Why You Shouldn't Buy Life Insurance Online If You Have Health Issues
Online brokers like Ethos and SelectQuote use algorithms that can't handle health history. Here's what happens — and what to do instead.
You've probably seen the ads. "Get covered in minutes." "No medical exam required." "Instant approval."
It sounds simple. And for a perfectly healthy 35-year-old with no medical history, it might be. But if you have any health history at all — diabetes, heart disease, a prior cancer diagnosis, high blood pressure, sleep apnea, or dozens of other conditions — buying life insurance online can be one of the most expensive mistakes you make.
I've been an independent life insurance broker in Houston for 33 years. I've seen what happens when people try to go the online route with health issues. And I want to explain exactly why it goes wrong — and what you should do instead.
How Online Life Insurance Platforms Actually Work
Companies like Ethos, SelectQuote, Haven Life, and similar platforms are built around speed and automation. Their entire business model depends on processing applications quickly with minimal human involvement.
That means they use algorithms.
You fill out a form. The algorithm checks your answers against a set of rules. If your health history triggers a flag, one of three things happens:
- You're declined instantly. The algorithm says no, and you get a rejection notice — often with little or no explanation.
- You're rated up. You're approved, but at a significantly higher premium than a healthy applicant would pay — sometimes two or three times the standard rate.
- You're pushed toward a more expensive product. Instead of the term coverage you wanted, you're steered toward a guaranteed issue or simplified issue policy with lower coverage limits and higher costs.
None of these outcomes are good. And here's the part that makes it worse: most people don't realize that a formal application — even a declined one — creates a record in the MIB (Medical Information Bureau). Future insurers can see that you applied and were declined. Multiple declines can make it significantly harder to get coverage later.
The Conditions That Trip Up Online Platforms
Online brokers are built for the easy cases. If you have any of the following, you're likely to run into problems:
- Type 2 diabetes — especially if it's not well-controlled or you've had it for more than a few years
- Heart disease or a prior cardiac event — even if you've fully recovered
- Cancer history — even if you've been in remission for years
- High blood pressure — particularly if it's not well-managed with medication
- Sleep apnea — especially if you're not compliant with CPAP treatment
- Kidney disease — even early-stage CKD
- Obesity or high BMI — many platforms have strict BMI cutoffs
- Depression or anxiety — particularly if you've been hospitalized or had medication changes recently
- COPD or asthma — depending on severity and treatment
- Multiple medications — the combination of prescriptions can trigger flags even when each individual condition is manageable
This isn't a complete list. The point is that online platforms are designed to approve healthy people quickly. Anyone outside that narrow profile is a problem for their algorithm — not a person to be helped.
What an Experienced Independent Broker Does Differently
When you call me, the first thing I do is listen.
I'm not running your information through a form. I'm not checking boxes. I'm having a conversation with you about your health history, your coverage needs, your budget, and your goals.
Then I do something the online platforms can't do: I shop your case informally.
The Informal Inquiry Process
Before you ever fill out a formal application, I contact underwriters at multiple A+ rated carriers on your behalf. This is called an informal inquiry — and it's one of the most valuable tools an experienced independent broker has.
Here's what it means for you:
- No hard inquiry. Nothing goes on your record. No MIB entry. No formal application that can be seen by future insurers.
- Real answers. I find out which carriers will approve you, at what health classification, and at what premium — before you commit to anything.
- Multiple options. I have access to 30+ carriers. Different carriers have different underwriting guidelines. A condition that's a hard no at one carrier might be a standard rate at another.
- Advocacy. I know which carriers are lenient on specific conditions. Diabetes? I know which carriers look at A1C levels favorably. Heart history? I know which carriers give credit for time since the event and current health status. That knowledge comes from 33 years of doing this — not from an algorithm.
A Real Example of How This Works
Let me give you a concrete example. I had a client — a 58-year-old man in Houston — who had been declined by two online platforms because of his Type 2 diabetes and a history of high blood pressure. He assumed he was uninsurable.
He called me.
After our conversation, I did informal inquiries with several carriers. Within a few days, I came back to him with three options — all from A+ rated carriers, all at rates he could afford. He ended up with a $500,000 term policy at a rate that was actually lower than what one of the online platforms had quoted him before declining him.
That's not magic. That's experience. That's knowing the market, knowing the underwriters, and knowing how to present a case.
Why "Cheaper" Online Isn't Always Cheaper
One of the biggest misconceptions about online life insurance platforms is that they're cheaper because they cut out the middleman.
Here's the reality: the premium you pay for a life insurance policy is set by the carrier, not the broker. Whether you buy through an online platform or through an independent broker like me, the premium is the same — because I'm compensated by the carrier, not by you.
What changes is the outcome.
An online platform might quote you a "standard" rate — but if your health history gets you rated up, you could end up paying 50% to 200% more than a healthy applicant. An experienced independent broker who knows how to present your case to the right carrier might get you approved at a better health classification — which means a lower premium.
And if the online platform declines you entirely, you've paid nothing but you've also created a record that could affect your future applications.
The Bottom Line: Call Before You Apply
If you're in perfect health and you want a simple term policy, an online platform might work fine for you. That's not who I'm talking to.
If you have any health history — any at all — please call me before you fill out any online form.
One conversation. No hard inquiry. No obligation. I'll tell you honestly what I think your options are, which carriers are most likely to work with your situation, and what you can realistically expect to pay.
That's what 33 years of experience looks like. And it doesn't cost you anything extra.
Call or text Glenn Hubbard: (713) 927-5969
Available Monday through Saturday, 10AM to 7PM. Houston, TX. TX License # 824845.
Find out what you actually qualify for — before you apply anywhere online.
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Written by
Glenn Hubbard
Independent life insurance broker in Houston, TX with 33+ years of experience. Glenn shops 19 A+ rated carriers to find the best coverage at the lowest rates. TX License #824845.