Life Policy ProvisionsQuestion 276 of 315

An insured with a terminal illness diagnosis (less than 12 months to live) requests payment from the accelerated death benefit (ADB) rider on his California life insurance policy. Which statement BEST describes the operation of this rider?

a.The ADB rider pays the insured an additional benefit equal to the face amount on top of the death benefit
b.The ADB rider converts the life policy into a long-term care annuity
c.The ADB rider allows the insured to receive a portion of the death benefit (typically 25%-95%) during life; the eventual death benefit to the beneficiary is reduced accordingly, and qualifying payments are excluded from gross income under IRC §101(g)
d.The ADB rider is only available on term insurance and requires the insured to be hospitalized at the time of claim

Explanation

Under California Insurance Code §10113.1 (and §10295.10 for disclosure requirements) and IRC §101(g), an accelerated death benefit (ADB) rider permits an insured who is terminally ill (typically certified as having 24 months or less to live, or in some contracts 12 months) or chronically ill to receive a portion of the policy's death benefit while still alive. The amount accelerated reduces the death benefit ultimately paid to the beneficiary, and any policy loans must be addressed. Properly structured ADB payments are excluded from gross income under IRC §101(g). Option A is wrong because the rider accelerates, it does not add to, the death benefit. Option B confuses ADB with a §1035 exchange to an LTC annuity. Option D is fabricated; ADB is available on most permanent and many term policies, requires only the qualifying medical certification, and does not require active hospitalization.

Law Reference: California Insurance Code §10113.1 (accelerated death benefits / living benefits)

Practice all 315 questions free — no signup required.

Related questions on this topic

Last reviewed: · editorial process

PrepPass Editorial Team · Verified against California Life & Health Insurance License Exam · How we review
Report