Independent UK insurance research · updated regularly Information only · not financial advice · introducer disclosures in footer
Private Health (PMI) · Switching · 2026

Continued moratorium underwriting explained: switching PMI without losing your clear period

If your private health insurance is on moratorium terms, you do not automatically have to start again when you move to a new insurer. Continued moratorium underwriting — sometimes called switch or CMORI underwriting — lets you carry the moratorium time you have already built up across to a new policy. Here is how it works and how it differs from CPME and fresh underwriting.

The essentials in 30 seconds

  • Continued moratorium (CMORI): when you switch insurer from a moratorium policy, the new insurer takes you on the same moratorium basis, so the time you have already spent working towards the clear period is not reset.
  • CPME (continued personal medical exclusions) is the equivalent option if your current policy is on full medical underwriting — the new insurer carries over your existing personal exclusions instead of re-assessing your history.
  • Fresh underwriting means starting from scratch — a new moratorium clear period, or a new full medical questionnaire — which can change what is excluded.
  • Not guaranteed: continued terms usually need no break in cover and a broadly similar level of benefit, and not every insurer offers them, so always check before you move.

Continued moratorium, CPME and fresh underwriting

ConsiderationContinued moratorium (CMORI)CPME (continued exclusions)Fresh underwriting
Starting policy type it suitsExisting policy on moratorium underwritingExisting policy on full medical underwritingAny — you begin as a brand-new applicant
How your history is treatedNew insurer continues the moratorium basis; earned clear time carries overNew insurer keeps the same personal exclusions you already hadRe-assessed from scratch (new moratorium look-back or new questionnaire)
Effect on the clear periodPreserved — you do not restart the (commonly ~2-year) symptom-free clockNot applicable — exclusions are fixed, not time-basedReset — a new moratorium clear period would begin
Medical questions when you switchFew or none, as under a moratoriumLimited — used to confirm existing terms rather than re-underwriteFull disclosure if moving to full medical underwriting
Typical conditions to qualifyNo break in cover; broadly similar benefits; insurer must offer itNo break in cover; similar cover level; insurer must offer itNone — but exclusions may differ from your old policy
Main trade-offKeeps earned terms but you inherit the old policy's basisKeeps certainty of existing exclusions; will not remove themClean slate, but you risk new or different exclusions

Indicative comparison for orientation only — not a quote or advice. Availability, qualifying conditions and exact terms vary by insurer and policy wording.

Carrying your moratorium across to a new insurer

Under a moratorium policy, conditions you have had recently are excluded at the start, but many can become eligible for cover once you have gone a continuous period — commonly around two years — without symptoms, treatment, medication or advice for them. If you switched to a brand-new policy on fresh terms, that clock would normally restart. Continued moratorium underwriting avoids this: the new insurer agrees to take you on the same moratorium basis, so the time you have already banked towards the clear period counts.

For that continuity to apply, insurers typically expect no gap between the old and new policies and a broadly comparable level of cover. Not every insurer offers continued terms on every plan, so it is worth confirming the position in writing before you cancel anything. For the underlying rules on how moratorium works, see moratorium vs full medical underwriting, and the private health insurance hub for the wider picture.

CPME and when fresh underwriting applies

If your current policy is on full medical underwriting rather than moratorium, the switching equivalent is CPME — continued personal medical exclusions. Here the new insurer agrees to keep the same personal exclusions your previous insurer applied, rather than re-assessing your medical history from a clean slate. It gives continuity of terms, but it also means any existing exclusions travel with you; switching does not, by itself, remove them.

Where continued terms are not available — for example if there has been a break in cover, or the insurer does not offer them — you would be underwritten afresh, which can change what is covered. People switch mainly to improve cover or manage cost; if price is your driver, weigh continuity against the other levers in how to reduce your premium, and see how history is handled generally in PMI and pre-existing conditions.

Switching and underwriting FAQs

Continued moratorium underwriting (sometimes called switch or CMORI underwriting) lets you move from one moratorium private health insurance policy to another without restarting the process. The new insurer takes you on the same moratorium basis, so the time you have already built up towards the clear period carries over rather than resetting to zero.
No. Continued moratorium (CMORI) applies when your existing policy is on moratorium underwriting, while CPME (continued personal medical exclusions) applies when it is on full medical underwriting. Both keep continuity when you switch, but CMORI preserves your moratorium clear time and CPME carries over your specific personal exclusions.
No — that is its main advantage. On continued moratorium terms the new insurer recognises the symptom-free time you have already accrued, so a condition close to clearing does not have to start the (commonly around two-year) clock again. Exact clear periods vary by insurer, so always check the policy wording.
Not always. Continued moratorium and CPME usually require no break in cover between policies and a broadly similar level of benefit, and not every insurer offers them on every plan. If continued terms are unavailable you would be underwritten afresh, so confirm the position before cancelling your existing cover.
No. Switching on continued terms carries your existing position across rather than wiping it — CPME keeps the same personal exclusions, and continued moratorium keeps the same moratorium basis. Fresh underwriting is a clean slate, but it can introduce new or different exclusions, so it is not a guaranteed way to remove them.
On continued moratorium terms there are usually few or no medical questions, as under any moratorium policy. CPME involves limited questions to confirm your existing terms rather than to re-underwrite you. Moving to fresh full medical underwriting, by contrast, means completing a full health questionnaire.
That depends on your cover needs, your health history and cost — and this is general information, not advice. Switching can improve cover or manage price, but continued terms carry your existing exclusions with you. Compare the cover, hospital list and terms carefully, and check how underwriting will be handled before you move.

Information only — not financial advice. Details are indicative and simplified to aid understanding; the availability of continued moratorium (CMORI) and CPME switching, qualifying conditions, clear periods and underwriting terms vary by insurer and policy wording. My Insurance Expert is not an FCA-authorised intermediary and does not arrange or sell policies. Last updated: 2026-07-07