Insurance

Accelerated Death Benefit

An accelerated death benefit is a life insurance policy provision that allows terminally ill policyholders to receive a portion of their death benefit while still living, typically when diagnosed with a terminal illness with 12-24 months to live.

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Exam Tip

ADB = living benefit for terminal illness. Usually 50-80% of death benefit. Tax-free if terminally ill. Reduces death benefit!

What is an Accelerated Death Benefit?

An accelerated death benefit (ADB), also called a "living benefit," allows life insurance policyholders to access a portion of their death benefit early if diagnosed with a terminal, chronic, or critical illness. This provides funds when they're needed most—during a medical crisis.

Qualifying Conditions

ConditionTypical Requirement
Terminal IllnessLife expectancy of 12-24 months
Chronic IllnessUnable to perform 2+ ADLs for 90+ days
Critical IllnessHeart attack, stroke, cancer, etc.

How It Works

StepDescription
1Policyholder is diagnosed with qualifying condition
2Submit claim with medical documentation
3Insurance company verifies condition
4Receive percentage of death benefit (50-80% typical)
5Remaining death benefit paid to beneficiaries at death

Types of Accelerated Benefits

TypeTrigger
Terminal IllnessExpected death within specified period
Chronic IllnessCannot perform daily living activities
Critical IllnessSpecific diagnosed conditions
Long-Term CareNeed for extended care services

Financial Considerations

FactorImpact
DiscountBenefit may be reduced by interest/fees
Death BenefitReduced by amount accelerated
Tax TreatmentGenerally tax-free if terminally ill
MedicaidMay affect eligibility for government benefits

ADB vs. Viatical Settlement

FeatureAccelerated Death BenefitViatical Settlement
Who PaysInsurance companyThird-party investor
OwnershipPolicyholder retainsOwnership transfers
AmountFixed percentageNegotiated price
Remaining BenefitTo beneficiariesTo investor

Common Uses

  • Medical expenses and treatments
  • Hospice and end-of-life care
  • Paying off debts
  • Quality of life improvements
  • Family support

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