Underwriters

In insurance, underwriters are individuals or organizations responsible for evaluating the risk of insuring a particular person or asset and determining the premiums that should be charged to cover that risk. Underwriters use various factors such as age, health status, occupation, and past insurance claims to assess the likelihood of an event occurring and the potential cost of a claim.

Here are some key features of underwriters:

  • Underwriters can work for insurance companies, brokers, or specialized underwriting firms.
  • They use actuarial data and risk models to evaluate the likelihood of claims and determine the appropriate premiums to charge.
  • Underwriters may specialize in different areas such as life insurance, property and casualty insurance, or reinsurance.
  • They play a critical role in the insurance industry by ensuring that premiums charged are sufficient to cover claims and maintain the financial stability of the insurance provider.
  • Underwriters may also assist in developing insurance policies and determining the terms and conditions of coverage.

For example, if an individual is applying for life insurance, an underwriter will review the individual's health history, family medical history, and lifestyle factors such as smoking and drinking habits to determine the risk of insuring them. Based on this evaluation, the underwriter will determine the premium that the individual should pay for coverage.

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According to Mployer Insights’ 2026 analysis of 76,000+ employer benefit plans, disability insurance remains a major market differentiator, with only 41% of U.S. employers offering short-term disability (STD) and 38% offering long-term disability (LTD). While 60% salary replacement serves as the national standard across both benefit types, standard plan designs disproportionately expose higher earners due to median benefit caps of $1,602/week for STD and $8,273/month for LTD. Furthermore, alignment between STD benefit durations (median 26 weeks) and LTD elimination periods (68% at 90 days) remains a critical area for plan structure optimization.
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According to Mployer Insights’ 2026 analysis of 50,000+ employer health plans, prescription drugs account for over 25% of total benefit expenses, with Tier 4 specialty drugs driving the majority of high-cost claims. While Tier 4 copays average $123 with coinsurance requirements in 31% of plans, individual oncology therapies like Darzalex Faspro ($170,800/yr) and Keytruda ($158,200/yr) frequently exceed average individual stop-loss deductibles ($141,938). To mitigate exposure, self-funded employers are increasingly turning to independent, transparent PBM models and biosimilar substitution—which yields up to a 73% net cost reduction per patient.