
Get the free VIATICAL SETTLEMENT APPLICATION
Show details
This document is an application for obtaining a viatical settlement, requiring personal and medical information from the insured as well as details on the life insurance policy.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign viatical settlement application

Edit your viatical settlement application form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your viatical settlement application form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing viatical settlement application online
Follow the steps below to benefit from a competent PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit viatical settlement application. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you could have believed. You can sign up for an account to see for yourself.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out viatical settlement application

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.
Fill
form
: Try Risk Free
People Also Ask about
What is the payout for 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.
Is a viatical settlement a transaction?
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.
What is the viatical settlement process?
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.
What is an example of a viatical settlement provider?
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.
How much is paid in a viatical settlement?
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
What is an example of a viatical settlement?
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.
What is a viatical settlement?
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.”
What is an example of a viatical investment?
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.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is VIATICAL SETTLEMENT APPLICATION?
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.
Who is required to file VIATICAL SETTLEMENT APPLICATION?
The policyholder or insured individual seeking to sell their life insurance policy is required to file a Viatical Settlement Application.
How to fill out 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.
What is the purpose of VIATICAL SETTLEMENT APPLICATION?
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.
What information must be reported on VIATICAL SETTLEMENT APPLICATION?
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.
Fill out your viatical settlement application online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Viatical Settlement Application is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.