Question ID: 1680
Regulation Reference: (EU) No 2015/35 - supplementing Dir 2009/138/EC - taking up & pursuit of the business of Insurance and Reinsurance (SII)
Topic: Technical Provisions (TPs)
Article: 18
Status: Final
Date of submission: 17 Aug 2021
Question
Should medical underwriting be considered a strict requirement of the "individual risk assessment" in determining the contract boundary of a policy?
EIOPA answer
The individual risk assessment referred to in Article 18(3) of Commission Delegated Regulation (EU) 2015/35 should allow the undertaking to gather sufficient information in order to form an appropriate understanding of the risks associated with the insured person (See also Guideline 4 of EIOPA's Guidelines on contract boundaries).
The individual risk assessment might involve medical underwriting, but this is not required.