Sixfold Research: Life and Health Insurers Lag in AI Adoption Despite 100% Leader Optimism
By Lauren Towner · 5 August 2026
In brief: Sixfold research finds that 100% of Life and Health underwriting leaders using AI report improved speed and quality, despite the sector lagging behind P&C in overall adoption rates.
| L&H AI Adoption Rate | 45% |
|---|---|
| Study Sample Size | 251 L&H professionals |
| Review Time Reduction | 50% |

Quick Summary
New research from Sixfold reveals that while Life and Health (L&H) insurers lag behind P&C in AI underwriting adoption (45% vs 60%), 100% of L&H leaders report that AI makes them faster and better. The study highlights a critical talent retention link to AI strategy.
How is AI Underwriting Transforming the Life and Health Sector?
AI underwriting is rapidly becoming a cornerstone of operational efficiency in the Life and Health sector. According to the Sixfold study, 100% of leaders and underwriters who have implemented the technology report becoming faster and better at their roles. This unanimous sentiment suggests that while adoption rates currently sit at 45%, the proven value proposition will likely drive a rapid catch-up with the P&C sector.
- 90% of leaders believe AI improves decision quality.
- 86% of underwriters consider a firm's AI strategy when evaluating new job opportunities.
- 70% of staff are more likely to stay at an organization with a strong AI approach.
What Are the Main Barriers to AI Adoption in Insurance?
Despite high levels of optimism, significant friction points remain. The research identifies a disconnect between leadership and frontline staff regarding implementation hurdles. While 72% of executives blame legacy systems and data quality, 43% of underwriters feel the primary issue is poorly integrated technology that fails to align with their actual daily workflows. Addressing this workflow alignment gap is essential for carriers looking to maximize their return on investment in automation.
Why is AI Strategy Critical for Talent Retention?
The insurance industry faces a looming talent war, with 63% of leaders expressing concern over losing skilled underwriters to tech-forward competitors. Sixfold highlights that AI underwriting tools are no longer just efficiency drivers; they are recruitment and retention assets. Underwriters are increasingly prioritizing employers who provide modern digital tools, viewing them as essential for career longevity and professional satisfaction in an evolving market.
FF NEWS TAKE:
This research from Sixfold proves that AI underwriting has moved past the 'hype' phase into a 'utility' phase where 100% of users see benefits. The L&H sector's lag in adoption is a massive opportunity for early movers to capture market share and top-tier talent. If 86% of underwriters are choosing employers based on their tech stack, legacy carriers ignoring AI underwriting aren't just losing speed - they're losing their future workforce.
Frequently asked questions
How does AI adoption in Life and Health compare to P&C insurance?
Life and Health (L&H) insurance currently lags behind P&C in AI adoption, with 45% of L&H organizations using AI regularly compared to 60% in the broader study. However, 97% of L&H executives express high optimism for the technology's future impact.
Does AI improve underwriting decision quality?
Yes, according to Sixfold's research, 90% of leaders and 79% of underwriters state that AI is actively improving the quality of underwriting decisions. Furthermore, 100% of users surveyed reported that AI made them faster, better, or both.
What are the biggest obstacles to AI implementation in insurance?
The primary barriers differ by role: 72% of leaders cite legacy systems and data quality as the biggest obstacle, while 43% of underwriters point to technology that does not fit their actual daily workflow.
About the companies
Companies in this story: Sixfold
People in this story: Simon Hayes, Alex Schmelkin