Life Insurance With Living Benefits
Life insurance with living benefits can offer financial support if you face a terminal, chronic, or critical illness, or you need funds for income replacement. You may access a portion of your death benefit early through add-on riders on most policy types. With a permanent policy, you may also access funds through the policy’s cash value accumulation. In this guide, we’ll explain how living benefits work, their pros and cons, and their impact on the payout.

Key Takeaways
Some common accelerated benefit riders (ABRs) riders include chronic illness rider, terminal illness rider, critical illness rider, and long-term care rider.
You may use up to 100%¹ of the policy’s death benefit in case of terminal or critical illness.
If you have a permanent policy, you can also use the accumulated cash value to withdraw or borrow funds while you’re alive.
Using your living benefits on your life insurance policy will reduce the death benefit for your listed beneficiaries.
What Is Life Insurance With Living Benefits?
Life insurance with living benefits allows you to access a portion of your policy’s death benefit if you’re diagnosed with a qualifying illness or condition. These can be helpful to cover medical bills, caregiving needs, or everyday expenses during a serious health event, providing peace of mind when it matters most.
‘Living benefits’ most commonly refer to accelerated death benefit riders triggered by qualifying illness. Accessing cash value is a separate feature of permanent life insurance and is not considered a living benefit ‘rider’, but it’s still helpful if your policy doesn’t include a rider and you need financial support during your lifetime.\ \ Note: Coverage and eligibility vary by insurer, as not all life insurance policies include living benefit riders, and term policies don’t include a cash value component.
How Life Insurance With Living Benefits Works
Life insurance with living benefits lets you access a part of your death benefit payout during your lifetime, typically with both term and permanent life policies. Here’s how these work:
Accessing Living Benefits With Riders
- When you buy a life insurance policy, you may add a rider that fits your life situation and may help cover potential risks. Some policies may also include built-in riders.
- If, unfortunately, you’re diagnosed with a serious qualifying health condition, you become eligible to use the benefit, meaning a portion of your death benefit.
- For verification, insurers often ask for medical documents to confirm the diagnosis.
- After confirmation, you can choose how much benefit you want to access, up to the policy’s allowed limit.
- On approval from the insurer, you receive the payout that can be used to pay for medical bills, income replacement, or everyday expenses.
- Any amount you use through the living benefit is deducted from the death benefit that your beneficiaries would later receive.
In general, these benefits are triggered when you’re diagnosed with a qualifying health condition. Some common triggers include:
- In case of critical illness like a heart attack, stroke, or certain cancers
- In case of chronic illness that may impact your ability to be active in your daily life and you need assistance
- In case of terminal illness that may limit your life expectancy
Remember, the qualifying conditions may vary across insurers, policy types, and riders.
Common Living Benefit Riders
Many life insurance policies include one or more living benefit riders that let you access a portion of your death benefit while you’re still alive. These riders are generally grouped under the umbrella of accelerated benefit riders (ABRs), which are designed to provide financial relief in the face of serious health challenges.
Here are the most common types of ABRs:
Chronic Illness Rider
This rider allows access to your policy’s death benefit if you’re diagnosed with a chronic condition that prevents you from performing at least two activities of daily living (like bathing, eating, or dressing) without assistance; or if you’re diagnosed with a condition that leaves you cognitively impaired. Qualifications vary from insurer to insurer, so it’s important to understand what’s covered.
Terminal Illness Rider
This rider allows you to access part of your death benefit early if you’re diagnosed with a terminal illness, typically with a life expectancy of 12 to 24 months. Insurers often verify medical records stringently to confirm the diagnosis.
Critical Illness Rider
If you experience a serious health event like a heart attack, stroke, or cancer diagnosis, a critical illness rider may let you tap into your death benefit early. Each insurer defines what counts as a “critical illness,” so it’s important to review the list of covered conditions before buying a policy.
Long-Term Care Rider
This rider can be helpful if you’re ever diagnosed with a qualifying chronic condition, as defined in the policy. It may offer funds for long-term care needs or assistance with performing at least two of six day-to-day activities, including bathing, dressing, and eating, among others. You can use a portion of the policy's payout to fund costs around nursing home stays or in-home care.
Types of Life Insurance That Offer Living Benefits
Not all life insurance policies include living benefits, but many term and permanent policies now offer ABRs as a standard feature or optional add-on. Here’s how living benefits are included across different policy types:
Term Life Insurance with Living Benefits
Term life insurance is often the most affordable option for coverage, and many term policies now include ABRs, especially for terminal illness.
Term life insurance with living benefits typically allows you to access a portion of your death benefit if you meet specific health criteria. Since term life doesn’t build cash value, the living benefits come directly from the face value of the policy. Using them reduces the amount your beneficiaries will receive after your death.
Living benefits in term life policies can offer significant value without adding much cost, and some insurers include these riders automatically. Term life is especially well-suited for people looking for affordable coverage that can provide support during a major health crisis.
Whole Life & Permanent Life Insurance with Living Benefits
Whole life insurance and other permanent life insurance can include life insurance coverage with living benefits. These types of policies typically include more options when researching what are living benefits of life insurance.
In addition to ABRs, permanent life insurance policies often build cash value you can access while alive. For instance, if you’ve accumulated significant cash value and face high medical expenses, you might choose to withdraw or borrow from it instead of using your accelerated benefit.
Permanent policies can offer more flexibility and built-in features, but they’re usually more expensive than term. For someone seeking both lifetime coverage and access to living benefits, permanent life may be a better long-term fit, but it’s important to weigh the higher premiums against your financial goals.
Using Cash Value on Whole Life or Other Permanent Life Insurance
If you have a permanent life insurance policy, like a whole life or universal life insurance, its cash value component can be helpful during your lifetime. Cash value access is not specifically illness-triggered, but they can still be used while alive. Here’s how this works:
- When you pay premiums for your permanent coverage, a part of it is utilized for maintaining the cost of coverage, while the remaining portion goes for the cash value growth.
- As you keep paying the premiums, the cash value keeps growing through guaranteed interest, market-linked crediting, or investment-like subaccounts, based on the policy type.
- The cash value accumulation works like a savings account. Once you accumulate a substantial value, you can use the cash value to withdraw funds or borrow a loan.
But remember, accessing the cash value can reduce the death benefit for your beneficiaries. In some cases, your policy can also lapse if you take out too much and there’s not enough to keep the base coverage active or when the loan is not repaid.
Accessing more value than what you’ve put in premiums may also trigger a tax liability. Some people also surrender the permanent policy while alive to access the cash surrender value (cash value minus surrender charges), but your coverage may immediately end, so it is suitable only if you no longer need the protection.
Pros and Cons of Life Insurance With Living Benefits
Living benefits can offer significant value, but it’s important to understand both the advantages and the potential trade-offs before choosing a policy that includes them.
Pros:
- Access funds during a crisis: If you’re diagnosed with a serious illness, living benefits can provide access to a portion of your death benefit while you’re still alive. This can help cover medical bills, caregiving costs, or lost income.
- Peace of mind: Knowing you have a financial cushion in case of a major health event can reduce stress for you and your family. You’re not just planning for “what if I die?,” you’re also preparing for “what if I get seriously sick?”
- Flexibility: Living benefits can give you options. Whether you use them to stay financially afloat, pursue treatment, or simply maintain your quality of life, they can provide more control over your coverage when life takes an unexpected turn.
Cons:
- Cost of adding riders: While some policies include living benefit riders at no extra cost, others may charge a fee. It’s important to understand how much the rider adds to your premium and whether the coverage justifies the added expense.
- Reduction in death benefit: If you access your living benefits, the amount your beneficiaries receive when you pass away will be reduced. In a simple example, if you have a $500,000 policy and use $100,000 in benefits during your lifetime, only $400,000 would go to your heirs. (Note: The total amount that would go to your beneficiaries could be reduced for a few reasons; such as administrative fees, or if you had taken out loans or withdrawals against a permanent policy.)
- Policy complexity: Riders can come with their own rules and eligibility requirements, which can make your policy harder to understand. It’s important to read the fine print and work with a provider that makes the process clear.
Expert Tip
Is life insurance with living benefits worth it after retirement?
Living benefits make sense after retirement if you want financial support in case of a sudden illness. But if you have solid savings or health insurance to rely on, leaving the maximum death benefit for your beneficiaries can be a good idea. Riders can be meaningful when they are already a part of your policy, instead of being added later. It’s good to review costs, eligibility, limitations, and the impact on the remaining coverage to determine what makes sense at this stage of life.

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Who Should Buy Life Insurance with Living Benefits
Life insurance with living benefits isn’t a good fit for everyone, but for some people, the added protection can offer meaningful financial security. Here are a few groups who may benefit most:
- Families with a history of critical illness: If serious illnesses like cancer, heart disease, or stroke run in your family, a policy with living benefits could provide added peace of mind. ABRs can serve as a financial safety net in case you face a similar diagnosis in the future.
- Sole breadwinners: If your household depends heavily on your income, an unexpected illness could disrupt your family’s financial stability. Living benefits can provide access to funds to help pay the bills while you’re unable to work.
- People with chronic needs: If you anticipate needing help with daily living in the future due to a chronic illness, a chronic illness ABR may be a practical way to prepare without buying a separate policy.
- Comparison with standard life policies: Traditional life insurance focuses solely on a payout after death. While that’s important, it doesn’t address what happens if you become seriously ill during your lifetime. A policy with living benefits adds flexibility that standard coverage may lack.
When Living Benefits May Not Be Worth It
Using living benefits on your life insurance may be helpful, but sometimes it might not make sense, especially when your beneficiaries majorly rely on your death benefit. Here are some situations when living benefits may not be too helpful:
- You already have solid savings or emergency funds to cover unexpected expenses.
- You have reliable health insurance, disability insurance, or a long-term care policy.
- You don’t want to pay a higher premium that adding riders may add to the original costs
- Your coverage has just begun, and the policy has not built enough cash value.
Read: Using Life Insurance While You’re Alive
How Much Can You Access With Living Benefits?
You can typically access a portion of your death benefit while alive, but the amount you can access depends on your policy type, rider, and the qualifying health condition. If you’re accessing the benefit through accelerated death benefit riders, some typical ranges include:
- Often between 25% and 100% in case of terminal illness or critical illness¹
- Often 1%-4% of the death benefit per month for chronic illness²
If you’re using the policy’s cash value while alive, here are the general limitations:
- Often up to 90% of the available cash value as a policy loan³
- Withdrawals are subject to available cash value, but withdrawing more than the premium you’ve paid may imply taxes.
Remember, using the death benefit while alive reduces the payout for the beneficiaries, as whatever you take out is reduced from the overall death benefit.
*Note: These are general ranges; the actual value may reduce due to fees, interest charges, rider terms, age, payment method, or other terms based on the policy terms.*
How to Choose the Best Life Insurance with Living Benefits
Not all life insurance policies offer living benefits, so it’s important to shop carefully if these features matter to you. Here are a few things to look for when comparing options:
- What to look for in a policy: Start by considering your personal health history, financial responsibilities, and risk tolerance. If you’re concerned about covering medical bills, long-term care expenses, or loss of income due to illness, a policy with accelerated benefit riders may offer extra peace of mind. Be sure to review how much of the death benefit you can access and under what conditions.
- Rider availability: Not all insurers offer the same types of living benefit riders. Some include them automatically, while others charge an additional fee. Look for policies that offer accelerated death benefits based on what’s important to you, or based on your family history.
- Company reputation: Choose a life insurance provider with strong financial ratings and positive customer reviews. Living benefit riders often require medical review or claims processing, so working with a reliable company can make the experience less stressful during an already difficult time.
- Premium affordability: Policies with added living benefits may cost more, especially if the riders are optional. Make sure the premiums fit comfortably within your budget, both now and in the long run. A policy is only valuable if you can keep it in force.
Ethos Life Insurance and Living Benefits
Ethos makes it easy to get life insurance with living benefits, helping you protect your loved ones while also planning for the unexpected during your lifetime.
- Simplified application process: Ethos offers a fast, fully online application process that takes just minutes to complete, with no lengthy paperwork or in-person meetings required.
- No medical exam option: Most applicants can qualify without a medical exam. Just answer a few health questions to determine eligibility.
- Policy types offered with living benefit riders: Ethos provides both term life and permanent life insurance options. Many of these include built-in or optional ABRs, so you can choose the coverage that fits your budget and health needs.
FAQs on Life Insurance with Living Benefits
Living benefits of life insurance are features that provide you an option to access a portion of your policy’s value, meaning the death benefit, while you’re alive. These are often accessible through add-on riders that are activated if you’re diagnosed with a qualifying critical, chronic, or terminal illness, depending on the policy type and rider terms.
If you have a permanent life insurance policy, you can also use the policy’s cash value to withdraw or borrow funds. Living benefits can be helpful to fund medical costs, replace income, or manage everyday costs, but they likely reduce the death benefit that your beneficiaries receive later.
Living benefits (also known as accelerated benefit riders) are typically triggered by specific medical events. These may include a terminal illness with limited life expectancy, a chronic illness that impairs daily living activities, or a critical illness such as cancer, heart attack, or stroke. The exact conditions covered depend on your insurance provider and policy.
Yes. Living benefits are a portion of your death benefit. If you access funds early through a qualifying rider, the total amount paid to your beneficiaries after your death will be reduced by the amount you used while alive.
No, living benefits and cash value are not exactly the same. Living benefits typically mean accessing a portion of your death benefit while alive through optional riders. Cash value is a savings component in permanent policies that you can access through loans and withdrawals. While living benefit riders are often triggered by qualifying health conditions, cash value offers flexibility. But using both during your lifetime reduces the death benefit for your beneficiaries.
Using living benefits on your life insurance policy means accessing a part of your death benefit while you’re alive through riders or through cash value on your permanent life policy. Long-term care insurance is a standalone policy that is designed to particularly pay for day care services. Go for living benefits if you want flexible coverage that’s not just limited to care expenses. Long-term care insurance is a good fit if you expect you might need extended care in the future.
For many people, yes. Living benefits can offer peace of mind by providing financial flexibility during a serious health event. While they may slightly increase your premium, the potential access to funds in a time of crisis can make them a worthwhile addition. And, many companies offer living benefits for no additional premium cost.
It depends on the insurer and the type of policy. Some companies allow riders to be added later, while others require them to be selected at the time of purchase. If you already have a policy, check with your provider to see if adding an accelerated benefit rider is an option.
Some policies may impose a waiting period before certain riders become available, especially with chronic or critical illness benefits. Others may allow access as soon as you’re diagnosed with a qualifying condition. Always review the terms of your rider for details on eligibility and timing.
Some group life insurance policies offered through work may include basic living benefit riders, but coverage is usually limited. Additionally, group plans may not be portable, meaning you could lose coverage if you change jobs. If living benefits are important to you, it may be worth exploring an individual policy with more comprehensive rider options.
In most cases, living benefit payouts are not considered taxable income if they meet IRS criteria (such as being triggered by a qualifying terminal or chronic illness). However, there may be exceptions depending on your policy, state laws, or how the funds are used. A tax advisor can help clarify your specific situation.
No. Not all providers include living benefits with their life insurance products. If this feature is important to you, look for a company (like Ethos) that offers policies with living benefit riders built in or as optional add-ons.

Chief Underwriter

Chief Compliance & Privacy Officer
Last Updated: May 13, 2026








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