Life Insurance FundamentalsQuestion 285 of 315

A 'graded death benefit' final-expense whole life policy issued without underwriting (guaranteed-issue) to a 70-year-old smoker typically:

a.Pays the full face amount from day one and has no premium increase
b.Pays only a return of premiums (plus a modest interest factor) if death from natural causes occurs in the first 2-3 policy years, then the full face amount thereafter; accidental death is normally covered in full from day one
c.Pays no death benefit during the first 5 years under any circumstance
d.Pays double the face amount if the insured survives to age 100

Explanation

A 'graded' (or 'modified') death benefit final-expense policy is designed for older or impaired applicants who cannot qualify for standard underwriting. To control adverse selection without medical underwriting, the contract typically pays only a return of premiums plus modest interest (e.g., 10%) if the insured dies from natural causes during the first 2 or 3 policy years; from year 3 (or 4) onward, the full face amount is payable. ACCIDENTAL death is usually covered in full from day one. Option A describes a standard (fully underwritten) whole life policy. Option C overstates the limitation (death is covered, just at reduced amount). Option D fabricates an endowment-style bonus. Final-expense graded-benefit products are common in the senior market and must be clearly disclosed under California suitability and senior-protection rules.

Law Reference: California Insurance Code §10168 (life product types)

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