Life & Health · Lesson directory

RIDERS · T143–T145

Accident & Living Benefits

Compare additional accident coverage, scheduled losses, and early death-benefit access.

3 cards · Three practice questions for each card

CARD T143

Accidental Death Benefit Rider

A rider paying an additional benefit for a qualifying accidental death. Not every death qualifies as accidental under the policy.

How it works

An accidental-death benefit pays an additional amount when death results from a covered accident and meets the rider’s cause, timing, age, and exclusion requirements. “Double indemnity” describes an additional benefit equal to the base benefit when the rider provides that amount. Some exam examples specify death within 90 days; do not treat 90 days as a national rule. For example, Washington’s current AD&D filing requirements require at least one year for a covered loss to occur. [11] [14] [19]

EXAMPLE

A $100,000 base policy and $100,000 accidental-death rider can pay $200,000 for a death qualifying under both. Death from an excluded accidental cause may fail the rider even if the base policy still pays.

Key distinction

An accident is not enough by itself: the death must satisfy the rider’s causal connection and other requirements.

Practice Accidental Death Benefit Rider · 3 questions

CARD T144

Accidental Death and Dismemberment (AD&D)

Coverage paying scheduled benefits for qualifying accidental death or specified losses, such as loss of a limb. The policy defines covered losses.

How it works

Accidental death and dismemberment coverage pays scheduled benefits for covered accidental death or specified losses, such as a limb or sight. It may be a rider or separate coverage. The principal sum often refers to the full scheduled amount; a specified single loss may pay a percentage. The actual schedule, exclusions, and time limits govern—there is no universal percentage for every injury. [14] [19]

EXAMPLE

An AD&D schedule states a $100,000 principal sum and 50% for a covered loss of one hand. That qualifying loss pays $50,000.

Key distinction

AD&D is not comprehensive medical insurance or a guarantee of wage replacement for every disability.

Practice Accidental Death and Dismemberment (AD&D) · 3 questions

CARD T145

Accelerated Death Benefit

A feature paying part of the death benefit while the insured lives after a qualifying event. Amounts advanced generally reduce the remaining death benefit.

How it works

An accelerated death benefit allows part of the life policy’s death benefit to be paid while the insured is alive after a qualifying event, such as terminal illness. Eligibility, fees, discounts, and the reduction in remaining death benefit follow the policy. This is generally an advance of existing coverage, not an extra death benefit. Certain qualifying accelerated benefits receive favorable federal tax treatment, but not every living-benefit payment has identical tax treatment. [11] [15]

EXAMPLE

In a simplified dollar-for-dollar arrangement, a $200,000 death benefit is reduced by a $50,000 advance, leaving $150,000 before other changes. Actual riders may calculate the reduction differently.

Key distinction

Acceleration keeps the arrangement with the insurer. A viatical settlement sells the policy to another party.

Practice Accelerated Death Benefit · 3 questions

Practice questions

Select an answer, then check it to see why each option is right or wrong.

T143 · Accidental Death Benefit Rider

0 of 3 answered

QUESTION 1 OF 3A covered death qualifies for a $100,000 base benefit plus a $100,000 accidental-death benefit. What is the total?
QUESTION 2 OF 3A hypothetical rider explicitly requires death within 90 days of the accident. Death occurs 120 days later. What follows from that stated time limit?
QUESTION 3 OF 3An insured dies from illness. What is generally true about an accidental-death rider?

T144 · Accidental Death and Dismemberment (AD&D)

0 of 3 answered

QUESTION 1 OF 3A $100,000 AD&D schedule pays 50% for a covered loss of one hand. What is payable?
QUESTION 2 OF 3Which information determines the benefit for a covered dismemberment?
QUESTION 3 OF 3Which risk is AD&D designed to cover?

T145 · Accelerated Death Benefit

0 of 3 answered

QUESTION 1 OF 3What does an accelerated death benefit generally do?
QUESTION 2 OF 3A dollar-for-dollar advance of $50,000 reduces a $200,000 benefit. What remains before other changes?
QUESTION 3 OF 3Which distinguishes acceleration from a viatical settlement?

Sources & further reading

Original explanations and practice scenarios informed by the following regulatory, legal, and product resources. State examples are not presented as nationwide deadlines or requirements.