is calculated based on the level of risk.
Better safety, healthy habits, and clean history help reduce premium.”

Short and professional ✅

🎯 Key Takeaways

  • Rating = Calculating premium based on risk

  • Underwriting = Deciding acceptance, price, and terms

  • Both ensure fair pricing and financial safety

  • Accurate information and good risk management help customers get better terms

Insurance is not random pricing — it’s scientific, data-based, and fairness-driven.