How life insurance premiums are worked out

What decides the price of your life insurance: your age, health, smoking, job, and how much cover you want for how long. Plus the difference between guaranteed and reviewable premiums, how indexation raises both cover and cost over time, and where to complain if you think a premium has been handled wrongly.

How life insurance premiums are worked out

There is no fixed price for life insurance. Premiums are based on your age, health and lifestyle, along with how much cover you want, how long you want it to run and what kind of policy you choose1. To give a sense of the spread, one analysis of job-based pricing found cover could cost as little as £4.68 per month, or as much as £342. Two people the same age can therefore be quoted very different amounts for the same sum insured, and the same person can be quoted very different amounts by different insurers.

The price is set when you apply, through a process called underwriting, and the terms you are offered can depend on the insurer's own appetite for the particular risk you present3. After that, how the premium behaves over the years depends on one big choice made at the outset: whether the premiums are guaranteed or reviewable. Guaranteed premiums are fixed for the whole term. Reviewable premiums start lower but the insurer has the right to increase them at periodic reviews, typically every five years.

What an insurer looks at when pricing your cover

When an insurer calculates a premium, it considers a variety of factors, and the result varies depending on the insurer, the individual circumstances of the policyholder and the particular risks the insurer is being asked to cover3. Life insurance is most often underwritten on your personal circumstances rather than on averages, which is why applications ask detailed questions about your health, family medical history, occupation and habits8.

The factors insurers weigh are broadly consistent across the market. Post Office states its life insurance premiums are calculated based on your age, health, smoker status, occupation, lifestyle and the amount of cover you want9. Legal & General lists the health and lifestyle factors that affect the price as your age, your health history including family medical history, your alcohol usage and smoker status including vaping, your weight (Body Mass Index), and any risks linked to your occupation or hobbies10. Which? adds the shape of the policy itself to the list: the coverage amount, the policy type, the term length and any optional extras all feed into the price11.

The amount you apply for matters in another way too. Even if the total you are applying for is reasonable for your circumstances, each insurer will have a maximum amount it is prepared to risk per customer with your risk profile, so very large sums may need to be split across more than one insurer12. For joint policies, the assessment covers both lives: insurers look at age, health and medical history, smoking or vaping, the amount of cover, occupation, the length of the policy, the type of joint policy and any optional extras13.

In practice, this means the quote you see on a comparison site or from a broker is provisional until the insurer has underwritten the application. Answering the questions fully and honestly matters, because the premium the insurer finally offers reflects what the answers show, and a claim can be affected if material information was left out. The guide to applying for cover explains the medical questions and underwriting process in detail, and answering an insurer's questions honestly covers what happens if information is missed.

Your age, health and lifestyle

Age is the most consistent driver of price: the older you are, the more expensive life insurance becomes1. Standard life insurance is priced on your age, your health and your lifestyle, including smoking, drinking and dangerous activities14, and Santander lists the cost factors as how old you are, your overall health, what your lifestyle looks like and how much cover you need15.

Health conditions push premiums up where they increase the risk of dying early1. Insurers may consider someone with a pre-existing condition high risk, which could mean a more expensive premium and possibly a medical examination before cover is granted16. For people who have or have had cancer, if cover is available at all it is likely to cost more than the average monthly premium17. Once a policy is in place, however, the premiums cannot be increased because of a later cancer diagnosis18.

Smoking and nicotine use are treated firmly. Life insurance premiums are generally more expensive for smokers19, and insurers weight premiums for people who use vapes, gum and patches the same as for those who smoke cigarettes18. Lifestyle choices such as high alcohol consumption, dangerous sports and motorcycling can also push premiums up1. Occupation matters as well: one analysis of job titles found the same person's quote ranged from £4.68 to £34 a month depending on the job declared2.

Age changes the price sharply, and real quotes show how. In a comparison of £300,000 of life insurance plus £75,000 of critical illness cover over 20 years, a 30-year-old non-smoker was quoted £22.48 a month by Vitality, while 50-year-olds were quoted £103.69 by Vitality, £127.45 by LV and £155.23 by Legal & General for the same cover20. The guide to getting cover with a pre-existing medical condition covers the options when health is an issue, and how much life insurance cover you need helps with the other side of the price equation: the sum insured.

Guaranteed or reviewable premiums: how each one behaves

Most life insurance offers a choice between two premium structures. Post Office explains that you will be offered either guaranteed or reviewable premiums, depending on which policy you choose21. The choice determines what happens to the price for the next decade or more, so it is worth understanding before signing up.

With guaranteed premiums, the amount you pay for your cover is fixed until the end of your policy21. With reviewable premiums, the insurer periodically assesses and adjusts your premiums based on risk and economic factors, such as interest rates or advances in medical treatment21. Family income benefit policies offer the same choice: guaranteed premiums fixed for the whole term, or reviewable premiums that cost less initially but may be increased on regular review22. Critical illness cover works the same way, with guaranteed premiums costing more to start with and reviewable premiums reviewed usually every five years and likely to go up over time23. Whole life cover can also be written on either basis, and Cavendish Online suggests discussing your preference with an adviser first24.

The trade-off is simple. Guaranteed premiums buy certainty and pay for it upfront. Reviewable premiums start cheaper but hand the insurer a right to raise the price later, based on its financial position and its expectation of paying future claims4. Neither is inherently better: the right choice depends on whether a household would rather budget for a known higher cost now or accept the risk of increases later. The comparison page on guaranteed or reviewable premiums sets the two side by side.

Guaranteed premiums stay flat for the whole term; reviewable premiums start lower but can rise at each review.

Reviewable premiums can rise at each review, typically every five years

A reviewable premium is not a promise to hold the price. The insurer has the right to periodically review the premium and may increase it, based on its financial position and its expectation of paying future claims4. Your monthly premiums will start out at a lower level than the guaranteed equivalent4, but the structure only holds until the first review.

The review interval is set out in the policy terms, and five years is the most common pattern. Legal & General's terms state that with reviewable premiums it checks your amount of cover every five years, starting from the fifth anniversary of your policy start date5. MetLife's EverydayProtect terms allow the premium to be increased or decreased no more than once every five years25. Canada Life's Flexible Life Plan fixes premiums for the first ten years, then reviews the cost of life cover every five years, with the premium very likely to increase26. Some whole of life policies are reviewed after a set time, usually 10 years17. Pre-funded care plans, a related product, are usually reviewed every 5 years to make sure the premiums are enough to maintain the cover.

Two features soften the edges. First, small changes may not be made at all: on Legal & General's terms, if the review works out that the premium should change by less than 5%, no change is made5. Second, the premium is often guaranteed for the first few years, often the first five or 10, before the first repricing27. But the direction of travel over a long policy is upwards: some reviewable policies start with low premiums that rise at each review, and if you do not accept an increase, your cover will fall28. That last point is the one to weigh most carefully, because declining an increase does not leave things as they are, it reduces the payout your family would receive.

Guaranteed premiums are fixed for the whole term

A guaranteed premium does what the name says. With a guaranteed premium, the price you pay each month for your cover is set in stone for the entire term of the policy4. Cavendish Online puts it the same way: when you select a life insurance policy with guaranteed premiums, the monthly cost is fixed and will never increase19. For most term life insurance policies, premiums are fixed for the duration of the term29.

The certainty is what you pay for. Guaranteed premiums usually cost more to start with than reviewable ones23, because the insurer is pricing every risk it can foresee across the whole term, at today's rates, with no right to revisit. In exchange, the premium ignores later changes in the insurer's claims experience, interest rates and medical cost assumptions. Whole life insurance premiums are typically fixed and do not increase with age once the policy is in force24.

For a sense of what fixed cover costs, Which? found a 53-year-old non-smoker in reasonable health paying £7 a month for standard life insurance, a £10,000 term policy running until age 9014. Larger sums cost proportionally more, as the quotes in the age section above show. The fixed price also means the real value of a level payout falls to inflation over a long term, which is what indexation, covered below, exists to address. If certainty of outlay matters more to a household than the lowest possible starting price, guaranteed premiums tend to suit; if the starting price is the constraint, reviewable premiums cost less now but carry the risk of increases later.

Indexation: cover and premiums that rise with inflation

Indexation is an add-on that links both the cover amount and the premium to inflation. Increasing life insurance is a policy that increases over time, usually linked to inflation so the sum assured rises to reflect it7. Usually this is achieved by including indexation as an add-on to a level term life insurance policy29. You can set the cover to increase by a set amount each year or by the retail prices index (RPI) measure of inflation4.

The mechanics are consistent across providers, with variations in the index used. Vitality states that indexation changes your premium and your cover amount each year in line with the Retail Prices Index (RPI), with the amount rounded up to the nearest 0.25%6. Aviva notes that some policies use RPI and others use the Consumer Price Index (CPI)30. Zurich describes increasing cover as going up every year on the anniversary of the policy by a pre-agreed amount, designed to protect against inflation and increasing living costs31. Post Office's increasing cover ties the benefit amount to the Retail Price Index, up to a maximum annual increase of 10%9.

The cost side is the part to plan for. With whole life insurance written on an increasing basis, the sum assured increases with inflation over time, but the premiums will too24. Aviva is blunter still: along with the increase in cover, the amount you pay in premiums will also usually increase, and prices generally increase at a higher rate than the cover amount30. The starting premium, though, is usually unaffected: applying indexation generally does not change the starting premium of the policy, though some insurers may apply a slight increase, especially for income protection7, and increasing term insurance starts at the same price as level term cover4.

Indexation is decided when the policy is taken out. It is added at the application stage and it is usually not possible to add it to an existing policy7. The narrow guide to indexation on life insurance and the comparison of level or increasing cover cover the choice in more depth.

Increases under indexation are capped at 10% a year

The increases are not open-ended. Vitality states that indexation increases will never amount to more than 10% a year6. Legal & General's Increasing Life Insurance works the same way: the amount of cover increases in line with changes in the Retail Prices Index each year, up to a maximum of 10%32. Post Office's increasing cover carries the same 10% maximum annual increase9.

A worked example shows the effect on the cover amount. Aviva gives the case of a policy with a cover amount of £100,000: with a 3% per year indexation rate, the cover would increase to £103,000 in the first year30. On the premium side, Legal & General's Increasing Life Insurance terms state that with reviewable premiums the premiums increase in line with changes in the RPI multiplied by 1.5, subject to a maximum increase of 15% per annum32.

Two practical points are worth knowing. First, because premiums generally rise faster than the cover amount30, a household on a tight budget should expect the annual indexation increase to be felt, even in low-inflation years. Second, indexation increases are not health-related: once a policy is in place, the premiums cannot be increased because of a cancer diagnosis18, but indexation increases you agreed to at the outset are contractual and continue regardless. If an increase becomes unaffordable, the options depend on the insurer's terms, and the pages on changing your cover and missed premiums and lapsed cover explain what can happen next.

How premiums are paid

Life insurance is usually paid monthly. You pay a set amount every month for the insurance during the policy's term27. More generally, an insurance premium can be paid as a one-off payment, or in monthly or annual instalments, depending on the type of insurance and the term of the policy33.

How long the payments last depends on the type of policy. With whole-of-life cover you typically continue paying premiums until the end of the term or until you are 9011. Over 50s plans are stricter: you must pay the premium until you die, and if you stop paying, the entire policy is cancelled and you get nothing back14. That is a materially different commitment from a term policy, where the payments end when the term ends, and it is one reason over 50s plans need careful thought, since they often pay out less than has been paid in14.

One tax point sits behind premiums paid on behalf of someone else. HMRC treats premiums paid by you on a policy as a lifetime gift, usually covered by the annual £3,000 exemption or the "gifts out of normal income" exemption34. This usually arises when premiums are paid on a policy written in trust or on someone else's life, and the guide to writing life insurance in trust and the narrow page on life insurance and inheritance tax cover the detail.

If paying becomes difficult, the worst response is simply stopping the direct debit, especially on a whole of life or over 50s plan where that can end the policy with nothing back. The page on missed premiums and lapsed cover explains the options before that point.

Where to get help with pricing or premium disputes

If you think a premium has been calculated wrongly, increased unfairly, or a claim or complaint handled badly, there is a free route to an independent decision. The Financial Ombudsman Service can look at complaints about insurance pricing and renewals, and it explains that the premium for a policy can vary depending on the insurer, the individual circumstances of the policyholder and the particular risks being covered3. Complain to the insurer first, giving it the chance to respond, and the ombudsman can then review the matter.

For help understanding a quote or a policy's terms before buying, MoneyHelper, the government-backed money guidance service, offers free information on protection insurance, and the guide to buying protection insurance explains the roles of advisers, brokers and going direct. For people managing a diagnosis, Macmillan and other charities publish guidance on insurance and cancer, including how premiums are affected17.

The main pages on life insurance, term life insurance and whole of life insurance cover the products themselves, and is my life insurance protected if the insurer fails? explains what happens to cover if the insurer runs into trouble.

Sources34 cited
  1. What is mortgage protection life insurance Which?, 2026-09-25
  2. The most expensive jobs for life insurance premiums Which?, 2024-06-24
  3. Insurance pricing and renewals Financial Ombudsman Service, 2026-09-26
  4. Term life insurance explained Which?, 2025-12-03
  5. Reviewable premiums technical terms Legal & General, 2026-07
  6. Vitality term life insurance Vitality, 2026-09-28
  7. Increasing term life insurance Cavendish Online, 2026-09-26
  8. Accidental death insurance explained Which?, 2025-11-20
  9. Young adults life insurance guide Post Office, 2026-08-11
  10. What is life insurance Legal & General, 2026-03-25
  11. Types of life insurance policy Which?, 2025-05-16
  12. Multiple life insurance policies explained Which?, 2025-11-20
  13. Joint life insurance Cavendish Online, 2026-09-26
  14. Over 50s life insurance Which?, 2025-12-03
  15. Life assurance vs insurance Santander, 2026
  16. Life insurance for people with diabetes Which?, 2026-06-25
  17. Types of insurance and cancer Macmillan Cancer Support, 2023-09-01
  18. Life insurance with cancer explained Which?, 2026-06-25
  19. Life insurance plans Cavendish Online, 2026-09-26
  20. Critical illness insurance explained Which?, 2026-08-11
  21. Mortgage life insurance guide Post Office, 2026
  22. Family income benefit insurance explained Which?, 2026-09-07
  23. Protection insurance and cancer Macmillan Cancer Support, 2023-09-01
  24. Whole of life insurance Cavendish Online, 2026-09-26
  25. EverydayProtect terms and conditions MetLife, 2026
  26. Flexible Life Plan Canada Life, 2026-09-26
  27. Types of life insurance policy Which?, 2025-05-16
  28. Should you consider life insurance to manage your inheritance tax bill Which?, 2025-10-20
  29. Term life insurance Cavendish Online, 2026-09-26
  30. Life insurance indexation Aviva, 2024-09-24
  31. Zurich life insurance guide Zurich, 2026-09-26
  32. Legal & General life insurance product page Legal & General, 2026-09-26
  33. Mental health and insurance cover Mental Health and Money Advice, 2023-09-05
  34. Ways to avoid inheritance tax Which?, 2026-04-06

Related guides

Applying for cover: medical questions, underwriting and GP reports
Applying and UnderwritingExplains what happens after you apply: the health and lifestyle questions, full medical and moratorium underwriting, tele-interviews, GP reports and medical exams.
Getting cover with a pre-existing medical condition
Pre-existing ConditionsExplains how conditions such as cancer, heart problems, diabetes and mental health problems affect applications.
How much life insurance cover do I need?
How Much Life Insurance CoverWorks through what to count when choosing a sum and term: debts, mortgage, income to replace, childcare and funeral costs.

Frequently asked questions

Why is a reviewable policy cheaper to start with than a guaranteed one?

A guaranteed premium is a promise that lasts for the whole term, so the insurer prices in every risk it can foresee over decades and charges for that certainty from day one. A reviewable premium only commits the insurer until the next review, so it can start lower. The trade-off is that reviewable premiums are very likely to rise over time, and if you decline an increase your cover can fall instead.

Does smoking or drinking make life insurance more expensive?

Yes. Smoking and high alcohol consumption are both lifestyle factors that push premiums up, and insurers treat vapes, nicotine gum and patches the same as cigarettes. A real quote for a 35-year-old smoker buying £300,000 of level term cover over 34 years came to £31.97 a month, or £13,043.76 over the full term. Pre-existing health conditions that raise the risk of dying early also increase the price.

Can I add indexation to a policy I already have?

Usually not. Indexation is added at the application stage, when you first take out the policy, and it is generally not possible to add it to an existing policy afterwards. If you want cover that rises with inflation and your current policy is level, the usual route is a new policy with indexation included from the start, priced on your current age and health.

Can I skip an indexation increase if I cannot afford it?

This depends on the insurer's terms, so check your policy documents. Some insurers allow you to decline an annual increase, but declining means your cover amount stops keeping pace with inflation, so its real value falls each year. Once a policy is in place, premiums cannot be increased because of a cancer diagnosis, but indexation increases you agreed to at the outset are different: they are built into the policy's terms.

Will my reviewable premium change if the review shows only a small difference?

It depends on the policy's terms. On Legal & General's terms, if the review shows the premium should change by less than 5%, no change is made. MetLife's EverydayProtect terms allow premium changes no more than once every five years. Other insurers set their own thresholds and review frequencies, so the exact rule is in your policy documents.

Does adding indexation raise my starting premium?

Generally no. Applying indexation usually does not change the starting premium of the policy, though some insurers may apply a slight increase, especially on income protection. Increasing term insurance starts at the same price as level term cover. What changes is the future: both the cover and the premiums rise each year, and premiums generally increase at a higher rate than the cover amount.

How do I pay my life insurance premiums?

Most life insurance is paid by a set monthly amount, usually by direct debit, though some insurance can be paid as a one-off payment or in annual instalments depending on the type and term. With over 50s plans you must keep paying until you die: if you stop, the policy is cancelled and you get nothing back. Whole-of-life cover typically requires premiums until the end of the term or until you are 90.