What is meant by "social determinants of health" in underwriting?

The term "social determinants of health" refers to the various economic and social factors that influence an individual's health outcomes. These determinants encompass a wide range of influences, including socioeconomic status, education, neighborhood and physical environment, employment, and social support networks. Essentially, they highlight how the conditions in which people are born, grow, live, work, and age impact their health, extending well beyond purely medical issues.

Understanding social determinants is crucial for underwriters because they play a significant role in assessing the risk profile of applicants. For instance, individuals from disadvantaged backgrounds may experience higher health risks due to lack of access to healthcare, poor living conditions, or limited education about health practices. Recognizing these factors allows for a more holistic view during the underwriting process, which can lead to fairer and more accurate evaluations of risk.

In contrast, focusing only on medical factors, geographic location, or personal lifestyle choices would provide a narrower perspective and potentially overlook other significant influences on health. This comprehensive understanding of health determinants is vital in crafting insurance policies that are equitable and responsive to the diverse needs of applicants.