Guide to Life Insurance Approval at Principal with Hypertension

Ty Stewart - Founder - Written by Ty Stewart - Last Updated January 7, 2019

One of the most common questions we get is from people who want to know how having high blood pressure affects life insurance.

We’re always happy to inform them that it’s possible to buy life insurance from a top rated company, such as Principal Financial Services, as well as how to qualify.

Principal Financial is a fantastic company with many products available but before we get into that, let’s cover:

  • How you can qualify for their policies
  • What the health criteria you must meet is
  • How they view the medical risks associated with your condition

About one out of three Americans suffer from high blood pressure.  Although it’s very common and highly treatable, it remains a leading cause of death.  Due to the chance of medical related complications, when you apply for a policy, Principal Financial will review your current health status before quoting you a rate.

How Principal Sees Hypertension

They’ll determine your rates by assigning you to a Health Class.  When they assign the class, they’ll establish if your high blood pressure is considered primary or secondary.  Secondary hypertension is caused by an underlying medical condition such as sleep apnea, diabetes, kidney disease, etc.effect of high blood pressure on life insurance costs at Principal financial

An underwriter will also look at your health history and past blood pressure readings.  The best rates are reserved for those with readings under the maximum thresholds shown below.  If the readings are above the thresholds, you may still be able to buy life insurance but at substandard rates established by what in the industry is known as Table Ratings. Your premiums will be higher.

One reason Principal Financial is such a great option for those with high blood pressure is that they allow the use of blood pressure medications in all rate classes.

The following is a breakdown of their requirements.  The best rates are offered to those with both systolic and diastolic readings below the following thresholds:

Preferred Plus

135/85 age 20 to 44

140/85 age 45 to 64

140/90 age 65 to 85


140/85 age 20 to 44

140/90 age 45 to 64

145/90 age 65 to 85

Standard Plus

145/90 age 20 to 64

150/90 age 65 to 85

As you can see, rates are directly related to how controlled the blood pressure is, age, and if the condition is considered primary or secondary hypertension.

See Best Companies for Life Insurance with High Blood Pressure

All life insurance companies are in the business of judging risk.  When they examine your health history, they’ll look for additional medical problems.  For example, they’ll want to know if you’ve ever had a heart attack, stroke, or been on dialysis.

About High Blood Pressure

According to the Heart Foundation, each year heart disease kills more people than all forms of cancer combined.  Every sixty seconds, someone in the United States dies from a heart disease-related event.  Since heart disease kills about one million people per year, it’s easy to see why life insurance companies take a careful look for medical complications related to hypertension, such as heart disease, before assigning rates.

They will also determine if there are manageable contributors such as if a person is overweight, smokes, or drinks alcohol.  Additional risk factors include family history, age, and race.

While there is nothing you can do to change your age or family history, lifestyle changes can help you manage high blood pressure.  By embracing a diet low in sodium and high in fresh fruits and vegetables, exercising thirty minutes a day, getting more sleep, and reducing stress, you can better protect yourself.

Experts also suggest you keep track of your blood pressure at home to ensure your numbers don’t creep up on you.  A normal blood pressure reading is 120 over 80 (or lower).  You should contact your doctor if your readings fall into the 120-139 over 139 80-89 ranges.  Any reading over 180+ over 110+ is considered a medical emergency.  There are many free apps that can help you keep track of your numbers.

About the Principal Financial Company

Now that you know more about how they rate and qualify individuals, the next step is to determine if Principal is the right fit as a company for you.

They offer:

  • Term Life
  • Universal Life
  • Variable Universal
  • Survivorship Life Insurance for Individuals

Principal Financial Services was founded in 1879 and is one of the oldest insurance companies doing business in the United States. They now serve eighteen countries worldwide.

They are financially strong with nearly $600 billion in assets under management and enjoy an A+ rating from the industry standard A.M. Best. On November 30th, 2017, they announced their move to Nasdaq and issued the following statement, in part:

Our move to Nasdaq is consistent with our evolution as a company, with technology and innovation enhancing our ability to develop new solutions, deliver a better customer experience and put people on the path to financial security,” said Dan Houston, chairman, president and CEO of Principal.

They are a good corporate citizen and give back to the community through donations, volunteerism, and conservation efforts.

Should you Apply for Life Insurance at Principal?

Possibly, but there might be even better options.

We can help you decide if their policies are the best fit for you or not.  We specialize in helping people with high blood pressure find the best life insurance company at the best rates.

As an independent agent, we will compare more than 60 insurance companies to ensure you find the best plan, at the lowest rate, and get answers any questions you may have.  There is no cost or obligation for this service. To begin, fill out the quote form, and we can get started right away.

The opinions in this article are based on our knowledge of the Principal Financial Services underwriting guidelines at this time.  Guidelines are subject to change at any time.  We are not an employee of Principal Financial Services but rather an independent agent contracted to work with them as well as 60+ carriers. 

We are in the business of placing clients with the right company.

About Ty Stewart
Avatar for Ty Stewart
Ty Stewart is the founder of He is an independent life insurance agent that works for his clients nationwide to secure affordable coverage while making the process simple. There is never any cost to use his services.

Posted in Blood Pressure, Pre-Existing Conditions