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Best life insurance companies for pre-existing conditions

These insurers are well-equipped to cover people with pre-existing conditions.

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While a pre-existing health condition can make it more challenging to find the level of coverage you’re looking for, all five of these companies can assess your risk factors and offer the right amount of affordable coverage.

When analyzing life insurance companies, we assess each insurer’s reputation in the industry, as well as their product lineup, rider selection and underwriting standards. To determine industry reputation, our editorial team researches the company’s financial strength, accreditations and ratings, and reads customer reviews. For the best life insurers for people with pre-existing conditions, we also considered each company’s flexibility, including no-exam, simplified issue, underwriting process and issue age.

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What are the best life insurance companies for pre-existing conditions?

These five insurers make life insurance more accessible and affordable for people with pre-existing conditions.

Best overall pick: Ethos

Ethos logo
Finder Rating: 2.5 / 5

★★★★★

This brand isn’t available on Finder right now.
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$25,000 – $10,000,000
Coverage range
18 – 75 years
Issue age
10, 15, 20, or 30 years
Term lengths
Ethos is a fintech company that breaks down the barriers many people with pre-existing conditions face when buying coverage. It offers instant term life policies online to those aged 18 to 75, and most policyholders can qualify for up to $1 million in coverage without taking a medical exam.
  • Choose a term life policy lasting 10, 15, 20 or 30 years.
  • All policies are issued and backed by Assurity, a financially strong and well-known insurer.
  • Unlike most fintech companies, Ethos allows you to customize your policy with riders — like a critical illness rider.
    Coverage range $25,000 – $10,000,000
    Term lengths 10, 15, 20, or 30 years
    Issue age 18 – 75 years

    Best for lenient underwriting: Legal & General

    Legal & General logo
    Finder Rating: 3.5 / 5

    ★★★★★

    This brand isn’t available on Finder right now.
    Get quotes from similar companies Read review
    $100,000 – $10,000,000
    Coverage range
    20 – 75 years
    Issue age
    10, 15, 20, 25, 30, 35, 40 years
    Term lengths
    Typically, insurers hike up the rates for people with pre-existing conditions or deny coverage altogether. But Legal & General's underwriting guidelines are more relaxed, which opens up life insurance for high-risk applicants — such as those with health issues working against them. Its rates are competitive, too.
    • Sells convertible term life insurance up to age 70, so you can upgrade to a permanent policy if you wish.
    • Sells convertible term life insurance up to age 70, so you can upgrade to a permanent policy if you wish.
    • Add common riders to your policy, including a disability or child term rider.
      Coverage range $100,000 – $10,000,000
      Term lengths 10, 15, 20, 25, 30, 35, 40 years
      Issue age 20 – 75 years

      Best for simplified issue policies: Transamerica

      Transamerica logo
      Finder Rating: 3 / 5

      ★★★★★

      This brand isn’t available on Finder right now.
      Get quotes from similar companies Read review
      $25,000 – $10,000,000
      Coverage range
      18 – 75 years
      Issue age
      10, 15, 20, 25, 30 years
      Term lengths
      If you'd prefer to skip the medical exam, you could be in the market for a simplified or guaranteed issue policy. Among other types of coverage, Transamerica offers an excellent final expense policy. Once your policy is approved, it's issued immediately and the premiums stay the same.
      • Speak to an agent about the various payment plans available.
      • The insurer also sells term, whole, universal and indexed universal life insurance.
      • All term policies are convertible up until the deadline.
      • Buy a policy with a face value of $25,000 to $1 million.
      Coverage range $25,000 – $10,000,000
      Term lengths 10, 15, 20, 25, 30 years
      Issue age 18 – 75 years

      Best for guaranteed issue policies: Mutual of Omaha

      Mutual of Omaha logo
      Finder Rating: 3.5 / 5

      ★★★★★

      This brand isn’t available on Finder right now.
      Get quotes from similar companies Read review
      $2,000 – $500,000+
      Coverage range
      18 – 68 years
      Issue age
      10, 15, 20, 30 years
      Term lengths
      Guaranteed issue policies are usually sold as final expense policies and limited to small amounts, like $50,000. But Mutual of Omaha has a permanent policy option, too. The insurance giant sells guaranteed universal life (GUL) insurance up to age 85, and waives the medical exam for policies worth less than $250,000.
      • Offers affordable rates to high-risk applicants, including those with pre-existing conditions.
      • Choose from a range of riders, including an accidental death benefit, waiver of premium and disability rider.
      • Excellent reputation for customer service. Mutual of Omaha ranked fifth of 23 insurers surveyed in J.D. Power's latest life insurance study.
        Coverage range $2,000 – $500,000+
        Term lengths 10, 15, 20, 30 years
        Issue age 18 – 68 years

        What qualifies as a pre-existing condition?

        A pre-existing health condition is a disease or illness you had before applying for life insurance coverage. When assessing your application, your insurer will look at the severity of your condition and how you’re managing or treating the condition including treatments, medications and surgeries. Some of the most common pre-existing conditions include:
        • Depression
        • Diabetes
        • Diplegia — cerebral palsy
        • Encephalitis
        • Epilepsy
        • HIV accidental infection or occupationally acquired
        • Heart attack
        • Heart conditions
        • Hepatitis
        • Hereditary health issues
        • High blood pressure
        • Huntington’s disease
        • Kidney disease
        • Loss of hearing
        • Major organ transplant
        • Mental illness
        • Motor neuron disease
        • Major organ transplant
        • Multiple sclerosis

        Financial ratings for the best life insurance companies

        An insurer’s financial strength is important because your beneficiaries might not file a claim for years or decades to come. The insurers on our list scored top ratings with the major agencies, which means they have the cash reserves to pay out claims.

        In J.D. Power’s latest life insurance study, Mutual of Omaha ranked fifth of 23 insurers surveyed, while Transamerica landed in eighteenth place.

        AgencyEthosLegal & GeneralTransamericaMutual of OmahaSproutt
        AM BestA-A+AA+N/A
        Moody’sN/AN/AA1A1N/A
        Standard & Poor’sN/AAA-AA-AA-N/A
        FitchN/AAA-A+N/AN/A
        J.D. PowerN/AN/A2 out of 54 out of 5N/A

        Note: Sproutt doesn’t actually sell life insurance policies, so financial ratings don’t apply. However, the broker works with a range of major carriers, including AIG, Principal and SBLI.

        Customer reviews and reputation for the best life insurance companies

        To find out how insurers treat their policyholders, we turned to the Better Business Bureau (BBB). All five carriers are highly rated with the BBB for their customer engagement, while most customer reviews are linked to complaints about claims processes.

        ProviderBBB ratingCustomer reviews
        EthosA+None
        Legal & GeneralA+None
        TransamericaA-1.5 out of 5 stars
        Mutual of OmahaA+1.5 out of 5 stars
        SprouttA-None

        Bottom line

        If you have a pre-existing condition, you might feel like you’re backed into an expensive corner when it comes to life insurance. But that doesn’t have to be the case. With competitive rates and lenient underwriting, the insurers on our list open up coverage to those with health issues against them.

        To explore your options further, compare life insurance companies.

        Compare other life insurance companies

        If you’re worried about high premiums because of a pre-existing condition, look into these instant-approval term life insurance policies.

        Name Product Issue age Minimum Coverage Maximum Coverage Term Lengths Medical Exam Required
        Bestow
        21 - 54 years old
        $50,000
        $1,000,000
        10 or 20 years
        No
        Get a quote in less than 10 minutes with on-the-spot approval and no medical exam.
        Haven Life
        18 - 64 years old
        $100,000
        $3,000,000
        10, 15, 20, or 30 years
        No exams for some applicants
        Fill out a quick online application and get approval in minutes with up to $3 million in coverage.
        Ladder
        20 - 60 years old
        $100,000
        $8,000,000
        10, 15, 20, 25 or 30 years
        Depends on policy
        Apply for term life insurance online without the medical exam. Get an instant decision and adjust your coverage at no charge.
        Policygenius
        18 - 85 years old
        $50,000
        $10,000,000
        10, 15, 20, 25, 30 years
        Depends on provider and policy
        Compare 12+ top insurers side-by-side to get the best possible deal, and shop return of premium policies online.
        Fabric
        21 - 60 years old
        $100,000
        $5,000,000
        10, 15, or 20 years
        Depends on policy
        No-exam term policies up to $1 million online, with the option to upgrade to permanent life insurance later.
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