Life Settlements:
A Lifeline for Long-Term Care Funding

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Presented in Partnership with Retirement Genius

Turn Your Life Insurance Into Care:
How Life Settlements Help Pay for Long-Term Care Services Now

If you or a loved one is aging and needs help with daily living activities or supervision due to memory loss, buying Long-Term Care Insurance may no longer be an option. So, what can you do?

An existing life insurance policy could offer a potential solution. LTC News has partnered with Retirement Genius to help you explore how this works—and whether it’s the right fit for your situation. It won’t be appropriate for everyone, but for some families, it can provide critical funding when other resources are unavailable.

When a care crisis is looming and options are limited, it's worth taking time to educate yourself. Knowing your choices ahead of time can make all the difference for your family.

If you or a loved one owns a life insurance policy and face high long-term care costs — or can’t afford premiums anymore — there may be another option. It’s called a Life Settlement, and it could be a game-changer.

What Is a Life Settlement?

A Life Settlement is the legal sale of an existing life insurance policy to a third party — typically a regulated financial institution — for more than its cash surrender value (CSV) but less than its full death benefit. The buyer takes over the policy, pays the premiums, and collects the death benefit in the future.

For seniors facing long-term care costs, this transaction can unlock tens or even hundreds of thousands of dollars to pay for home care, assisted living, or skilled nursing — all without waiting for an insurance claim or Medicaid qualification.

“Life insurance is personal property — and like your home or car, you can sell it for its fair market value.”

— Chris Orestis, CSA, President, Retirement Genius

Why Consider a Life Settlement?

Most life insurance policyholders don’t know they have the legal right to sell their policy. In fact, 88% of policies are eventually lapsed or surrendered — which means the policyholder (or their family) gets little or nothing.

Yet the life settlement market is growing rapidly — over $4.5 billion in annual transactions — offering a smart, regulated alternative.

Common reasons to explore a life settlement:

  • You no longer need the coverage
  • You can’t afford the premiums
  • You need money for care or retirement
  • You're applying for Medicaid and want to spend down assets

Who Qualifies?

To be eligible for a life settlement:

  • You’re age 65+ (ideal range 75–92)
  • You have measurable health impairments
  • Your policy has a death benefit of $100,000+
  • You own a universal, whole, term, or convertible life policy

Good To Know: The process typically takes 30–90 days. There are no out-of-pocket costs, and if you qualify, your long-term care payments can begin immediately.

How It Works

Once a policy is settled:

  • You receive a lump sum or monthly payments to help cover care costs.
  • You no longer pay premiums
  • Funds can be tax-free if the insured is chronically or terminally ill.
  • Payments count as Medicaid-qualified spend-down.
  • You retain full control over how to spend the funds for care.

Real-Life Impact: Case Studies

Son Saves Mom’s Policy for Assisted Living

Policy: $100,000 | Settlement: $35,000

$2,000/month for 18 months paid for a move into the community of her choice.

Abandoned Term Policy Turns into Home Care Lifeline

Policy: $500,000 | Settlement: $200,000

$5,000/month for 40 months of skilled home care.

Saved from Eviction with a Universal Life Policy

Policy: $400,000 | Settlement: $175,000

Covered 35 months of assisted living at $4,000/month.

Military Son Gets Mom Settled Before Deployment

Policy: $100,000 | Settlement: $39,000

$2,100/month for 19 months allowed for a seamless transition into assisted living.

Life Settlements vs. Long-Term Care Insurance

Chart showing the difference between Life Settlements and Long-Term Care Insurance

What About Medicaid?

Settling a life insurance policy is considered a Medicaid-qualified spend-down if the funds are used for care. You also remove the policy from being counted as an asset, improving eligibility.

Important: Always consult with a legal or financial advisor. Retirement Genius and LTC News do not offer tax or legal advice.

Tax Benefits & Legal Protections

Tax-advantaged treatment under the 2017 Tax Cuts and Jobs Act

Estate planning tool: helps avoid asset liquidation

No federal tax on proceeds up to cost basis

May be entirely tax-free for those with chronic or terminal illness

Protected by state insurance regulations

Consumer Protections Are Strong

Life Settlements are regulated by state insurance departments with the following safeguards:

  • Full written disclosure of all offers and fees
  • Comparison to accelerated death benefit and other options
  • Competency certification for the seller
  • Licensing of all settlement companies
  • Consent from beneficiaries (commonly required)

Advisors: Know Your Duty

Fiduciary Duty

Fiduciary Duty refers to a legal and ethical obligation of one party to act in the best interest of another. This duty arises in relationships where trust and confidence are placed in one person by another—such as between a financial advisor and a client, a trustee and a beneficiary, or a corporate board and its shareholders.

A person with fiduciary duty must act with loyalty, honesty, and care, avoiding conflicts of interest and putting the other party’s interests ahead of their own. Breaching this duty can result in legal consequences, including financial liability.

Don’t let a client lapse a policy that could fund years of care.

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Final Thought in Life Settlements

A life insurance policy is a financial asset. Before surrendering or letting it lapse, consider whether a Life Settlement could help you or a loved one afford the care you need today — while preserving dignity and independence tomorrow.

Learn about the current and future costs of long-term care services where you live

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Find quality caregivers and long-term care facilities by using a zip code to search for providers with the LTC News Caregiver Directory. This directory is the largest database of long-term care services in the United States – and it is free to use!

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