The Geneva Association: Life Insurers Should Prepare for Implications of Genetics in Highly Fragmented Regulatory Landscape
The use of genetic information for life, disability, critical illness and long-term care insurance is likely to increase in spite of a highly fragmented regulatory environment. The growing availability of genetic testing at ever lower prices is already giving insureds the option to purchase online “direct-to-consumer” tests. One of the questions raised is whether policyholders should be required to share their genetic information with life insurers.
The paper focuses specifically on the regulatory implications of genetic testing.
A crucial implication of widespread use of genetic information in insurance is anti-selection by individuals who discover, after taking a genetic test, that they are pre-disposed to certain medical conditions.
“Voluntary insurance is based upon the principle of pooling of like risks. When a potential policyholder has information about his or her health that is not shared with the insurance company, this could lead to anti-selection where poorer risks purchase more insurance and better risks purchase little or no insurance. An insurer would find it extremely difficult to cover claim payments with existing revenues for pools in which there were many anti-selective risks,”
The asymmetry of information may distort the functioning of insurance markets, as insurers would lack information that would help them better price the risk. The asymmetry would also affect insureds who avoid taking medical or genetic tests due to fear of being denied insurance, which could adversely affect their health.
“Life insurers need to closely monitor trends in genetic science and proactively engage with stakeholders (including regulators, medical professionals, industry groups, and genetic counsellors) to agree reasonable ‘self-regulation’, in order to pre-empt regulation in the future,” said
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