How Health and Lifestyle Affect Life Insurance Rates in Canada
Workouts and diet aren’t scored on their own, but the measurements they improve can earn a better rate when you apply, and sometimes later through a rating review.
Insurers throw a wide net over everyone. Applications don’t ask how often you work out or what you eat. What they check is what your lifestyle leaves on your file: your weight, your nicotine use and, when the application calls for them, blood pressure and lab tests.
PB
By Parvesh Benning, Licensed Life Insurance Broker
Updated October 18, 2026

How Health and Lifestyle Affect Life Insurance Rates in Canada
Workouts and diet aren’t scored on their own, but the measurements they improve can earn a better rate when you apply, and sometimes later through a rating review.
Insurers throw a wide net over everyone. Applications don’t ask how often you work out or what you eat. What they check is what your lifestyle leaves on your file: your weight, your nicotine use and, when the application calls for them, blood pressure and lab tests.
PB
By Parvesh Benning, Licensed Life Insurance Broker
Updated October 18, 2026

Preferred rates, the discounted classes insurers keep for their healthiest applicants, are a difficult thing to get. Every insurer draws its own line, and in my experience a preferred offer is much rarer than a standard one.
↓ Below the regular price
Preferred tiers
Strict limits on build, blood pressure, cholesterol, nicotine and family history.
= The regular price
Standard
Plenty of healthy people land here, and it’s a good result.
↑ Above the regular price
Rated
An extra premium for a specific health finding, sometimes reviewable later.
So if your offer comes back at the standard rate (the regular price, with no discount and no surcharge), it doesn’t mean you aren’t healthy. It just means you didn’t qualify in their very best bracket. Since each insurer sets that bar differently, it pays to have an independent broker look at more than one insurer before you apply anywhere.
Skip to what applies to you
- 01Does a healthy lifestyle lower your rate?
- 02What insurers measure, and never ask
- 03Exercise and weight loss
- 04Getting a rating removed after you get healthier
Paying extra for a health rating? Start here. - 05Vegan, vegetarian and keto diets
- 06Smoking, vaping and cannabis
- 07Alcohol, driving, hobbies and family history
- 08Common questions
Does a Healthy Lifestyle Lower Life Insurance Rates in Canada?
A healthy lifestyle doesn’t lower your life insurance rate on its own. Truth be told, underwriting misses the mark on how healthy a person actually is: none of the applications I submit ask how often you exercise or what you eat. Your habits only count once they show up in something an insurer measures.
A client wrote to me after his nurse visit, annoyed, and I understood why. He trained most days and couldn’t see where any of that went on the application.
Same build, same line on the chart
My client
5’10”, 195 lb
Works out 5 to 6 times a weekResting heart rate 55 to 58
His hypothetical comparison
5’10”, 195 lb
InactiveResting heart rate around 90
↓ On the build chart, both start as
Blood pressure and blood work can still separate them, and anything his fitness did to those numbers would count. The workouts themselves don’t.
I told him he had a point. Insurers make assumptions based on certain criteria, and those criteria often miss the entire picture. You won’t change that on one application, so the useful question is where your habits do get counted.
Timing is the other catch. Your insurance is underwritten as of the time that you apply, so a routine you start next month can’t help an offer issued today. It can help later, though.
Where a healthier lifestyle can still move your price
When you apply
Your measurements
BuildBlood pressureBlood workNicotine test
Better numbers can mean a better class. The workouts behind them aren’t scored.
After you’re insured
A rating review
Paying extra for a health finding? Some insurers will take another look once better results have held. Often that’s about 12 months, but it varies by insurer and by what caused the rating.
The review is nearly identical to applying as a new policy.
After you’re insured
An activity program
On certain Manulife policies issued with Vitality Plus, your activity status moves your premium savings up or down.
It’s a wellness score, not a health rating. How Vitality works
If an insurer has already flagged you as a higher risk, it helps to know what insurers treat as high risk before you count on a new routine to fix it. Some of it, like blood pressure or nicotine, really can move. Some of it can’t.
What Canadian Insurers Actually Measure (and What They Never Ask)
Canadian insurers measure what your lifestyle leaves behind, not the lifestyle itself. Most of it comes from your application and, depending on your age and coverage amount, a short nurse visit with blood and urine tests. None of the applications I see ask about exercise or diet.
Not all fully underwritten plans are created equal when it comes to questions and how they’re asked. The same categories still turn up on every one I submit, though, and the nurse visit and lab work fill in the numbers.
A high blood pressure reading at the nurse visit doesn’t automatically mean a rating. Often the insurer asks for a recheck first, and your readings over time and any treatment history matter more than one number. It happens more than people think, and I tell clients not to be alarmed. If the readings stay high, how blood pressure and cholesterol get rated depends on the numbers and the insurer.
If you’re taking a medication, your blood pressure should fall in a normal range. For standard rates, that’s often enough. The preferred tiers are a different story.
Standard rates
The regular price
Preferred tiers
The discounted classes
Blood pressure
Treated and controlled is often fine
From about 125/75 to 155/90, by age and tier
Cholesterol
Treated and in range is often fine
Ratio around 4 to 5 at the top, up to about 6.5 below it
Medication
Fine when it is doing its job
At some insurers, the top tier rules out ever having taken blood pressure or cholesterol medication
Limits vary by insurer and age, based on current carrier guidelines and subject to change. How each rate class works
Skipping the nurse visit doesn’t skip the checking. Many providers under age 50 will put a large amount of coverage in place without any sort of nurse visit, through accelerated underwriting. They still check the Medical Information Bureau (MIB), which holds coded findings from past applications to member insurers, so your answers need to line up with what’s already there.
How Exercise and Weight Loss Show Up on Your Application
Exercise and weight loss show up on your application through your height and weight, and through one question about how much you’ve lost in the past year. Insurers compare your build with their own charts, and those charts don’t agree with each other.
Not every company is equal as it relates to height and weight charts. Once you’re over a certain height and weight they’ll do a risk rating, and where that line sits varies by company. That’s why I keep the different insurers’ charts side by side.
At 5’10”, where standard rates end for build alone
Each band is drawn to scale, from 200 to 360 lb
Under about 230 lb
BMI under 33. Standard at every insurer I compare.
About 230 to 268 lb
Standard at some insurers, rated at others.
About 268 to 335 lb
Rated everywhere, from about 1.25 to 3.5 times the standard price.
About 335 to 360 lb
Most charts stop offering coverage somewhere in here.
Build alone, before any other health factors. Based on current carrier build charts, illustrative only and subject to underwriting and change.
Muscle doesn’t get a pass. None of the build charts I work with has an allowance for a muscular frame, so a gym regular and a desk worker at the same height and weight start on the same line.
Where fitness can still help
Just over the line is where good numbers earn their keep. At least one insurer’s guide says that going over its chart doesn’t automatically mean a rating, and that it may look at favourable vital signs, like a healthy blood pressure, to see whether a build rating can be reduced.
Then there’s the weight-loss question. Lose a lot in a year and the application asks about it, because, as I put it to clients, they’re basically asking whether there’s some unknown reason you’ve lost all this.
The same question, four ways (past 12 months)
Lost more than 10 lb?Lost more than 20 lb?Lost 9 kg?Lost 10% of your body weight?
How some insurers count it
A year ago
250 lb
Today
220 lb
What gets rated
235 lb
Some insurers add back half of what you lost in the past year, whether it came from diet, exercise or surgery. Planned, gradual loss you’ve kept off reads well. Loss you can’t explain can mean a postponement.
So should you lose the weight first and apply later? I think that’s very risky advice. The risk for insurance may exist today, and there’s nothing wrong with finding the right coverage today at the most effective price and using it as a bridge to something cheaper down the road.
Things can happen at any time. A weight-related issue like sleep apnea can turn up while you wait, and the cost of putting coverage off is usually bigger than the rating you were trying to dodge.
Can a Life Insurance Rating Be Removed After You Get Healthier?
Often, yes. If you were rated, meaning charged extra for a health finding, and the cause is something you can change, like your weight or your blood work, many insurers will look at the rating again once better results have held for about a year. It isn’t automatic: you ask, they check you again, and they decide.
Here’s one file from start to finish. When the offer came in, I told the client the insurance company deems the risk slightly elevated and is giving an approval at 1.5 times the standard premium. The positive news is we do have an offer of coverage.
One client’s file, start to finish
1The offer
Rated at 1.5 times standard for build and abnormal blood work, and placed at smoker rates. The insurer noted it may reconsider after a year, once a doctor found the cause and the results were back within normal limits.
2Three options I laid out
Accept as offered. $8,985 a year at the original amount, then ask again in a year.
Lower the amount. $500,000 for $6,432.50 a year. This is the one he chose.
Hold and apply elsewhere. No new medical needed, but it takes a couple of weeks.
3Twelve months later
The insurer agreed to look again. That meant a policy change application, new blood work and vitals, and a full health update, which disclosed everything, including occasional edible cannabis.
4The result
Rating removed and non-smoker rates approved, a little over a year after the policy started.
One detail did a lot of quiet work. We kept the original issue date, so he held the age he was priced at. If you change policies or start over, you’re priced at your age that day, which is why saving age matters more than people expect.
Same $500,000 policy, yearly premium
Year one: 1.5 times standard, smoker rates
$6,432.50
After the review: standard, non-smoker
$1,435
$4,997.50
less every year, about 78% lower
Refund cheque
$4,586.75
The credit on his account. The new price ran from the change date.
One client’s file, shown as an example only. Your result depends on the insurer and your full health picture, and a review can come back unchanged.
I recommend asking whenever the cause of a rating has genuinely changed, as there could be a significant savings. Just go in knowing how the review works.
And watch your timing on new prescriptions. In my experience, a brand-new cholesterol or blood pressure medication often means the insurer wants to see stability first, sometimes six months, sometimes a year. The medication itself is not the concern. It’s the underlying reasons.
How a rating review actually works
It’s a request
The insurer may reconsider. It doesn’t have to.
You’re checked again
Expect new blood work, vitals and a full health update.
The clock
Often about 12 months of normal results. At least one insurer waits until the policy is two years old.
Savings run forward
The lower price starts from the change date. Any refund is a credit on premium already paid.
Ask for everything at once
Nicotine-free for 12 months? Ask for non-smoker rates in the same review.
Not sure if yours is due? When to review your policy
If the offer in front of you is 1.5 times standard or more, price the alternative before you sign. At that level a no-medical plan can sometimes match or beat the rated premium. These simplified issue plans ask fewer health questions and usually skip the nurse visit, but they’re still underwritten and your answers are binding, so I price both before anyone signs.
Vegan, Vegetarian and Keto Diets: What Insurers See
Being vegan, vegetarian or on a keto diet doesn’t change your life insurance rate directly in Canada. Insurers don’t ask about your diet. They see its effects on your weight, cholesterol and blood sugar, the same as they would for anyone else.
How often you eat out isn’t asked either. A diet only matters to an insurer through the numbers it produces.
The exception is a diet your doctor put you on to manage a condition. In that case, the condition is what gets disclosed and assessed.
Why are you on the diet?
Your own choice
Nothing to disclose about the diet itself. Your weight and blood work speak for it.
Doctor’s advice for a condition
Disclose the condition, such as type 2 diabetes or high cholesterol. Insurers look at how well it’s controlled.
If your numbers sit close to a line, which insurer you apply to matters more than what you eat. Charts and limits differ from one insurer to the next, and that is something a broker can check before you apply.
How Smoking, Vaping and Cannabis Change Your Rate
Nicotine is the single biggest lifestyle factor in what you pay for life insurance in Canada. Using any nicotine in the past 12 months, vaping included, usually puts you at smoker rates, often two to nearly three times the non-smoker price for the same coverage. Cannabis is handled differently, and many insurers treat occasional use as non-smoker.
That fundamentally changes things on the cost side. It’s not the physical, it’s the cost. In the insurance world, you’re considered a smoker if you have smoked in the last year, and that covers vaping and other nicotine too.
Same coverage, different nicotine answer
$500,000, 20-year term, age 40, as low as per month, standard class
Man, 40
Non-smoker
$44
2.9×
Smoker
$126
Woman, 40
Non-smoker
$32
2.8×
Smoker
$91
Each figure is the lowest available in its column, which can come from different insurers. Across ages 30 to 60, smoker rates for this coverage run about 1.9 to 2.9 times the non-smoker price. Based on current carrier rates, illustrative only and subject to underwriting and change. More on what life insurance costs in Canada.
When your application includes a lab test, that settles it. Cotinine is a byproduct of nicotine and is used by insurers to determine recent nicotine use, including smoking, vaping, or even nicotine replacement therapies such as patches or gum. Nicotine pouches count too, and every insurer asks about nicotine, so switching insurers doesn’t get around it.
If you smoke and plan to quit, I put in place the shortest term possible right now, because you’d have a smoker rate right now. It doesn’t make sense to lock in the longer term at the higher number.
Path A
Lock in 20 years as a smoker
$126 /month
Smoker rates until you qualify for a change. Several insurers let you ask for non-smoker rates on the same policy after 12 nicotine-free months, with a health update and a urine test. At least one caps that change at standard non-smoker; its preferred classes need a new application.
Path B: the bridge
Now
10-year smoker term from $68 a month
12 months later
Nicotine-free, with a clean test
Then
Reapply as a non-smoker. Today that’s from $44 a month at 40
The new application is underwritten at your age then.
The trade-off. Path A costs about $58 a month more while you quit, but your 20 years of coverage is already in place if your health changes. Path B costs less now, but the longer term means qualifying again later, at an older age. Either way, I am not aware of any insurance company that automatically converts to non-smoker rates without some level of qualification.
Man, 40, $500,000, as low as per month based on current carrier rates. Illustrative only and subject to underwriting and change.
Cannabis is where insurers disagree the most. The questions are how often, in what form, and whether tobacco is mixed in, and the same honest answer can land very differently depending on where the file goes.
One client, daily cannabis edibles, five insurers
Same person, same answers, checked in 2022. Rules change, so this shows the spread, not today’s offers.
Insurer A
Non-smoker rates
Insurer B
Non-smoker, simplified plan
Insurer C
1.5 times standard
Insurer D
Smoker rates
Insurer E
Declined on full underwriting
Mixed with tobacco, cannabis usually means smoker rates. Vaped cannabis splits insurers too.
So say exactly how often and how you use it. That one answer decides which insurer gets the file.
Alcohol, Driving, Hobbies and Family History: What Gets Asked
Alcohol, driving, hobbies and family history are asked on the application rather than measured, and each is judged on how often, how recently and how much detail you give. Moderate drinking, an ordinary driving record and everyday hobbies usually don’t change the price. Heavy drinking, a recent impaired driving charge or frequent high-risk activity can mean a rating, a flat extra or an exclusion, and sometimes a postponement or decline.
For anything unusual, I send a preliminary first, an anonymous check with an underwriter before you apply. It doesn’t include any of your information. I simply say, here’s a male this age, this is the profile, how would you underwrite this? It’s better to have that feedback prior to applying than just applying and getting a rating.
Alcohol
What they ask
Drinks per week, by type, and any past treatment. Liver enzymes show up on blood work.
What moves the price
Moderate drinking often isn’t an issue, and at least one insurer’s guide says mild or moderate use is usually disregarded. Another rates five or more drinks a day from double the standard price to a decline.
No changeRatingDecline
Driving
What they ask
Tickets, suspensions and impaired driving charges, over a look-back period that varies by insurer.
What moves the price
For a single offence, two insurer guides I work with show a flat extra of about $2.50 to $5.00 per $1,000 once the suspension ends, sometimes after a wait. Another declines within a year of the offence. Two in five years usually means a decline.
No changeFlat extraPostponedDecline
Hobbies
What they ask
A questionnaire on how often, how high or deep, your training, and what you plan to do next.
What moves the price
Frequent or extreme activity, and plans to do more of it.
No changeFlat extraExclusion
Family history
What they ask
Parents and siblings diagnosed with heart disease, cancer, stroke or diabetes before about 60 or 65.
What moves the price
Mostly whether you can reach a preferred tier. The best tier usually wants no parent or sibling affected before 65.
No changeMisses the top tier
A flat extra is a set charge per $1,000 of coverage, added to the regular premium. Based on current carrier guidelines and subject to change.
Family history plays a part in life insurance underwriting, but frankly is not as impactful as it would be on say a critical illness insurance policy. Where it shows up is the preferred tiers, and in my experience most offers come back at standard anyway. One client whose father had cancer before 65 missed the top tier by about $10 a month.
Insurers don’t usually love skydiving. Even so, two jumps in a year came back tentatively standard for one client. A third would have pushed us to simplified coverage.
Three hobbies, three different outcomes
Standard
Ski touring, 10 years, avalanche-trained
He wrote his own description of how he picks conditions. Approved standard, no exclusion.
Flat extra
Glider pilot, about 220 solo hours
One insurer’s range: an extra $2.50 to $7.50 per $1,000 of coverage, higher for newer licences.
Exclusion
Guided off-piste skiing abroad
Offered an extra $3.00 per $1,000, or an exclusion for the activity. He took the exclusion.
What to describe, accurately and in detail
How oftenHow high or how deepYour trainingWhat you plan to do next
An exclusion means a death caused by that one activity isn’t covered. The rest of your coverage stays in force under the policy’s usual terms. Real client files, de-identified; outcomes vary by insurer.
If there’s a ticket, a hobby or a family diagnosis you’re unsure about, that’s exactly what a preliminary check is for. It gets you an answer before anything goes on your record, and our guide to life insurance for hazardous activities covers the hobby side in more depth.
Common Questions About Lifestyle and Life Insurance
Nicotine and your measurements move the price, habits on their own don’t, and almost everything else depends on which insurer sees the file. Here is how that plays out on the questions people ask most.
Q1
Does a cigar count as smoking for life insurance?
Often not, if it’s occasional, you disclose it, and the nicotine test comes back negative. Many insurers keep occasional cigar smokers at non-smoker rates.
Cigar limits I see across insurers
A few a yearAbout 12 a yearAbout one a weekTop preferred tiers may allow none
Q2
How long do I have to quit smoking to get non-smoker rates?
At most insurers, 12 months free of all nicotine, including vaping, gum and patches. After that you can apply as a non-smoker or ask your insurer to review your class, which means underwriting again. The best preferred non-smoker tiers usually want two to five years, and at least one insurer has in-between classes for people off cigarettes who still use cigars, pipes or nicotine replacement.
Q3
What if my blood pressure reads high at the nurse visit?
Often the insurer asks for a recheck first rather than rating you on one reading, and your readings over time and any treatment history matter. The other times I’ve seen blood pressure up, some people simply have white coat syndrome, and a calm, rested reading tends to settle it.
Q4
Does Ozempic or weight-loss medication affect life insurance?
None of the underwriting guides I have names Ozempic. Insurers assess the condition it treats, such as type 2 diabetes, and your current weight, and at least one guide asks about medications used for weight loss. Disclose it, and ask how any recent loss will be counted, because the weight-loss question can still apply.
Q5
Will the insurer find out if I don’t mention vaping or cannabis?
Often, yes. If your application includes a urine or saliva test, the nicotine test picks up cigarettes, vapes, pouches, gum and patches. It doesn’t detect cannabis or nicotine-free vapes, though some insurers can ask for a separate urine test for cannabis. Insurers also check the Medical Information Bureau, which holds coded findings from past applications to member insurers. A misstatement can let the insurer challenge the policy or deny a claim, especially in the first two years, so disclosing is the safer route.
Q6
Will losing weight lower my life insurance premium?
On a policy you already have, it can help if your rating was tied to your build or to results weight affects, like blood pressure or blood sugar. Some insurers will review the rating once the change has held, often about a year, though it varies by insurer and by what caused the rating, and other improvements mean applying for a new policy instead. On a new application, a big loss in the past year may be partly added back, so when you apply matters.
What to Do Before You Apply for Life Insurance
Check where your numbers land, apply for what’s affordable now, and revisit once better results have held. What I always say is it’s okay to put in place today what’s affordable and gives you some peace of mind.
1
Check your numbers first
Build, blood pressure, blood work and nicotine. Anything unusual gets an anonymous preliminary check before an application exists.
2
Get covered now
Take what’s affordable today. A rated or smoker offer can be a shorter bridge rather than a 20-year commitment.
3
Revisit once it has held
For many insurers that’s about a year of better results, or a year without nicotine. Some want longer, so I check the rule before we ask for a review or reapply.
I have had situations where a client has waited and unfortunately something else has come up health-wise that meant what they qualified for prior is no longer an option. So apply, put in place what makes sense today and reevaluate, because you never know what might change.
That’s also why I reach out to clients every year. If a health condition is already part of your picture, our guide to life insurance with a medical condition goes deeper.
Want to know where your numbers land before you apply?
Talk to a broker directly. I compare nearly 20 insurers and can run an anonymous preliminary check before anything goes on your record.
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