With guaranteed issue policies, almost everyone is accepted regardless of age or medical history. You sometimes hear these policies called “Guaranteed Acceptance Life Insurance.” These policies are generally more expensive than underwritten policies because there are no health questions. Guaranteed-issue policies typically have graded death benefit provisions that reduce the death benefit within the first few years of the policy. With an underwritten policy, the insurance company evaluates your medical history to determine if it will accept the policy. Medical underwriting may also be used to determine the price of the policy.