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 does supplemental insurance cover? ›

There are many different types of supplemental health insurance, including vision, dental, hospital, accident, disability, long-term care, and Medicare supplemental plans. There are also supplemental health insurance plans for specific conditions, such as cancer, stroke, or kidney failure.

What does Aflac not cover? ›

We will not pay benefits for confinement to an observation unit, or for emergency room treatment or outpatient treatment.

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 pay for pre existing conditions? ›

Disability caused by a Pre-existing Condition or reinjuries to a Pre-existing Condition will not be covered unless it begins more than 12 months after the Effective Date of coverage.

Are supplemental insurance policies worth it? ›

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 is better than Aflac? ›

The best overall Aflac Incorporated alternative is Lumity Benefits Solution. Other similar apps like Aflac Incorporated are Insperity, Deloitte Consulting, ADP Comprehensive Services, and Zenefits Services.

Does Aflac qualify as health insurance? ›

Aflac policies are considered HIPAA excepted benefits because they are not major medical health insurance. This means they're offered separately from major medical coverage and are not an integral part of an individual's health plan.

Is Aflac accident advantage worth it? ›

Accident insurance works alongside your primary medical plan to help minimize those out-of-pocket expenses. This is one of the many reasons supplemental accident insurance is worth it. It's important to note that Aflac offers both payroll-deducted and personal accident insurance.

What illnesses are covered by Aflac? ›

The Aflac Group Critical Illness plan benefits include:
  • • Critical Illness Benefit payable for:
  • – Cancer.
  • – Heart Attack (Myocardial Infarction)
  • – Stroke.
  • – Kidney Failure (End-Stage Renal Failure)
  • – Major Organ Transplant.
  • – Bone Marrow Transplant (Stem Cell Transplant)
  • – Sudden Cardiac Arrest.

Will Aflac pay for past medical bills? ›

If you own an Aflac policy, your cash benefits can be used to help pay your deductible and any leftover medical bills, the mortgage or rent, utilities or other expenses you may have.

How much does Aflac pay 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 ...

How much does Aflac pay for a wellness visit? ›

Each calendar year (Jan-Dec), you and your covered dependents have access to a $50 payout for having any of these tests—you just need to submit a claim.

How much will Aflac pay for outpatient surgery? ›

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.

Does Aflac pay for Dr. visits? ›

Pays $25 for visits (including telemedicine) to a physician, psychologist or urgent care center. Limited to 3 visits per calendar year, per policy. Limited to 6 visits per calendar year, per policy. Laboratory test and X-ray benefit Pays $35; limited to 2 payments per covered person, per calendar year.

What does supplemental mean in an insurance claim? ›

A supplemental claim adds the newly found damage or additional cost to the original claim. The insurance company may send out an adjuster to review the new damage or tell you to document it with pictures and video on your own, but you should not repair the damage until it has been documented.

Is Aflac dental worth it? ›

Dental insurance is worth it if you are looking for additional support for minor and major dental procedures. With an Aflac dental insurance plan, the costs of cleanings, crowns, bridges, and implants can be significantly minimized. For some of our basic and preventative services, there is little to no waiting period.

What's the difference between disability insurance and supplemental insurance? ›

The main difference between Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) is that SSI is an entitlement program with no work-related requirements, whereas SSDI is an earned benefit that has work requirements to qualify. Both programs pay monthly benefits to people with disabilities.

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