Underwriting is the insurer's process of evaluating an application and deciding the terms on which it will accept risk. Outcomes may include standard acceptance, a higher premium, specific exclusions, a reduced limit, or refusal. Medical information, property inspections, and previous claims can inform the decision.

A warehouse in Nepal storing flammable goods may need different terms from an ordinary office. Similarly, a health application may require details about a pre-existing condition. An initial quotation is not always final acceptance; the policyholder should confirm when coverage actually begins and which conditions apply.