Description: The rapid economic development of Asia has ushered in profound lifestyle changes, particularly in urban centers. Increased disposable income, urbanization, and the proliferation of convenient food services have contributed to dietary habits associated with elevated health risks. Among these, insulin resistance (IR)—a metabolic condition linked to diabetes, hypertension, and cardiovascular diseases—has emerged as a critical yet underrecognized threat. IR is also strongly associated with an increased risk of dementia, particularly Alzheimer's disease and vascular dementia. For life and health insurers operating in markets such as Greater China and Southeast Asia, traditional underwriting methods face significant challenges in accurately assessing these evolving risks. This article investigates the limitations of conventional approaches and explores the potential of continuous underwriting methodologies to better align risk assessment with dynamic lifestyle factors.

Description: Milliman was engaged by the SOA to conduct two Accelerated Underwriting (AU) surveys, one of direct companies and another of reinsurers. The surveys explored actual results from 2019–2021 and expected results from 2022.