Why occasional and social smokers may not escape higher insurance premiums

That occasional cigarette at a wedding or social gathering could cost more than you think. Insurance companies increasingly take a broad view of smoking habits, and even infrequent tobacco or nicotine use may result in 30-50 percent more premium compared with non-smokers.

This is because insurance companies are increasingly taking a broader view of tobacco and nicotine use, making it important for consumers to understand how they are classified and why complete disclosure matters.

Most insurers classify an individual as a smoker if they have used cigarettes, cigars, chewing tobacco, vaping products or any other nicotine-containing products within the previous 12 months.

This means that even people who consider themselves social smokers or those who smoke only occasionally may still fall under the smoker category for underwriting purposes.

“Even occasional or social smoking is relevant. It is best advised that complete disclosure of the information is made,” said G Srinivasan, MD and CEO of Galaxy Health Insurance.

Why disclosure is critical

The insurance industry operates on the principle of utmost good faith. Insurers assess risk largely based on information provided by customers, making honest disclosure a crucial part of the process.

A common misconception among policyholders is that only serious illnesses or regular habits need to be disclosed. In reality, insurers may consider a range of details, including lifestyle habits, medical consultations, medications, family medical history and previous health conditions.

“The key issue is not how an individual labels themselves, but whether the information requested by the insurer was disclosed accurately. If a proposal form asks about tobacco or nicotine use, customers should answer truthfully, even if they smoke only occasionally,” said Srinivasan.

No single rule across insurers

One challenge for consumers is the lack of an industry-wide definition of a smoker.

Definitions, proposal forms and questionnaires can vary from one insurer to another. As a result, individuals should carefully review the questions being asked and provide complete responses.

“If applicants are uncertain about what needs to be disclosed, it is essential to understand completely [from the insurer] and provide accurate information [before submitting their application],” said Srinivasan.

How long does it take to qualify as a non-smoker?

For individuals who have quit smoking, becoming eligible for non-smoker premium rates does not happen immediately.

“Generally, insurers require you to be completely tobacco-free for at least 12 to 24 months to qualify for non-smoker premium rates,” said Sarita Joshi, Head of Health and Life Insurance at Probus.

The situation becomes more complicated if a former smoker resumes the habit years after purchasing a policy. Srinivasan said, “Even details that may seem minor to an individual can be important in underwriting a policy and ensuring smooth claim settlement later.”

“If you pick up smoking again 4 to 5 years after your policy is active, your existing policy continues as per the original terms and conditions. However, if you try to increase your coverage, renew a term policy, or buy a new plan later on, you must legally declare that you started smoking again. Lying at that stage is considered fraud and can completely ruin a future claim,” said Joshi.

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