Just over 30 years ago, 36 insurance companies stopped writing policies in Washington, D.C. The issue was AIDS and the D.C. City Council voted to prohibit HIV testing of insurance applicants. At the time, insurance companies testing for the AIDS virus were deemed discriminatory to homosexuals. The three-dozen insurance companies argued that to not screen for the disease was not only bad business practice but defeated the whole idea of the insurance market.
Insurance is all about managing risk. Actuaries are paid a lot of money to determine risk and decide whether or not an applicant should be covered. The insured pay premiums to the insurance company based on their health status. For every negative health factor premiums are increased. If you smoke, you’ll pay higher insurance premiums than a non-smoker. This is why those insurance companies quit writing policies in Washington, D.C. 30 years ago when they were prohibited from testing for HIV. When an insurance company cannot manage its risk, it quits being an insurance company.