Life Insurance With Living Benefits, Is It Worth it?

Have you ever heard the term living benefits? Do you know how they work? Most importantly, is it really worth it to buy life insurance with living benefits?

These are all valid and excellent questions. In this guide, we will tackle the topic and outline what are living benefits, how can you use them, what is their cost, or basically everything there is to know about them.

What we will cover:

What exactly are living benefits and when can you use them?

Simply put, life insurance with living benefits allows you to use your life insurance while you are still alive. You do not have to die for your policy to pay out.

Living benefits are also known as Accelerated Benefit Riders (ABR). Essentially, they are riders that offer additional features in your policy. In many cases, they are included at no additional cost.

Living benefits in life insurance allow the insured to file a claim against his or her policy. The policy owner can access a portion of the death benefit, while still alive if a certain medical event occurs. The funds are directly payable to the owner and he or she decides how to spend it. This money is not tied to your health insurance or your medical bills.

The carriers that offer living benefits can have different/unique grouping or qualifying conditions. However, most of them will fall into one of these three categories.

  • Chronic
  • Critical
  • Terminal illness

Below we outlined under what circumstances would the different options apply:

Chronic – In order for the insured to qualify to use the accelerated death rider, he or she needs to be diagnosed, in the past 12 months, by a healthcare provider with an illness or condition that permanently affects his or her life. You can qualify to accelerate your policy if you are not able to perform 2 out of the 6 Activities of Daily Living (ADLs).
ADLs: bathing, dressing, toileting, transferring, continence, eating.

You can also qualify if you require substantial supervision by another person to protect you from threats to your health and safety due to severe cognitive impairment.

Critical Illness – different carriers have different qualifying triggers. Some of these illnesses or conditions are:

  • Major Heart Attack
  • Stroke
  • Invasive Cancer
  • Major organ transplant
  • End-stage renal failure
  • Coma etc.

Typically, you need to have the policy in force for at least 30 days before becoming eligible to accelerate your benefit. Also, it is important to point out that most carriers would pay out the benefit in a lump sum, rather than in monthly installments.

Terminal illness– you would be able to accelerate your life insurance policy benefits under this rider if you have been advised by a physician that your illness or physical condition is likely to result in death within 24 months.

Please note that some companies would require a life expectancy of 12 months or less.

One thing to be mindful of is that each category has a different waiting period. We have dedicated a separate guide on what is a waiting period of life insurance with living benefits.

Why look into living benefits and how they can help you?

Companies are understanding that people are living longer. More and more people are surviving critical conditions such as heart attack, stroke, invasive cancer, etc. Life insurance carriers are seeing the need to address this trend and provide better value products to their insureds.

Did you know that there are almost 800,000 heart attacks in the US per year? This is about 1 heart attack every 40 seconds! The numbers are more than alarming. More than 800,000 lives are affected every year because of this condition alone. 1 in every 4 deaths in the US is due to a form of heart disease.

Just the thought alone is enough to give one’s chills.

Luckily, not every heart attack or heart condition is a death sentence. With medical advancements, people can survive and go on with their lives. However, what happens if you survive a heart attack?

If you are lucky, your health insurance would cover the cost of treatment, procedure, hospital stay, medications etc. However, it would not cover any changes in your quality of life.

Are you able to survive financially what you physically survived Life insurance with living benefits

What do we mean by that?

There still would be bills, mortgages, childcare, and lost wages that need to be addressed. And if you are no longer able to go back to work, your financial situation could change drastically. You might not be able to maintain your family’s standard of living if you were financially impacted by a serious illness.

Half of the bankruptcies filed occur due to medical reasons. Medical expenses are the leading cause of bankruptcies in the US. It represents job loss, divorce, and disaster combined.

Having a medical emergency could not necessarily result in bankruptcy. Many families are forced to move out of their homes or deplete their savings accounts.

This is where having life insurance with living benefits could come in handy. It could provide the peace of mind that you will be able to overcome some health challenges financially.

We want to point out that the process of securing life insurance with living benefits is easier than ever. Many companies can offer this product without the need of a medical exam.

How do you access living benefits:

In a nutshell, if you have suffered a qualifying illness and want to take advantage of the coverage, you need to file a claim. We’ve dedicated a separate post on how to file a claim and accelerate your life insurance benefits.

The company will provide you with a claim form that you need to complete, sign the HIPPA form, and authorize your personal care practitioner to release your medical records. Once the company receives the complete package of forms back, they will review it and make you an offer.

At that time, you can decide if you would like to finalize the acceleration of benefits or not. It is really hard to predict the outcome of a claim. This is due to the vast number of variables that are involved. The biggest factor life insurance companies are considering when reviewing claims against the living benefits is life expectancy.

Here is an example:

Jason, the owner of the policy is 35 years old male. He purchases $500,000 in life insurance with living benefits to protect his wife and 3 children. Jason’s monthly rate is $43.63 per month for a 20-year level-term policy. Jason does not smoke and qualifies for a standard rating.

Ten years after the issuance of the policy, Jason is 45 years old and suffered a Major Heart Attack. He decides to file a claim to accelerate $250,000 under the chronic illness rider. This means that he will receive a portion of his life insurance benefits now, rather than upon his death. When Jason files a claim, the carrier will determine the benefit based on the severity of his critical illness and how much it affects his life expectancy. Based on his situation, the carrier offers him $125,000 cash as an acceleration benefit and he accepts.

Jason would receive $125,000 cash now and his life insurance policy would remain in force with a $250,000 death benefit.

Jason was able to use the money to recover from his condition and take some time off work while having the peace of mind that his family was financially taken care of.

If you have any questions about life insurance with living benefits, we have created a separate guide answering 21 Frequently asked questions about living benefits.

As an insurance agency, we strive to stay current with events and provide you with accurate information. When we were researching some of the benefits, we came across an article on how you can use your life insurance with living benefits to keep you out of jail.

How much does life insurance with living benefits cost?

Remember Jason from the example above? His life insurance policy costs $43.63 per month. An option for a $500,000 20-year term with a standard rate for him would run $42.23. This is $1.40 more per month to have living benefits included!!

Many clients we work with are surprised to hear that a life insurance policy that includes living benefits is about the same price as one without.

Just look at the image below:

Image with rates for life insurance with living benefits
Rates for 35-year-old male non-tobacco in average health

We’ve dedicated a separate post on how companies determine life insurance rates. You could review all of the factors that come into play.

Living Benefits vs. Cash Value

We all know generally how life insurance works: You pay your premiums every month and when you pass away, the policy pays out to your beneficiary. It sounds more like death insurance than life insurance. Therefore, it is hard for many to see value in life insurance since they would never see the benefits of their policy.

Simply put, the living benefits of life insurance are the option for the insured to use his or her life insurance policy while still alive. The insured does not have to die to use the policy. This could happen in 2 scenarios:

* Purchase a policy that builds up cash value.
* Purchase life insurance with living benefits.

In the first instance,

The life insurance industry is slowly evolving and adjusting to match the needs of today’s consumers. With that being said, more companies are offering life insurance policies without a medical exam, fast self-complete applications, and policies with living benefits.

When purchasing a policy building cash value, the insured/owner of the policy could use the funds to help supplement his or her retirement income or to help with other financial goals. Typically, permanent policies such as whole life insurance and universal life policies build cash value. Below are the pros and cons of the option:


  • Money is growing tax-deferred over time
  • Available to borrow against, if needed
  • Can be used to pay for the policy


  • Only available in permanent policies that are more expensive when compared to term insurance
  • It does not grow significantly in the first years of the policy (some exclusions apply)
  • Depending on the product type, there might be very limited guarantees as to the policy performance

In the second instance,

Secure term insurance with living benefits. The riders are available in term and permanent life insurance policies. They are helping with the cost of critical, long-term chronic, and terminal illness conditions.


  • They are built into many policies at no additional cost
  • In some instances, they are available to use as early as 30 days from the issuance of the policy
  • Available in term policies as well
  • Money is payable directly to the insured and it doesn’t have to be repaid


  • The use of accelerated benefit riders will reduce the death benefit
  • The amount of the benefit available is based on the severity of the condition
  • Benefits payable under an accelerated benefit rider may be taxable (it is best to consult with a tax professional)

Inforgraphic on life insurance with living benefits vs. cash value

In conclusion,

We believe that life insurance with living benefits is worth it. There is never one solution that fits all. However, we would strongly encourage you to consider having living benefits built into your life insurance policy. It could be the missing piece in your financial puzzle.

If you are not sure if you could qualify for a policy with living benefits or if you have any additional questions, please feel free to reach out to us. You can do so by filling out the quote form on the page, sending us a message, or simply giving us a call.

Thank you!