title: Insurance underwriting in the genetic era.
abstract: Genetic technology is assuming a greater role in the practice of medicine. Insurers have a vested interest because individually underwritten insurance cannot be sold without risk classification, and much of the medical information needed to classify risks will have a genetic component. This paper reviews recent genetic advances and their potential impact on life, disability income, long-term care, and critical illness insurance. Alzheimer disease is chosen to illustrate the effect of an organized effort to withhold medical information from insurance companies. Consumers will not support a private insurance mechanism with extensive cross-subsidization among policyholders and where medical information becomes inviolate simply because it is genetic. A framework for deliberations with the medical community is proposed.
authors.affiliation: Swiss Re, Fairfield, CT 06430-3544, USA. RobertJ_Pokorski@swissre.com
authors.forename: R J
authors.initials: RJ
authors.lastname: Pokorski
mesh_terms: D000544:Alzheimer Disease / Q000235:genetics; D005821:Genetic Techniques; D005826:Genetics, Medical; D006801:Humans; D007341:Insurance; D007343:Insurance Carriers; D015273:Insurance Selection Bias; D007348:Insurance, Health; D007352:Insurance, Life; D018570:Risk Assessment