NON SENIOR
ALS (Amyotrophic Lateral Sclerosis)
Atrial Fibrillation (AFib)
Aseptic Meningitis
Astrocytoma
Ataxia
Autism
Autonomic Neuropathy
AVM
Barrett’s Esophagus
Bell’s Palsy
Bipolar
Bilateral Peripheral Disease
Blood Clots
Brain Injury/Trauma
Carcinoid Tumors
Cardiomyopathy
Celiac Disease
Cerebral Palsy
Chiari Malformation
COPD
Chronic Bronchitis
Chronic Kidney Infections
Cirrhosis
Deep Vein Thrombosis (DVT)
Dementia
Down’s Syndrome
Emphysema
Encephalitis
Factor 1-13
Fatty Liver Disease
Guillain-Barre Syndrome
Hashimoto’s Disease
Heart Murmur
Hepatitis B/C
Hemophilia
Histoplasmosis
Huntington’s Disease
Hydrocephalus
Kawasaki Disease
Kidney Dialysis/Disease
Leukemia
Leukodystrophy
Lupus
Lymphoma
Manic Depression
Mardn’s Disease
MDS
Meningitis
Mental Retardation
Multiple Sclerosis (MS)
Muscular Dystrophy
Myasthenia Gravis
Myocarditis
Neurofibromatosis
Nephritis
Organ Transplant
Osteodystrophy
Pancreatitis
Paralysis
Parkinson’s Disease
Polycythemia Vera
Polycystic Liver Disease
Pot’s Syndrome
Protein S Deficiency
Pulmonary Embolism
Raynaud’s
Rhabdomyolysis
Sarcoidosis
Scleroderma
Schizophrenia
Sepsis
Spina Bifida
TachycardiaTransposition of Greater Arteries
Abilify (Aripiprazole)
AlcoBuse
Anastrozole (Arimidex)
Aricept (Donepezil)
Bupropion
Camptosar
Coumadin
Dilaudid
Effient
Eliquis
Exelon
Femara (Letrozole)
Fentanyl
Fragmin
Heparin
Hydromorphone
Interferon
Invega (Paliperidone)
Lamotrigine (Lamictal)
Latuda
Lithium
Lovenox
Methadone
Morphine
MS Contin
Naltrexone
Oxycodone
Plavix
Rexulti
Risperidone
Seroquel (Quetiapine)
Suboxone
Warfarin
Xarelto
Ziprasidone
Alcoholism
2 DUI and still drinks
DUI within 1 year
Combination alcohol & drug or arrest history
Voluntary alcohol treatment – sober less than 1 year
16–35 drinks per week / 4–6 drinks daily / drinks almost daily
Voluntary treatment & still drinking
Arrest
Misdemeanor within 1 year
Combination alcohol & drug history
Multiple arrests
Starting parole/probation within past 5 years
Any manslaughter/murder charge
Auto Immune
Lupus
Hashimoto’s
Rheumatoid arthritis (disabled/degenerative/severe)
Marfan syndrome
Multiple sclerosis (depending on severity/meds)
Other auto immune disorders
Back / Joint
Narcotic pain medication daily
Multiple narcotic pain meds
Benzodiazepines + narcotics
Surgery within 6 months
Rheumatoid arthritis
Multiple pain medications
Currently disabled due to injury
Fentanyl patches
Neurological disorders
Spinal disorders
Prescription high strength opiates
Cancer
Treatment within 2 years
Spread to lymph nodes within 10 years
Brain tumors
Recurrence
Preventative cancer medications
Depression
Bipolar or antipsychotic medication
Benzos + narcotics
3+ depression/anxiety meds
Hospitalization within 6 months
PTSD
Disabled due to depression/anxiety
Diagnosis within 6 months
Under age 18 depression/anxiety
Mood/personality disorders
Diabetes
Insulin
Insulin pump
A1C 12 or 160+ reading
2+ diabetes medications
Not seen doctor in 1 year
Hospitalization within 1 year
T4 build = uninsurable
Diagnosis within 6 months
Drug
Drug use before age 18
Drug use within 5 years
Combination alcohol/drug/arrest
Treated for abuse & current use
Marijuana or drug use within 2 years
Opiate dependence meds
Refused for drug abuse & current use
Any drug history
Daily narcotics
Prescribed high strength opiates
Heart/Circulatory
More than 1 stroke
Heart attack/stroke under 40
Heart attack/stroke & smokes
Within 2 years
Stents/pacemaker/defibrillator
Blood thinners
Disabled due to heart/stroke
Within 5 years
Multiple heart meds
Blood disorders
Blood clot history
High Blood Pressure
160+ systolic
100+ diastolic
No doctor in 1 year
HBP hospitalization within 1 year
Build ratio T5+
2+ HBP meds
Not under control
Diagnosis within 6 months
Multiple conditions
Medication patches
Respiratory
Emphysema/COPD
ER within 6 months
Hospitalized pneumonia within 6 months
Asthma under age 3
Sleep Apnea
Not following treatment
Overweight (T5) + HBP/Diabetes
Oxygen use
Seizure
Grand mal within 2 years
Multiple seizure meds
Miscellaneous
Height/Weight T8+ (T12 Seniors)
10+ lbs under average
Over age range (children)
Previously declined
No SSN – max $50,000
App within 3+ collections
Adopted child missing paperwork
Surgery within 6 months
Unemployed/self employed/retired under 60
Pending diagnosis
Organ transplants
Chronic pain
Head/brain injuries
Residency issues
Canada: Missing SIN / not in country 12 months
Cancer
Any internal cancer treated within past 2 years
Metastatic cancer treated within past 10 years
Acute leukemia within 5 years
Chronic untreated leukemia less than 2 years from diagnosis
Lung cancer treated within 5 years or current smoker
Pancreatic cancer treated within 5 years
Hodgkin’s lymphoma treated within 2 years
Non-Hodgkin’s lymphoma treated within 2 years
Diabetes & Related
Diabetes with Overweight T6 or higher
Diabetes with kidney disease
Insulin diabetes with stroke, heart disease, or peripheral artery disease
Insulin diabetes not seen by doctor within 2 years
Habits / Drugs / Alcohol / Arrest
Alcohol treatment and still drinking or sober less than 1 year
Alcohol treatment with hard drug history and clean less than 5 years
Drug use or drug-related arrest within 2 years (excluding marijuana)
Multiple DWIs (2 within 5 years, last within 2 years)
3+ DWIs and drinking within past year
Combination of opiate and benzodiazepine medications
Felony arrest starting probation/parole within past 5 years
Multiple arrests (2+) with last within 5 years
Misdemeanor with probation within 1 year
Marijuana use with prior alcohol treatment, hard drug use, or felony
Currently incarcerated
Heart / Circulatory / Blood
Angioplasty, bypass, heart attack, or angina within 6 months
Heart attack under age 40
Congestive heart failure within 1 year
Multiple heart attacks
Stroke within 1 year or multiple strokes
Defibrillator implant
Coronary artery bypass – multiple surgeries
Peripheral vascular disease with surgery
High blood pressure hospitalization within 1 year
Sickle cell anemia under age 21
Misc Medical Disorders
Alzheimer’s disease
HIV/AIDS
Kidney dialysis
Kidney transplant within 1 year
Pancreas transplant within 1 year
Severe or rapidly progressive multiple sclerosis
Over build chart limits
Severe/disabling rheumatoid arthritis
CREST / severe scleroderma
New seizure diagnosis within 6 months
Grand mal seizure within 2 years
Suicide attempt within 2 years
Weight loss surgery within waiting period (band 3 months / bypass 6 months)
Hydrocephalus under age 19 or recent diagnosis
Cirrhosis within 3 years
Cystic fibrosis
Severe COPD using home oxygen with cardiac failure
Recent hepatitis under treatment
SENIOR
Anastrozole (Arimidex)
Azathioprine (Azasan, Imuran)
Bicalutamide (Casodex)
Buprenorphine
Calcitrol (Rocaltrol, Vectical)
Calcium Acetate
Camptosar
Capecitabine (Xeloda)
Cinacalcet (Sensipar)
Cyclosporine (Sandimmune, Neoral, Gengraf)
Dilaudid
Donepezil (Aricept)
Exemestane
Lanthanum Carbonate (Fosrenol)
Lamotrigine (Lamictal)
Latuda
Letrozole (Femara)
Memantine (Namenda)
Methotrexate (Otrexup, Xatmep, Trexall, Rasuvo)
Morphine
MS Contin
Mycophenolate Mofetil
Mycophenolic Acid (Cellcept, Myfortic)
Renvela (Sevelamer)
Risperidone
Rivastigmine (Exelon)
Tacrolimus oral form (Envarsus, Prograf, Astagraf XL)
Fentanyl XR
Galantamine (Razadyne, formerly Reminyl)
Hydroxyurea (Droxia, Hydrea)
Tamoxifen
Xarelto
BUILT CHART (HEIGHT/WEIGHT)