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Complete Guide

Seriously Ill? Know All Your Options.

If you have a life insurance policy and you're facing a serious illness, you have more options than you might think. This guide compares every way to access cash from your policy — honestly, with no sales pitch.

Last updated: March 2026

1

Accelerated Death Benefit (ADB)

An accelerated death benefit is a rider on some life insurance policies that allows you to receive a portion of your death benefit early if you're diagnosed with a terminal illness. Not all policies include this rider, and it's typically limited to terminal diagnoses with a life expectancy of 12-24 months.

✓ Pros

  • • No additional cost if rider is included
  • • Tax-free in most cases (terminal illness)
  • • Paid directly by your insurer
  • • No third-party investor involvement

✗ Cons

  • • Only available with terminal diagnosis (12-24 mo.)
  • • Not all policies include the rider
  • • Typically limited to 25-50% of death benefit
  • • Reduces death benefit permanently
  • • Can take weeks to process
Best for: Terminally ill patients whose policies already include an ADB rider. Check your policy documents or call your insurer to see if you have this option.

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2

Viatical Settlement

A viatical settlement is the sale of your life insurance policy to a third-party investor. You receive a lump sum (typically 50-80% of the death benefit), and the investor becomes the new owner and beneficiary of the policy. Once sold, you no longer own the policy and your original beneficiaries receive nothing from it.

✓ Pros

  • • Highest lump sum (50-80% of death benefit)
  • • Tax-free if terminally ill (IRS Section 101(g))
  • • No further premium payments required
  • • Available for terminal and chronic illness

✗ Cons

  • • You lose your policy permanently
  • • Beneficiaries receive nothing
  • • Process takes 2-4 months
  • • Investor has financial interest in your death
  • • May affect Medicaid eligibility
  • • Regulated differently in each state
Best for: Terminally ill patients who need the maximum lump sum, don't need to protect beneficiaries, and can wait 2-4 months for funding. Compare to a Living Benefit Loan →
3

Life Settlement

A life settlement is similar to a viatical settlement — you sell your policy to an investor — but it's typically used by seniors (65+) who may not be terminally ill. The payout is usually lower than a viatical (20-50% of death benefit) because the investor expects a longer wait for the death benefit.

✓ Pros

  • • Available even without terminal diagnosis
  • • Payout exceeds cash surrender value
  • • No further premium payments
  • • Good for policies you no longer need

✗ Cons

  • • Lower payout than viatical (20-50%)
  • • You lose your policy permanently
  • • Beneficiaries receive nothing
  • • Process can take 3-6 months
  • • Taxable as ordinary income (portion)
  • • Typically requires age 65+
Best for: Seniors who no longer need their life insurance, want more than the cash surrender value, and don't need to protect beneficiaries. Compare to a Living Benefit Loan →
4

Policy Loan (Cash Value Loan)

If you have a whole life or universal life policy with accumulated cash value, you can borrow against that cash value from your insurer. This is a standard feature of permanent life insurance — but it only works if your policy has built up significant cash value, and term policies don't qualify.

✓ Pros

  • • Keep your policy
  • • No credit check required
  • • Low interest rates (5-8% typical)
  • • No mandatory repayment schedule
  • • Tax-free if policy stays active

✗ Cons

  • • Only available on permanent policies with cash value
  • • Term life policies don't qualify
  • • Loan amount limited to cash value (often small)
  • • Unpaid interest compounds, may lapse policy
  • • Reduces death benefit if not repaid
Best for: Permanent life insurance holders with significant accumulated cash value who need a relatively small amount. Not an option for term life policies or policies with minimal cash value.
5

Cash Surrender

Surrendering your policy means canceling it and receiving the cash surrender value from your insurer. This is typically the lowest-value option — surrender values are often far below the death benefit, and you lose all coverage permanently. Term life policies have no cash surrender value at all.

✓ Pros

  • • Simple, straightforward process
  • • No third-party involvement
  • • Stops premium payments immediately

✗ Cons

  • • Lowest payout of any option
  • • Policy canceled permanently
  • • Beneficiaries receive nothing
  • • Surrender charges may apply
  • • Taxable gains above basis
  • • Term policies have zero surrender value
Best for: Rarely the best option. Consider this only after exploring all other alternatives. A life settlement or Living Benefit Loan will almost always provide more value.
6

Living Benefit Loan

What Life Credit Offers

A Living Benefit Loan lets you borrow against your life insurance death benefit while keeping ownership of your policy. You receive up to 50% of the death benefit as a lump sum, and the loan is repaid from the death benefit when you pass. Your beneficiaries receive the remaining balance. No monthly payments, no credit check, and funding in as few as 3 days.

✓ Pros

  • • Keep your policy — beneficiaries still protected
  • • Fast funding (as few as 3 days)
  • • No monthly payments ever
  • • No credit check, no income verification
  • • Works with term, whole, universal, and group
  • • Use funds for anything — no restrictions
  • • Available for cancer, ALS, heart failure, and more

✗ Cons

  • • Maximum 50% of death benefit (viaticals can be higher)
  • • Interest accrues (APR up to 35.99%)
  • • Requires $75,000+ death benefit
  • • Reduces net death benefit to beneficiaries
Best for: Seriously ill individuals who need cash fast, want to keep their policy, and want to protect their beneficiaries. Especially valuable if you have a term policy (no cash value to borrow from) or need funding faster than a viatical settlement.

Complete Comparison

Every option side by side. No sales pitch — just facts.

Feature ADB Viatical Life Settlement Policy Loan Surrender Living Benefit Loan
Keep Policy? Partial No No Yes No Yes ✓
Amount 25-50% 50-80% 20-50% Cash value only Cash value only Up to 50%
Speed Weeks 2-4 months 3-6 months 1-2 weeks 2-4 weeks 3 days ✓
Monthly Payments None N/A N/A Optional N/A None ✓
Term Life Eligible? If rider exists Yes Sometimes No No Yes ✓
Credit Check? No No No No No No ✓
Beneficiaries Protected? Reduced No No Reduced No Yes ✓

Which Option Is Right for You?

🏥 "I need cash fast and want to keep my policy"

Living Benefit Loan. Fastest option (3 days), keeps your policy, protects your beneficiaries. Works with all policy types including term.

💰 "I need the absolute maximum cash and don't need the policy"

Viatical Settlement (if terminally ill) or Life Settlement (if 65+). Highest payouts, but you lose your policy permanently.

📋 "My doctor says I have 12-24 months to live"

Check your ADB rider first (it's free if included), then compare a Living Benefit Loan vs. viatical settlement based on speed, amount needed, and whether you want to protect beneficiaries.

🏦 "I have a whole life policy with cash value"

Consider a policy loan first (lowest cost), then a Living Benefit Loan if you need more than the cash value allows.

📄 "I have term life insurance only"

Living Benefit Loan or Viatical Settlement. Term policies have no cash value, so policy loans and cash surrender aren't options. A Living Benefit Loan lets you keep the policy; a viatical does not.

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