Aflac Supplemental Insurance (2024)

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When a policyholder passes away, beneficiaries will typically receive the death benefit payout. But it’s important to be aware that there are a few instances where life insurance won’t pay out. Top reasons life insurance won’t pay out may be because the policyholder lied on their application, their death was the result of suicide, or they passed away during the waiting period. Let’s dive deeper into how life insurance payouts work, how long it takes to receive a payout, and some reasons life insurance won't pay out.

How do life insurance payouts work and what is the average payout amount?

To collect a life insurance payout, beneficiaries must file a claim after the policyholder passes away. Once the life insurance company receives a certified copy of the death certificate and claim form, they’ll likely process it and pay the beneficiaries via their preferred payout method.1 The average life insurance payout a beneficiary can receive vary based on the policy type, insurance company, riders, and other factors. Some types of life insurance payouts include:

Lump-sum payout

The lump-sum payout is the most common option. With this type of payout, beneficiaries receive the entire death benefit at once in a single payment.

Retained asset account

With a retained asset account, the proceeds of the policy are kept in an interest-bearing account. The beneficiaries can then use special checks to withdraw cash and will have to pay taxes on any interest they earn.

Specific income payout

The specific income payout allows beneficiaries to receive monthly installments over a set time period while the money is held in an interest-earning account. This ensures that their funds don’t run out too quickly.1

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How long does life insurance take to pay out?

Now that you know how life insurance payouts work, you may be wondering how long it takes for life insurance to pay out. In many cases, it takes anywhere from 14 to 60 days for beneficiaries to receive a life insurance payout. But many factors impact this time frame. These include the insurance company’s procedures, when the claim is filed, how long the policy was active, the cause of death, and state laws regarding insurance payouts.2

Does life insurance usually pay out?

Fortunately, life insurance usually pays out the full value of the policy to the beneficiaries when the policyholder dies. Insurers are required to fulfill their promise of a pay out, as long as the policyholder paid their premiums. Sometimes, however, life insurance won’t pay out.

6 reasons life insurance won’t pay out

Here are some common reasons why life insurance won’t pay out:

The policyholder stopped paying premiums

If the policyholder stopped paying their premiums, the insurance policy may lapse. In this situation, the insurer can cancel the policy and not pay the death benefit.

The policyholder lied on the life insurance application

Applying for a life insurance policy requires truthful answers about a policyholder’s health and lifestyle. If the policyholder lies on their application or withholds important information, the life insurance company might refuse the pay out.2

Death from suicide

There are some states and life insurance companies with a suicide clause. The clause states a certain time period where the policyholder can’t pass away by suicide, or the life insurance policy won’t pay out. This period is usually within the first two years.3

Death from criminal activities

If the policyholder passed away while engaging in illegal or criminal activities, the insurer can deny their claim. Even if the crime was committed unknowingly, the policy might not pay out.

A term life insurance policy expired

A term life insurance policy doesn’t last forever. If the policyholder outlives their term, which might be 10, 20, or 30 years, there won’t be a payout.

The policyholder died during the waiting period

Some types of life insurance come with a waiting period that may last between 12 months to 24 months.4 If the policyholder dies during it, beneficiaries won’t receive the death benefit payout.

What to do if your life insurance claim is denied

If a life insurance company denies your life insurance claim and you believe their denial was wrong or unfair, you may follow these steps:3

  • Contact the insurer: Reach out to the life insurance company directly. Ask them to send you a full report or detailed explanation about why your claim was rejected.
  • Involve the state insurance department and attorney general: The state insurance department in your state and attorney general can provide you information about the appeals process.
  • Hire an attorney: If you decide to go through the appeals process, it may be in your best interest to consult a qualified attorney. They can guide you through the appeal and increase your chances of success.

Get a life insurance quote

The main purpose of having a life insurance policy is to help provide your beneficiaries with a payout or death benefit upon your passing. While life insurance payouts usually occur after a claim is properly filed, there are some instances where they’re refused by the insurer. As long as you and your beneficiaries become familiar with the reasons life insurance won’t pay out and how long it can take to pay out, you can prevent disappointments in the future.

If you're interested in a life insurance policy, check out Aflac’s term and whole life insurance plans. Contact an agent today to get a quote and request more information.

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Disclaimer

1 Experian - How Do Life Insurance Payouts Work? Updated April 7, 2021. https://www.experian.com/blogs/ask-experian/how-do-life-insurance-payouts-work/. Accessed April 25, 2023.

2 Policygenius - How Long Does It Take to Get a Life Insurance Payout? Updated February 24, 2023. https://www.policygenius.com/life-insurance/how-quickly-do-life-insurance-companies-pay-out-death-claims/. Accessed April 25, 2023.

3 Policygenius - What to Do If Your Life Insurance Claim is Denied. April 10, 2023. https://www.policygenius.com/life-insurance/what-to-do-if-a-life-insurance-claim-is-denied/. Accessed April 25, 2023.

4 Nerdwallet – When Doesn’t Life Insurance Pay Out? Updated August 2, 2022. https://www.nerdwallet.com/uk/insurance/life-insurance/reasons-life-insurance-wont-pay-out/. Accessed April 25, 2023.

Coverage is underwritten by American Family Life Assurance Company of Columbus. In New York, coverage is underwritten by American Family Life Assurance Company of New York.

In Arkansas, Idaho, Oklahoma, Oregon, Pennsylvania, Texas, & Virginia, Policies: ICC1368100, ICC1368200, ICC1368300, ICC1368400. In Delaware, Policies A68100-A68400. In New York, NY68100-NY68400. In Arkansas, Idaho, Oklahoma, Pennsylvania, Texas, & Virginia, Policies: ICC18B60C10, ICC18B60100, ICC18B60200, ICC18B60300, & ICC18B60400.

Aflac Final Expense insurance coverage is underwritten by Tier One Insurance Company, a subsidiary of Aflac Incorporated and is administered by Aetna Life Insurance Company.

The life insurance policy described herein contains an optional Accelerated Death Benefits Rider that is intended for favorable tax treatment under Section 101(g) of the Internal Revenue Code. Aflac does not give legal or tax advice. Please consult with a qualified legal, tax, and accounting advisor before engaging in any transaction. In AR, AZ, ID, OK, OR, PA, TX and VA: Policies ICC21-AFLLBL21 and ICC21-AFLRPL21; and Riders ICC21-AFLABR22, ICC21-AFLADB22, and ICC21-AFLCDR22.

Coverage may not be available in all states, including but not limited to DE, ID, NJ, NM, NY or VA. Benefits/premium rates may vary based on state and plan levels. Optional riders may be available at an additional cost. Policies and riders may also contain a waiting period. Refer to the exact policy and rider forms for benefit details, definitions, limitations and exclusions. For complete details, including availability and costs, please contact your local Aflac agent.

Content within this article is for informational purposes only and does not constitute legal, tax, accounting or medical advice regarding any specific situation.

Aflac cannot anticipate all the facts that a particular employer will have to consider in their benefits decision-making process.

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Aflac Supplemental Insurance (2024)

FAQs

What does Aflac supplemental cover? ›

Supplemental insurance can complement a variety of health insurance plans by providing specific coverage for accident, cancer, critical illness, hospital, short-term disability, dental, and vision. We can help provide support in one or multiple of these areas.

What percentage of disability does Aflac pay? ›

Here's why the Aflac group disability plan is right for you. The Aflac group disability plan benefits: Benefits are paid when you are sick or hurt and unable to work, up to 60 percent of your salary (up to 40% in states with state disability). Minimum and Maximum Total Monthly Benefit – $300 to $6,000.

What will Aflac pay me for? ›

Aflac can help pay for ambulance trips, physical therapy, CT Scans, MRIs, confinement, blood transfusions, and medical appliances.

Does Aflac deny pre existing conditions? ›

Pre-Existing Conditions Limitation: Aflac will not pay benefits for any period of disability that results, directly or indirectly, from Sickness or Injury for which you, during the 12 months prior to the most recent Effective Date of your insurance, incurred expenses, received medical treatment, took prescribed drugs ...

Is it worth getting supplemental insurance? ›

For many, supplemental health coverage can be a cost-effective way to help with out-of-pocket costs. Here are a few of the advantages to supplemental health insurance plans: They typically come with affordable monthly premiums. They can offer financial support when you experience unexpected medical situations.

What does supplemental insurance include? ›

There are many different types of supplemental health insurance, including vision, dental, hospital, accident, disability, long-term care, and Medicare supplemental plans.

What gives 100% disability? ›

Certain single severe injuries or conditions, such as the loss of two limbs or blindness, automatically result in a 100 percent disability rating.

What's the most disability will pay? ›

Social Security Disability Insurance (SSDI) – The maximum payment is $3,822 a month (up from $3,627 in 2023). The maximum family benefit for SSDI is about 85% to 150% of the disabled worker's benefit. The maximum payment at full retirement age is $3,822 monthly. However, if you retire at age 62, your benefit is $2,710.

How hard is it to get 100% disability? ›

To receive a rating of 100 percent, there must be sufficient evidence to support the severity of the service-connected condition. This can come from medical documentation as well as testimony from friends, family, co-workers, and others who can attest to the seriousness of the disability.

Is Aflac disability worth it? ›

Emergency funds can be excellent ways to maintain financial stability in case of a major accident, job loss, or similar event. However, it can take a long time to build one. Short-term disability insurance can give you added financial security in case you are injured and don't have enough savings to rely on.

How far back will Aflac pay? ›

We will pay the amount shown when, because of a covered accident, you are injured and those injuries cause confinement to a hospital for at least 24 hours within 90 days after the accident date. The maximum period for which you can collect the Hospital Confinement Benefit for the same injury is 365 days.

How much does Aflac pay out for an MRI? ›

MAJOR DIAGNOSTIC AND IMAGING EXAMS BENEFIT: Aflac will pay $200 when a Covered Person requires one of the following exams for Injuries sustained in a covered accident and a charge is incurred: computerized tomography (CT scan), computerized axial tomography (CAT), magnetic resonance imaging (MRI), or ...

Why would Aflac deny a claim? ›

When Aflac denies your claim, they must provide you with the reason. The main reason why they will deny your claim is they do not think you meet the plan's definition of disabled.

How much does Aflac pay for CT scan? ›

MAJOR DIAGNOSTIC AND IMAGING EXAMS BENEFIT: Aflac will pay $200 when a Covered Person requires one of the following exams for Injuries sustained in a covered accident and a charge is incurred: computerized tomography (CT scan), computerized axial tomography (CAT), magnetic resonance imaging (MRI), or ...

What is considered critical illness with Aflac? ›

Before we begin, it's important to understand that a critical illness is a major health emergency like a heart attack or stroke. Every insurance plan functions differently, but in general, the critical illness insurance plan benefits are designed to help give you and your family support during trying times.

What is supplemental vs primary insurance? ›

Primary insurance pays first for your medical bills. Secondary insurance pays after your primary insurance. Usually, secondary insurance pays some or all of the costs left after the primary insurer has paid (e.g., deductibles, copayments, coinsurances).

How much will Aflac pay for surgery? ›

This benefit is limited to one payment per calendar year, per covered person. No lifetime maximum. Surgical Benefit Aflac will pay $100–$2,000 when a covered person has surgery performed for a covered sickness in a hospital or ambulatory surgical center based upon the Schedule of Operations in the policy.

What is the difference between supplemental and advantage insurance? ›

Under a Medicare supplement plan, state-mandated benefits—such as skilled nursing care, home health care, and chiropractic care—are covered. With a Medicare Advantage plan, state-mandated benefits are not required to be covered.

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