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This document serves as an application for viatical settlements, gathering personal and medical information from both the insured and the owner, along with necessary authorizations and disclosures.
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How to fill out viatical settlement application

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How to fill out VIATICAL SETTLEMENT APPLICATION

01
Gather necessary documentation, including proof of terminal illness and medical records.
02
Complete personal information section with your name, address, and contact details.
03
Provide details about the life insurance policy, including policy number and insurer.
04
Disclose the face value of the policy and any outstanding loans against it.
05
Answer any medical questions related to your condition honestly.
06
Review the application for accuracy and completeness.
07
Sign and date the application.
08
Submit the application along with required documents to the chosen viatical settlement provider.

Who needs VIATICAL SETTLEMENT APPLICATION?

01
Individuals diagnosed with a terminal illness seeking to access funds from their life insurance policy.
02
Patients needing financial assistance for medical expenses or end-of-life care.
03
Beneficiaries of life insurance policies who are unable to continue paying premiums.
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A viatical settlement occurs when a person with a terminal or a chronic illness sells his or her life insurance policy to a third party (a viatical & life settlement provider), for a cash payment that is less than the full amount of the death benefit. The person selling the life insurance policy is the “viator.”
For example, assume that Robert has a life insurance policy that will pay $100,000 upon his death. The policy has a surrender value of $50,000. Steven could buy Robert's policy in a viatical settlement for $75,000.
A viatical settlement is an investment contract pursuant to which an investor acquires an interest in the life insurance policy of a terminally ill person at a discount, which depends upon the insured's life expectancy. When the insured dies, the investor receives the proceeds of the insurance policy.
For an example of a viatical settlement, consider someone who is diagnosed with a terminal illness and faces high medical bills to cover treatment and medical care. To cover these costs, the individual may decide to sell their life insurance through a viatical settlement.
A viatical settlement is when a life insurance policyholder decides to sell their policy due to terminal or chronic illness. The payout is less than the policy's death benefit or face value. They then use the payout to pay for medical bills, debts, and their in-home, hospital, or hospice care.
Once the original policyholder passes away, the third party collects the death benefit amount from the insurance company. Another viatical settlement example would be if someone chooses to sell their life insurance policy to pay for assisted living costs following a chronic illness diagnosis.
A viatical settlement is an agreement in which a chronically or terminally ill person sells their life insurance to a third party for a one-time cash payment. The policyholder receives a payment greater than the cash surrender value but less than its face value.
Viatical Settlements, Accelerated Death Benefits Viatical Settlements How much can I get? VSPs pay a lump sum usually from 50% to 85% of the face value of your policy, depending on your life expectancy.6 more rows

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A Viatical Settlement Application is a formal request for the sale of a life insurance policy by the policyholder, typically by individuals with terminal illnesses who want to access the cash value of their policy before death.
The policyholder or insured individual seeking to sell their life insurance policy is required to file a Viatical Settlement Application.
To fill out a Viatical Settlement Application, the policyholder must provide personal information, insurance policy details, health status, and any other required documentation as outlined by the settlement provider.
The purpose of the Viatical Settlement Application is to facilitate the transfer of a life insurance policy from the insured to a third party in exchange for a lump-sum payment, allowing the policyholder to access funds while still alive.
The information that must be reported on a Viatical Settlement Application includes the policyholder's personal details, insurance policy number, the face amount of the policy, current health status, and any relevant medical records.
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