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Best Final Expense Insurance Companies of 2026

There is no single best final expense insurance company. The best carrier for you depends on your health history, age, state of residence, and budget โ and the answer can shift dramatically based on factors as specific as a diabetes diagnosis, a heart procedure five years ago, or which state you live in. A person managing diabetic neuropathy has a completely different best company than a healthy 55-year-old shopping for the same coverage. Someone declined by one carrier may qualify for immediate, full-day-one coverage from another. This is why working with an independent agent who represents multiple carriers matters more than the brand on the policy.
Compare Final Expense Rates
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Best Final Expense Insurance Companies โ At A Glance
Below is a quick-scan look at the ten final expense insurance carriers reviewed in this guide. Each card shows the headline data โ rating, coverage range, issue ages, waiting period, financial strength, and a sample monthly burial insurance rate for a benchmark applicant (65-year-old female, non-tobacco, $15,000 coverage). Tap any company name to jump to its full profile further down the page.
Mutual of Omaha
- Coverage: $2,000 โ $40,000
- Issue ages: 45 โ 85
- Waiting period: None (Level Benefit, subject to underwriting)
- A.M. Best: A+ (Superior)
- โ Jump to full Mutual of Omaha profile
Aetna (Accendo Insurance Company)
- Coverage: $2,000 โ $50,000
- Issue ages: 40 โ 89
- Waiting period: None (Level Plan)
- A.M. Best: A (Excellent)
- โ Jump to full Accendo profile
Aetna (Continental Life) Protection Series
- Coverage: $2,000 โ $50,000
- Issue ages: 45 โ 89
- Waiting period: None (Level Benefit only)
- A.M. Best: A (Excellent)
- โ Jump to full Aetna Protection Series profile
Aflac (Tier One Insurance Company)
- Coverage: $2,000 โ $50,000
- Issue ages: 45 โ 80
- Waiting period: None (Preferred / Standard tiers)
- A.M. Best: A+ (Superior)
- โ Jump to full Aflac profile
Transamerica
- Coverage: $1,000 โ $50,000
- Issue ages: 45 โ 85
- Waiting period: None (Immediate Solution)
- A.M. Best: A (Excellent)
- โ Jump to full Transamerica profile
American Amicable (Senior Choice)
- Coverage: $2,500 โ $35,000
- Issue ages: 50 โ 85
- Waiting period: None (Immediate Death Benefit)
- A.M. Best: A (Excellent)
- โ Jump to full American Amicable profile
Liberty Bankers Life (SIMPL)
- Coverage: $3,000 โ $40,000
- Issue ages: 50 โ 85
- Waiting period: None (SIMPL Preferred & Standard)
- A.M. Best: A- (Excellent โ upgraded from B++)
- โ Jump to full Liberty Bankers profile
Royal Neighbors of America (Ensured Legacy)
- Coverage: $5,000 โ $30,000
- Issue ages: 50 โ 85
- Waiting period: None (Simplified Issue)
- A.M. Best: A (Excellent)
- โ Jump to full Royal Neighbors profile
Corebridge Financial (AGL)
- Coverage: $5,000 โ $25,000 (GIWL) / $10,000 โ $35,000 (SimpliNow)
- Issue ages: 50 โ 85
- Waiting period: None (SimpliNow Legacy) / 2-year graded (GIWL)
- A.M. Best: A (Excellent)
- โ Jump to full Corebridge profile
CICA Life Insurance Company (Superior Choice)
- Coverage: $5,000 โ $30,000 (Standard) / $5,000 โ $25,000 (Guaranteed Issue)
- Issue ages: 50 โ 80
- Waiting period: None (Standard Issue) / 2-year (Guaranteed Issue)
- A.M. Best: B++ (Good)
- โ Jump to full CICA Life profile
Best Final Expense Insurance Companies Reviewed
The right final expense insurance company is not always the one with the loudest TV commercial or the nicest mailer.
It is the company that fits your:
โ
Age
โ
Health history
โ
State of residence
โ
Monthly budget
โ
Coverage needs
That is why there is no single โbestโ company for everyone.
A 72-year-old with controlled Type 2 diabetes may need a very different carrier than a 58-year-old in excellent health. Even for the same applicant, monthly final expense insurance premiums can vary by 30% or more from one carrier to another for the exact same coverage amount.
Each company profile below follows the same format so you can compare your options side by side.
You will see:
โ
Policy snapshot โ coverage range, issue ages, waiting period, and whether premiums are locked in
โ
State availability โ where the company currently offers coverage
โ
Financial strength data โ A.M. Best rating, BBB profile, and NAIC complaint index
โ
Underwriting details โ build chart, tobacco rating, and health conditions that may qualify for immediate or graded coverage
โ
Sample monthly burial insurance rates โ shown across multiple age bands
โ
Pros and cons โ what the company does well and where it falls short
Each profile also ends with a field-agent verdict.
That final section explains when the carrier is the right call, when it is not, and what type of client it usually fits best. This is the part you will not get from a quote engine or a basic comparison website.
It comes from real field experience placing funeral insurance policies across all ten of these carriers.
Mutual of Omaha
Policy snapshot
| Product name | Living Promiseยฎ Whole Life Insurance |
| Policy type | Simplified issue (Level Benefit) & graded benefit โ two separate plans |
| Coverage range | Level: $2,000 โ $40,000 ยท Graded: $2,000 โ $20,000 ยท (WA: $5,000 min both plans) |
| Issue ages | Level: 45 โ 85 ยท Graded: 45 โ 80 |
| Waiting period | Level: None โ full day-one coverage ยท Graded: 2-year โ premiums paid + 10% for natural death; full benefit for accidental death from day one |
| Medical exam | Not required |
| Health questions | Yes โ two-part simplified questionnaire (Part 1 & Part 2) + MIB check + prescription/Rx history check + random phone interview |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes |
| Build chart | Yes โ both plans ยท Separate height/weight limits for Level (stricter) and Graded (slightly more lenient). Minimum weights also enforced. |
| Tobacco distinction | Yes โ separate tobacco & non-tobacco classes on Level plan ยท No distinction on Graded plan (single class) |
| MIB check | Yes |
| Accelerated death benefit | Included free on Level plan only ยท terminal illness (12 months), nursing home confinement (90+ consecutive days), or chronic illness (FL only) ยท one-time lump-sum election |
| Accidental death rider | Available on Level plan only โ pays additional benefit equal to the full face amount (2ร total payout) |
| Other riders | None listed in product guide |
| Non-tobacco qualification | No nicotine products in any form (cigarettes, gum, patches, cigars, etc.) within 1 year prior to application |
| A.M. Best rating | A+ (Superior) ยท 2nd highest of 15 ยท affirmed March 2025, stable outlook |
Pros & cons
Pros
- Industry-leading financial strength โ A+ from AM Best, A+ from S&P, and A1 from Moody’s. Very few final expense carriers hold top ratings from all three agencies.
- Level Benefit offers full day-one coverage with no waiting period. No medical exam required โ simplified issue only.
- Competitively priced โ Level Benefit premiums typically run 10%+ below many competitors, helping policies stay in force.
- Diabetic-friendly โ insulin users qualify for Level coverage if diabetes was diagnosed at age 50 or older
- Optional Apptical point-of-sale phone interview gives an instant eligibility decision in ~15 minutes, before you leave the first appointment
- Free Accelerated Death Benefit rider included on Level plan covers terminal illness, nursing home confinement, and chronic illness (FL)
- Ranked #1 in J.D. Power 2025 U.S. Individual Life Insurance Study for customer satisfaction
- One of the most recognized brand names among seniors โ builds immediate trust at the kitchen table
Cons
- Not available in New York โ United of Omaha does not conduct business in NY
- Build chart applies to both plans โ minimum and maximum weight limits can disqualify applicants. Stricter than carriers with no build chart.
- Graded plan not available in AR, MT, or NC
- Cancer lookback is 4 years for Level coverage (via Part 2 question) โ stricter than some competitors at 2 years
- Maximum face amount is $40,000 (Level) / $20,000 (Graded) โ lower ceiling than some carriers offering up to $50,000
- Graded plan has no tobacco distinction โ non-tobacco users don’t get a rate break on the graded tier
- HIV/AIDS is an automatic decline under Part 1 โ no graded or guaranteed issue option available
- Random phone interviews can add processing time for applicants who aren’t expecting a follow-up call
Palmetto Mutual’s assessment
Sample rates โผ
Monthly rates shown below are based on Mutual of Omaha’s current Living Promise rate schedules and include all applicable policy fees.
Level benefit โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $30.68 | $44.42 | $71.89 |
| 55 | $35.95 | $52.32 | $85.06 |
| 60 | $43.76 | $64.04 | $104.60 |
| 65 | $56.48 | $83.12 | $136.39 |
| 70 | $74.61 | $110.31 | $181.72 |
| 75 | $99.97 | $148.36 | $245.13 |
| 80 | $139.73 | $207.99 | $344.52 |
| 85 | $192.74 | $287.51 | $477.04 |
Level benefit โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $24.31 | $34.86 | $55.96 |
| 55 | $27.71 | $39.96 | $64.46 |
| 60 | $32.87 | $47.70 | $77.36 |
| 65 | $41.01 | $59.91 | $97.72 |
| 70 | $53.24 | $78.26 | $128.29 |
| 75 | $72.41 | $107.01 | $176.22 |
| 80 | $98.43 | $146.05 | $241.28 |
| 85 | $135.90 | $202.25 | $334.95 |
Level benefit โ tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $38.27 | $55.80 | $90.87 |
| 55 | $47.78 | $70.06 | $114.63 |
| 60 | $59.64 | $87.86 | $144.29 |
| 65 | $79.83 | $118.15 | $194.78 |
| 70 | $107.36 | $159.44 | $263.60 |
| 75 | $144.95 | $215.82 | $357.56 |
| 80 | $206.27 | $307.80 | $510.86 |
| 85 | $282.94 | $422.81 | $702.54 |
Level benefit โ tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $31.54 | $45.71 | $74.05 |
| 55 | $38.62 | $56.32 | $91.74 |
| 60 | $45.19 | $66.18 | $108.16 |
| 65 | $56.66 | $83.38 | $136.84 |
| 70 | $74.48 | $110.11 | $181.38 |
| 75 | $99.96 | $148.33 | $245.08 |
| 80 | $135.14 | $201.10 | $333.04 |
| 85 | $192.35 | $286.92 | $476.06 |
Graded benefit โ male (monthly) ยท no tobacco distinction ยท 2-year waiting period on natural-cause death
| Age | $10,000 | $15,000 | $20,000 |
|---|---|---|---|
| 50 | $39.78 | $59.14 | $78.50 |
| 55 | $46.89 | $69.79 | $92.70 |
| 60 | $53.98 | $80.43 | $106.89 |
| 65 | $64.77 | $96.63 | $128.48 |
| 70 | $83.86 | $125.26 | $166.66 |
| 75 | $108.86 | $162.75 | $216.64 |
| 80 | $143.04 | $214.03 | $285.01 |
Graded benefit โ female (monthly) ยท no tobacco distinction ยท 2-year waiting period on natural-cause death
| Age | $10,000 | $15,000 | $20,000 |
|---|---|---|---|
| 50 | $28.89 | $42.80 | $56.71 |
| 55 | $35.98 | $53.44 | $70.90 |
| 60 | $44.48 | $66.19 | $87.90 |
| 65 | $52.48 | $78.19 | $103.90 |
| 70 | $68.08 | $101.58 | $135.08 |
| 75 | $94.16 | $140.71 | $187.26 |
| 80 | $118.75 | $177.60 | $236.44 |
Rates are subject to change without notice and may vary by state. Montana uses unisex (male) rates. Accidental death rider premium is additional. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
Mutual of Omaha uses a two-part simplified health questionnaire, an MIB check, prescription (Rx) history check, and random phone interviews. No medical exam required. Three possible outcomes: Level Benefit (answer “No” to all questions โ full day-one coverage), Graded Benefit (answer “Yes” to any Part 2 question โ 2-year waiting period), or Decline (answer “Yes” to any Part 1 question โ no coverage available).
Conditions approved for Level Benefit (no waiting period)
- Type 2 diabetes โ pills or insulin, if diagnosed at age 50 or older and no complications (retinopathy, nephropathy, neuropathy, PVD/PAD)
- High blood pressure โ controlled with medication
- High cholesterol โ controlled with medication
- Cancer โ 4+ years in remission, no treatment in past 4 years (not metastatic or recurrent same type)
- Heart attack, stroke, bypass, angioplasty, stent โ 2+ years ago with no treatment in past 2 years (and no diagnosis within past 12 months)
- Blood thinners (warfarin/coumadin) โ viewed as maintenance if non-CHF cardiac event was 2+ years ago
- Cancer preventive medications (anastrazole, tamoxifen) โ considered Level if no cancer diagnosis question is triggered
- Sleep apnea โ oxygen for sleep apnea specifically excluded from Part 1 wheelchair/oxygen question
- Joint replacement / fracture-related wheelchair use โ specifically excluded from Part 1 mobility question
- Basal cell or squamous cell skin cancer โ excluded from all cancer questions
Conditions that trigger Graded Benefit (Part 2 โ 2-year waiting period)
- Diabetes diagnosed before age 50, or diabetes at any age with complications: retinopathy, nephropathy, neuropathy, or peripheral vascular disease (PVD/PAD)
- Hepatitis C โ ever diagnosed or treated
- Chronic lung disease โ COPD, chronic bronchitis, emphysema, or sarcoidosis (ever)
- Cancer, leukemia, melanoma โ diagnosed or treated within the past 4 years (except basal/squamous cell skin cancer)
- Chronic kidney disease, systemic lupus, scleroderma โ within past 4 years
- Bipolar depression, schizophrenia, Parkinson’s, multiple sclerosis โ within past 4 years
- Coronary artery disease, heart attack, bypass, angioplasty, cardiomyopathy, irregular rhythm, valvular disease w/ repair โ within past 2 years
- Stroke or TIA โ within past 2 years
- Felony conviction or awaiting trial โ within past 2 years
- Alcohol/drug abuse treatment or 2+ convictions for reckless driving/DUI โ within past 2 years
- Unlawful drug use or prescription drug abuse โ within past 2 years
- Hospitalized for mental/nervous disorder โ within past 2 years
- Chronic cough, unexplained weight loss (10+ lbs), fatigue, unexplained GI bleeding โ physician consultation within past 12 months
Conditions that trigger Decline (Part 1 โ no coverage available)
- Currently bedridden, confined to hospital, nursing home, LTC facility, or SNF; receiving or advised to receive hospice or home health care
- Currently requiring ADL assistance (medications, bathing, dressing, eating, toileting, transfers, bowel/bladder)
- Currently requiring wheelchair, electric scooter, or oxygen (except for fractures, bone/joint surgery, or sleep apnea)
- Ever diagnosed with HIV/AIDS/ARC
- Ever diagnosed with Alzheimer’s, dementia, Huntington’s, sickle cell anemia, MDS, ALS, quadriplegia, paraplegia, Down’s syndrome, mental incapacity, congestive heart failure, cirrhosis, metastatic cancer, or recurrent cancer of the same type
- Ever: insulin shock, diabetic coma, amputation due to diabetes, end-stage renal disease, or dialysis
- Ever advised to receive or received organ or bone marrow transplant
- Terminal illness โ death expected within 12 months
- Past 12 months: advised surgery, diagnostic testing (non-routine), treatment, or hospitalization not yet completed or results unknown
- Past 12 months: diagnosed with heart disease or heart surgery of any kind
- Past 2 years: diagnosed with any form of cancer (except basal/squamous cell skin cancer)
Lookback periods
| Condition | Lookback | Level eligible if… |
|---|---|---|
| Cancer (except basal/squamous skin) | 4 years (Part 2) ยท 2 years (Part 1) | 4+ years remission, no treatment. Within 2 years = decline. |
| Heart disease / heart surgery | 12 months (Part 1) ยท 2 years (Part 2) | 2+ years ago. Within 12 months = decline. 12โ24 months = graded. |
| Stroke / TIA | 2 years (Part 2) | 2+ years ago, no treatment |
| COPD / emphysema / chronic bronchitis | Ever (Part 2) | Not eligible for Level โ goes to Graded if ever diagnosed |
| Bipolar / schizophrenia / Parkinson’s / MS | 4 years (Part 2) | 4+ years without treatment |
| Chronic kidney disease / lupus / scleroderma | 4 years (Part 2) | 4+ years without treatment |
| Diabetes (with complications or dx before 50) | Ever (Part 2) | Not eligible for Level โ goes to Graded |
| Hepatitis C | Ever (Part 2) | Not eligible for Level โ goes to Graded |
| Felony / drug abuse / DUI | 2 years (Part 2) | 2+ years clear |
| Unexplained symptoms (cough, weight loss, fatigue, GI bleed) | 12 months (Part 2) | 12+ months since physician consultation |
Underwriting guidelines and health questions may vary by state. Prescription (Rx) history checks and MIB records may reveal conditions not disclosed on the application, which can change the eligibility decision. Call us to discuss your specific health situation and find out which plan you qualify for.
State availability โผ
Available โ 49 states + D.C. (Level Benefit)
Not available
Graded Benefit plan restrictions
United of Omaha Life Insurance Company does not conduct business in New York. Montana requires unisex rates (male rates apply to all applicants). Washington has a $5,000 minimum face amount for both plans. Accelerated Death Benefit rider differs by state: covers chronic illness in FL; terminal illness only in CT. Product features, provisions, and riders may vary by state.
Financial strength & trust signals โผ
| A.M. Best rating | A+ (Superior) โ 2nd highest of 15 tiers; affirmed March 2025; stable outlook |
| S&P Global rating | A+ โ affirmed May 2025; stable outlook |
| Moody’s rating | A1 |
| BBB rating | A+ โ accredited since 1940 |
| Year founded | 1909 (115+ years) |
| Headquarters | 3300 Mutual of Omaha Plaza, Omaha, NE 68175 |
| Organization type | Mutual company โ owned by policyholders, no shareholders |
| Underwriting entity | United of Omaha Life Insurance Company (subsidiary) |
| Total assets | ~$35 billion |
| Statutory surplus | $4.1 billion (as of Q1 2025) |
| Policyholders | 3.5+ million |
| Fortune 500 | Yes |
| Notable recognition | #1 in J.D. Power 2025 U.S. Individual Life Insurance Study ยท $8.1B in benefits paid to 6.8M policyholders in 2024 |
Height & weight chart โผ
Both the Level and Graded plans require applicants to fall within Mutual of Omaha’s height/weight limits. The Graded plan allows slightly higher maximum weights. Applicants below the minimum weight are also declined.
| Height | Min Weight | Level Max | Graded Max |
|---|---|---|---|
| 4’8″ | 74 | 204 | 221 |
| 4’10” | 79 | 214 | 231 |
| 5’0″ | 85 | 226 | 244 |
| 5’2″ | 91 | 239 | 257 |
| 5’4″ | 97 | 252 | 270 |
| 5’6″ | 103 | 268 | 285 |
| 5’8″ | 109 | 283 | 300 |
| 5’10” | 115 | 300 | 316 |
| 6’0″ | 122 | 315 | 333 |
| 6’2″ | 129 | 331 | 349 |
| 6’4″ | 136 | 348 | 367 |
| 6’6″ | 143 | 366 | 385 |
| 6’8″ | 151 | 385 | 405 |
| 6’10” | 158 | 407 | 427 |
Full chart includes every inch increment โ abbreviated here to every 2 inches for readability. Weights in lbs. Applicants above the Graded maximum or below the minimum are not eligible for coverage.
How to apply โผ
- Application method
- Through licensed agent only โ e-app (electronic) or paper application
- E-app available
- Yes โ eliminates go-backs for missed signatures and pages
- POS interview
- Optional โ Apptical phone interview for instant eligibility decision (~15 min). Call 855-464-9577 after completing the application.
- Apptical hours
- MonโFri 8:30 AM โ 2:00 AM ET ยท SatโSun 10:00 AM โ 10:00 PM ET
- Approval speed
- Instant (via Apptical POS) ยท Without POS: 24โ48 hours typical after submission
- Buy direct?
- No โ must go through a licensed agent. Mutual of Omaha’s internal call center can only offer guaranteed acceptance coverage (not Living Promise).
- Phone (UW support)
- (800) 775-7896
- Phone (general)
- (800) 775-6000
- Payment methods
- Bank account drafts only
- Payment modes
- Monthly, quarterly, semiannual, or annual
- Paper app fax
- 1-402-997-1800
- Paper app mail
- United of Omaha Life Insurance Company, Attn: Individual Life Underwriting, P.O. Box 2476, Omaha, NE 68103-2476
- Policy exclusion
- Suicide within 2 years of issue (1 year in ND) โ premiums refunded minus any loan
- Combined limits
- Level: max $40K Living Promise + max $50K all SI coverage with United of Omaha ยท Graded: max $20K Living Promise + max $25K all graded coverage with United of Omaha
โ Go to Mutual of Omaha company page
Accendo Insurance Company
Policy snapshot
| Product name | Final Expense Individual Whole Life Insurance (CVS Health Series) |
| Policy type | Simplified issue (Level Benefit โ Preferred, Standard, Super Preferred tiers) & Modified Death Benefit |
| Coverage range | $2,000 โ $50,000 (varies by age โ see face amount table below) |
| Issue ages | Level plans: 40 โ 89 ยท Modified: 40 โ 75 |
| Waiting period | Level (Preferred & Standard): None โ full day-one coverage ยท Modified: 2-year โ 110% of earned premium for natural death in years 1โ2; full benefit year 3+; accidental death covered 100% from day one |
| Medical exam | Not required |
| Health questions | Yes โ simplified questionnaire (Parts A, B, C) + MIB check + prescription/Rx history check |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes โ policy loans available on amounts exceeding $1,000 with annual interest |
| Build chart | No build chart โ no height/weight limits |
| Tobacco distinction | Yes โ separate tobacco & non-tobacco rate classes on all plans |
| MIB / Rx check | Yes โ all applications |
| Accelerated death benefit | Included free on Level plans only ยท terminal, chronic, or critical illness with โค12-month life expectancy ยท up to 50% of face (min $1,000 / max $15,000) ยท $200 admin fee deducted |
| Accidental death rider | Available on Level plans only โ pays 100% of face amount for accidental death, issue ages 40โ70 ยท Annual rate: $3.30/thousand (ages 40โ64), $4.80/thousand (ages 65โ70) |
| Child/Grandchild rider | Available on Level plans only โ $2,500 to $10,000 per child in $2,500 increments; covers children/stepchildren/grandchildren/great-grandchildren ages 30 daysโ17; convertible to whole life (5ร face, up to $35,000) at ages 22โ25 after 2 years in force. Max 9 children. |
| Annual policy fee | $40 (all plans) |
| Super Preferred rate | 10% off Preferred โ available if Aetna/Accendo Medicare Supplement policy was issued within last 180 days |
| A.M. Best rating | A (Excellent) ยท 3rd highest of 15 |
Face amount limits by age
| Ages 40โ55 | Level: $2,000 โ $50,000 ยท Modified: $2,000 โ $25,000 |
| Ages 56โ65 | Level: $2,000 โ $40,000 ยท Modified: $2,000 โ $25,000 |
| Ages 66โ75 | Level: $2,000 โ $30,000 ยท Modified: $2,000 โ $25,000 |
| Ages 76โ89 | Level: $2,000 โ $25,000 ยท Modified not available |
Pros & cons
Pros
- No height/weight build chart โ one of very few final expense carriers with zero weight restrictions. Huge advantage for overweight or obese clients declined elsewhere.
- Issue ages 40โ89 โ covers applicants up to age 89, which is extremely rare. One of the only options for clients ages 86โ89.
- Lenient underwriting โ COPD, Parkinson’s, MS, and heart attack/stroke 2+ years ago all qualify for Standard (immediate full coverage). Many carriers decline or grade these conditions.
- Two immediate-coverage tiers โ Preferred and Standard both pay full day-one benefit, allowing more accurate pricing by risk level.
- Instant decision e-App through the Aetna agent portal โ point-of-sale approval in minutes. Fully telesales-compatible.
- Super Preferred rate (10% off Preferred) for clients with a recent Aetna/Accendo Medicare Supplement โ strong cross-sell opportunity.
- One of the easiest e-signature processes in the industry โ the client receives a text message with a verification code, no email to open or DocuSign link to hunt down. Reduces friction and speeds up the close.
- Social Security deposit schedule billing โ premium drafts align with SS deposit dates (2nd, 3rd, or 4th Wednesday), reducing lapse risk.
- Backed by CVS Health and Aetna โ A.M. Best “A” rated, with the financial strength of one of the largest healthcare companies in the country.
Cons
- No guaranteed issue option โ if a client hits a Part A knock-out question, there is no fallback GI plan within Accendo. You’ll need to pivot to another carrier.
- Modified plan limited to ages 40โ75 โ clients 76โ89 who trigger Part B health questions are declined with no graded option. Gap for older clients with recent cardiac events or diabetes complications.
- Policy mail times can be slow โ multiple agent reports cite 3+ weeks for policy delivery by mail.
- Claims processing reputation โ Aetna’s broader brand carries complaints about slow claims handling. Accendo FE is administered separately via Landmark Life, but the association persists.
- Checking and savings accounts only โ no credit card or debit card payments accepted for EFT. Can be a friction point.
- $40 annual policy fee on all plans โ small but worth noting vs. carriers with no policy fee.
- Applications sometimes referred to underwriting โ while most get instant decisions, some apps are flagged for manual review (24โ48 hour delay).
- Riders unavailable on Modified plan โ no accelerated death benefit, no accidental death, no child rider on graded coverage.
Palmetto Mutual’s assessment
Sample rates โผ
Rates shown are monthly EFT premiums. Rates are subject to change without notice and may vary by state. Preferred rates may be lower for qualifying applicants. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Preferred level โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $34.39 | $49.78 | $80.56 |
| 55 | $44.10 | $64.34 | $104.83 |
| 60 | $51.10 | $74.85 | $122.35 |
| 65 | $58.19 | $85.48 | $140.06 |
| 70 | $73.15 | $107.93 | $177.47 |
| 75 | $101.41 | $150.32 | $247.63 |
| 80 | $140.27 | $208.10 | $345.76 |
| 85 | $195.95 | $291.13 | $481.49 |
Preferred level โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $27.30 | $39.15 | $62.84 |
| 55 | $34.39 | $49.78 | $80.56 |
| 60 | $40.51 | $59.27 | $96.78 |
| 65 | $47.60 | $69.65 | $113.75 |
| 70 | $58.19 | $85.48 | $139.97 |
| 75 | $75.86 | $112.29 | $184.91 |
| 80 | $101.41 | $150.32 | $247.63 |
| 85 | $136.69 | $203.23 | $336.31 |
Preferred level โ tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $47.60 | $69.65 | $113.75 |
| 55 | $55.56 | $81.53 | $133.47 |
| 60 | $66.15 | $97.43 | $159.97 |
| 65 | $82.86 | $122.49 | $201.74 |
| 70 | $111.13 | $164.89 | $272.44 |
| 75 | $157.10 | $233.84 | $387.34 |
| 80 | $228.34 | $340.71 | $566.53 |
| 85 | $334.25 | $499.58 | $830.22 |
Preferred level โ tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $41.39 | $60.58 | $98.97 |
| 55 | $44.98 | $65.96 | $107.91 |
| 60 | $51.10 | $74.85 | $122.35 |
| 65 | $61.56 | $90.54 | $148.50 |
| 70 | $79.36 | $117.24 | $193.00 |
| 75 | $104.91 | $155.56 | $256.59 |
| 80 | $157.85 | $234.97 | $389.22 |
| 85 | $214.29 | $319.63 | $530.31 |
Standard level โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $40.51 | $59.27 | $96.78 |
| 60 | $61.69 | $90.73 | $148.81 |
| 65 | $79.36 | $117.24 | $193.00 |
| 70 | $104.04 | $154.26 | $254.69 |
| 75 | $143.76 | $213.84 | $354.00 |
| 80 | $202.83 | $302.44 | $501.67 |
| 85 | $312.08 | $466.32 | $774.78 |
Standard level โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $37.01 | $53.71 | $87.12 |
| 60 | $51.10 | $74.85 | $122.35 |
| 65 | $61.69 | $90.73 | $148.81 |
| 70 | $76.72 | $113.28 | $186.40 |
| 75 | $97.91 | $145.07 | $239.34 |
| 80 | $140.27 | $208.10 | $345.76 |
| 85 | $219.98 | $328.17 | $544.55 |
Modified โ non-tobacco male (monthly) ยท 2-year waiting period on natural-cause death
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $49.44 | $72.36 | $118.19 |
| 60 | $78.49 | $115.93 | $190.82 |
| 65 | $102.46 | $151.89 | $250.75 |
| 70 | $122.41 | $181.81 | N/A |
| 75 | $185.24 | $276.06 | N/A |
Modified โ non-tobacco female (monthly) ยท 2-year waiting period on natural-cause death
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $38.89 | $56.53 | $91.82 |
| 60 | $59.85 | $88.47 | $145.22 |
| 65 | $67.99 | $100.18 | $164.56 |
| 70 | $88.90 | $131.55 | N/A |
| 75 | $144.29 | $214.63 | N/A |
Rates are subject to change without notice and may vary by state. Preferred rates may be lower for qualifying applicants. Modified plan max face: $25,000 (ages 40โ75 only). Level plan max face decreases by age band (see snapshot). Super Preferred rates (10% off Preferred) available for clients with Aetna/Accendo Med Supp issued within 180 days โ not shown above. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
Accendo uses a simplified health questionnaire (application form ICC20-ACCFE05982), an MIB check, and a prescription/Rx history check. No medical exam. Four possible outcomes: Super Preferred (all “No” answers + Aetna Med Supp within 180 days โ 10% off Preferred), Preferred Level (all “No” answers โ lowest standard rates), Standard Level (“Yes” in Part C โ immediate coverage, higher premium), or Modified (“Yes” in Part B โ 2-year graded benefit). A “Yes” in Part A = decline โ no coverage available.
Part A โ Automatic decline (do not submit application)
- Currently confined in or advised to enter a hospital, nursing home, skilled nursing facility, psychiatric facility, or correctional facility
- Receiving or advised to receive home health care or hospice care
- Uses wheelchair or mobility scooter, or requires ADL assistance (medications, bathing, dressing, eating, toileting, transfers, ambulation)
- Within past year: used or advised to use oxygen equipment (excluding CPAP for sleep apnea), or had/advised to have kidney dialysis
- Within past year: advised to have medical procedure, surgery, or diagnostic test not yet completed or results unknown (excluding HIV tests)
- Ever received or advised to receive organ or bone marrow transplant, or amputation due to disease or diabetes complications
- Ever diagnosed/tested positive for HIV, ARC, or AIDS
- Ever diagnosed with ALS (Lou Gehrig’s Disease), Huntington’s Disease, or sickle cell anemia
- Ever diagnosed with Alzheimer’s disease, dementia, or mental incapacity
- Ever diagnosed with congestive heart failure, pulmonary fibrosis, any terminal condition, or end-stage disease
- Ever diagnosed with cerebral palsy, cystic fibrosis, muscular dystrophy, or un-operated heart defects
- Within past 2 years: diagnosed with, received, or advised to receive chemotherapy or radiation for any cancer (excluding basal or squamous cell skin cancer)
- Ever diagnosed with more than one occurrence of the same or different type of cancer
Part B โ Triggers Modified plan (2-year graded benefit)
- Within past 2 years: alcohol or drug abuse (prescribed or illegal), illegal drug use, or convicted/pled guilty to DUI
- Within past 2 years: complications of diabetes โ diabetic coma, insulin shock, retinopathy, nephropathy (kidney), or neuropathy (nerve/circulatory)
- Within past 2 years: kidney or liver disease
- Within past year: angina (chest pain), heart attack, cardiomyopathy, or any heart/circulatory procedure or surgery
- Within past year: stroke, TIA (mini-stroke), aneurysm, or brain tumor
Part C โ Triggers Standard Level plan (immediate coverage, higher premium)
- Within past 2 years: angina, heart attack, cardiomyopathy, or any heart/circulatory procedure or surgery
- Within past 2 years: stroke, TIA, aneurysm, or brain tumor
- Ever: Parkinson’s disease, Multiple Sclerosis, or Systemic Lupus (SLE)
- Ever: COPD, chronic bronchitis, emphysema, or any other chronic respiratory condition
All “No” in Parts A, B, and C โ Preferred Level Plan (or Super Preferred with Aetna Med Supp)
Lookback periods
| Condition | Lookback | Outcome |
|---|---|---|
| Cancer (single occurrence, excl. basal/squamous skin) | 2 years (Part A) | Within 2 years + chemo/radiation = decline. 2+ years = Preferred |
| Multiple cancer occurrences | Ever (Part A) | Decline |
| Heart attack / heart surgery / angina / cardiomyopathy | 1 year (Part B) ยท 2 years (Part C) | Within 1 year = Modified. 1โ2 years = Standard. 2+ years = Preferred |
| Stroke / TIA / aneurysm / brain tumor | 1 year (Part B) ยท 2 years (Part C) | Within 1 year = Modified. 1โ2 years = Standard. 2+ years = Preferred |
| COPD / emphysema / chronic bronchitis | Ever (Part C) | Standard (immediate coverage โ never Level) |
| Parkinson’s / MS / Systemic Lupus | Ever (Part C) | Standard (immediate coverage โ never Level) |
| Diabetes complications (coma, shock, retinopathy, nephropathy, neuropathy) | 2 years (Part B) | Within 2 years = Modified. 2+ years = Preferred |
| Kidney or liver disease | 2 years (Part B) | Within 2 years = Modified. 2+ years = Preferred |
| Alcohol/drug abuse / DUI | 2 years (Part B) | Within 2 years = Modified. 2+ years = Preferred |
| Alzheimer’s / dementia / CHF / pulmonary fibrosis | Ever (Part A) | Decline โ no coverage available |
| HIV / AIDS | Ever (Part A) | Decline โ no coverage available |
Underwriting guidelines and health questions may vary by state. Prescription (Rx) history and MIB records may reveal conditions not disclosed on the application, which can change the eligibility decision. Accendo also uses a comprehensive medication list โ certain drugs are unacceptable regardless of condition. Call us to discuss your specific health situation and find out which plan you qualify for.
State availability โผ
Available โ most states (40+ and expanding)
Accendo’s final expense product launched in summer 2020 and has been expanding to new states since. It is now available in the majority of U.S. states.
Confirmed not available
Financial strength & trust signals โผ
| A.M. Best rating | A (Excellent) โ 3rd highest of 15 tiers |
| S&P Global rating | A+ (Aetna Life Insurance Company) |
| Moody’s rating | A1 (Aetna Life Insurance Company) |
| Fitch rating | AA- (Aetna Life Insurance Company) |
| BBB rating | A+ (Aetna parent) |
| Year founded | 1955 (original Utah entity); relaunched for senior products ~2019โ2020 under CVS Health/Aetna |
| Headquarters | 3148 West 3500 South, West Valley City, UT 84119 |
| Parent company | CVS Health Corporation (NYSE: CVS) โ via Aetna Inc. subsidiary |
| Policy administration | Policies administered by Aetna Life Insurance Company and its affiliates |
| Policyholder servicing | Landmark Life Insurance Company (since June 28, 2021) |
| CVS Health at a glance | 9,800+ retail locations ยท 1,100+ walk-in clinics ยท ~93M pharmacy benefit plan members ยท Fortune 4 company |
| Notable | One of only two burial insurance companies (along with the Protection Series) backed by two major U.S. brands โ CVS Health and Aetna (150+ years of insurance history). |
How to apply โผ
- Application method
- Through licensed agent only โ e-App (electronic, telesales or face-to-face) or paper application
- E-app available
- Yes โ through Aetna Senior Products agent portal (aetnaseniorproducts.com). All Aetna family products accessible in one e-App.
- Approval speed
- Instant decision on most e-App submissions ยท Paper apps: 24โ48 hours typical ยท Some cases referred to underwriting
- Buy direct?
- No โ must go through a licensed, contracted agent. Aetna does not sell final expense directly to consumers.
- Agent services
- 1-866-272-6630
- Policyholder services
- Landmark Life Insurance Company: 1-800-416-8377 (MonโThu 8 AM โ 5 PM CT, Fri 8 AM โ 2:30 PM CT)
- Application form
- ICC20-ACCFE05982
- POS interview
- Yes โ point of sale interview required
- Effective date
- Can request effective date up to 90 days in the future from application signature date
- Payment methods
- EFT only โ checking and savings accounts. No credit/debit cards.
- Payment modes
- Monthly EFT, quarterly, semi-annual, or annual. Social Security deposit schedule billing available (2nd, 3rd, or 4th Wednesday).
- Paper app fax
- Fax or upload to Accendo Life Insurance Company, P.O. Box 14399, Lexington, KY 40512
- Mailing address
- Accendo Insurance Company, P.O. Box 323, Brownwood, TX 76804 (for premium payments after 6/2021)
- Signature options
- Text message verification code (fastest โ client just texts back a code), voice signature, or security question. One of the simplest signature processes in the industry โ no email or DocuSign required.
- Policy exclusion
- Suicide within 2 years of issue โ premiums refunded. Material misrepresentation within 2 years may result in full chargeback.
โ Go to Accendo company page
Aetna Protection Seriesโ
Policy snapshot
| Product name | Protection Seriesโ Final Expense Individual Whole Life Insurance |
| Policy type | Simplified issue โ Level Benefit only (no graded or modified plan โ any “yes” on health questions = decline, not step-down) |
| Coverage range | $2,000 โ $50,000 (varies by age โ see breakdown below) |
| Face amount by age | Ages 45โ55: $2,000โ$50,000 ยท Ages 56โ65: $2,000โ$40,000 ยท Ages 66โ75: $2,000โ$30,000 ยท Ages 76โ89: $2,000โ$25,000 |
| Issue ages | 45 โ 89 (age last birthday) |
| Waiting period | None โ full death benefit from day one for both accidental and natural death on every approved policy |
| Medical exam | Not required |
| Health questions | Yes โ 12-question simplified issue application + point-of-sale recorded phone interview + Rx/medication history check + MIB check |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes โ policy loans available on balances exceeding $1,000 |
| Annual policy fee | $40 ($3.33/month built into premium) |
| Build chart | No build chart โ no height/weight restrictions |
| Tobacco distinction | Yes โ separate tobacco and non-tobacco rate classes ยท 12-month lookback including vaping and e-cigarettes |
| MIB check | Yes โ authorized in applicant agreement |
| Accelerated death benefit | Available โ up to 50% of face amount for qualifying terminal, chronic, or critical illness (min $1,000, max $15,000; life expectancy must be at least 12 months) |
| Accidental death rider | Available โ pays 100% of base face amount for accidental death (issue ages 40โ70) |
| Children’s term rider | Available โ $2,500 to $10,000 per child in $2,500 increments ยท covers children, stepchildren, grandchildren, great-grandchildren age 30 daysโ17 years ยท convertible to whole life between ages 22โ25 after 2 years in force ยท max 9 children per application |
| Non-forfeiture options | Included free โ Reduced Paid-Up ยท Extended Term (default if no selection made) ยท Automatic Premium Loan |
| SS payment matching | Yes โ automatic premium payments can align with Social Security deposit schedule (2nd, 3rd, or 4th Wednesday of the month) |
| Medigap discount | Available โ Super Preferred rate if applicant has an existing Medicare Supplement policy with Aetna |
| A.M. Best rating | A (Excellent) ยท CLI and American Continental Insurance Company (ACI) both carry this rating |
Pros & cons
Pros
- Accepts applicants up to age 89 โ one of the only carriers in the market that will issue new final expense coverage past age 85
- No build chart โ no height/weight restrictions at all. Overweight and obese applicants qualify without penalty, unlike carriers with strict build charts.
- Every approved policy gets full Day 1 coverage โ since this is a level-only product, there’s no graded surprise. If you’re approved, you’re covered immediately.
- Coverage up to $50,000 (ages 45โ55) โ higher maximum face amount than most final expense carriers, which typically cap at $25Kโ$35K
- Competitively priced โ rates consistently rank among the lowest across our carrier panel, especially for non-tobacco females
- Medigap discount available โ applicants with an existing Aetna Medicare Supplement policy qualify for a Super Preferred rate class
- Social Security payment matching โ premium due dates align with SS deposit schedule for easier budgeting
- Accelerated Death Benefit, Accidental Death Benefit, and Children’s Term riders available โ more rider options than many final expense carriers offer
- Backed by Aetna / CVS Health โ strong financial foundation with A (Excellent) rating from A.M. Best
Cons
- No graded or guaranteed issue fallback โ if the applicant answers “yes” to any health question, they’re simply declined. No step-down plan available. You must place them with a different carrier.
- Not available in 11 states + DC โ AK, CA, CT, DC, HI, MA, MD, ME, NY, VT, WA. Losing California and New York is a significant geographic gap.
- Insulin-dependent diabetics are declined โ unlike Mutual of Omaha which accepts insulin users diagnosed at age 50+, any insulin use at all is a decline on this product
- Cancer lookback is 36 months โ stricter than some competitors at 24 months for graded eligibility. Within 36 months of cancer diagnosis = flat decline here.
- Point-of-sale recorded phone interview required โ can slow down placement vs. carriers with e-app instant decisions
- $40 annual policy fee โ adds to the effective cost; many competitors don’t charge a separate policy fee
- Accidental death rider caps at issue age 70 โ not available for applicants 71+
- A.M. Best rating is A (Excellent), not A+ โ strong but one tier below Mutual of Omaha, which holds A+ (Superior) from three agencies
- Atrial fibrillation within 36 months is a decline โ many competitors accept a-fib for level or graded coverage
Palmetto Mutual’s assessment
Sample rates โผ
Monthly rates shown below are based on Aetna’s current Protection Series rate schedules and include the $3.33/month policy fee. Rates reflect the standard preferred rate class. Super Preferred rates (Aetna Medigap discount) are lower โ call us for those quotes.
Level benefit โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $33.75 | $48.96 | $79.38 |
| 55 | $41.33 | $60.33 | $98.33 |
| 60 | $50.17 | $73.59 | $120.43 |
| 65 | $55.83 | $82.08 | $134.58 |
| 70 | $70.00 | $103.34 | $170.01 |
| 75 | $97.50 | $144.59 | $238.76 |
| 80 | $134.16 | $199.58 | $330.41 |
| 85 | $187.49 | $279.57 | $463.73 |
Level benefit โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $26.67 | $38.34 | $61.68 |
| 55 | $32.25 | $46.71 | $75.63 |
| 60 | $39.58 | $57.71 | $93.96 |
| 65 | $45.83 | $67.08 | $109.58 |
| 70 | $55.83 | $82.08 | $134.58 |
| 75 | $72.50 | $107.09 | $176.26 |
| 80 | $97.50 | $144.59 | $238.76 |
| 85 | $131.66 | $195.83 | $324.16 |
Level benefit โ tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $46.67 | $68.34 | $111.68 |
| 55 | $51.67 | $75.84 | $124.18 |
| 60 | $65.00 | $95.84 | $157.51 |
| 65 | $79.16 | $117.08 | $192.91 |
| 70 | $106.66 | $158.33 | $261.66 |
| 75 | $150.83 | $224.58 | $372.08 |
| 80 | $219.99 | $328.32 | $544.98 |
| 85 | $321.65 | $480.81 | $799.13 |
Level benefit โ tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $40.42 | $58.97 | $96.06 |
| 55 | $42.17 | $61.59 | $100.43 |
| 60 | $50.00 | $73.34 | $120.01 |
| 65 | $59.16 | $87.08 | $142.91 |
| 70 | $75.83 | $112.08 | $184.58 |
| 75 | $100.83 | $149.58 | $247.08 |
| 80 | $151.66 | $225.83 | $374.16 |
| 85 | $208.33 | $310.83 | $515.83 |
Rates are subject to change without notice and may vary by state. Super Preferred rates (Aetna Medigap discount) are lower than shown above โ call us for a personalized quote. Rider premiums are additional. Maximum face amount decreases at ages 56, 66, and 76 (see policy snapshot).
Underwriting & health questions โผ
The Protection Series uses a 12-question simplified health questionnaire administered during a mandatory point-of-sale recorded phone interview. Aetna also runs an Rx/medication history check and an MIB check. No medical exam required. There are only two outcomes: approved for Level Benefit (full Day 1 coverage) or declined. There is no graded or modified tier on this product. If any health question is answered “yes,” the applicant does not qualify.
The following are the exact health questions from the current CLI Protection Series application (form ICC20-CLIFE06194). A “yes” to any question = decline.
Health questions โ Section 2 (verbatim from application)
Lookback periods summary
| Condition | Lookback | Level eligible ifโฆ |
|---|---|---|
| Cancer (internal, melanoma, Hodgkin’s) | 36 months (Q5C) | 36+ months since diagnosis/treatment |
| Leukemia, lymphoma, multiple myeloma | Ever (Q3B) | Not eligible โ lifetime decline |
| A-fib, cardiomyopathy, blood disorders | 36 months (Q5B) | 36+ months since diagnosis/treatment |
| Heart attack, artery blockage, heart valve | 12 months (Q9) | 12+ months since diagnosis/treatment/surgery |
| TIA, stroke, enlarged heart, PVD | 24 months (Q6A) | 24+ months since diagnosis/treatment |
| CHF, unoperated aneurysm, defibrillator | Ever (Q3A) | Not eligible โ lifetime decline |
| COPD / lung (nebulizer, oxygen, 3+ meds) | 24 months (Q6D) | 24+ months since treatment |
| Lung disorder + current tobacco use | 24 months (Q6E) | 24+ months since lung dx AND quit tobacco |
| Diabetes โ insulin use | Ever (Q4A) | Not eligible โ lifetime decline |
| Diabetes โ complications | Ever (Q4B, Q4C) | Not eligible โ lifetime decline |
| Diabetes โ med change for uncontrolled sugar | 12 months (Q4D) | 12+ months since medication change |
| Hepatitis, pancreas disorder | 36 months (Q5D) | 36+ months since diagnosis/treatment |
| Alcoholism, drug abuse | 36 months (Q5A) | 36+ months since treatment |
| Systemic lupus, connective tissue | 24 months (Q6B) | 24+ months since diagnosis/treatment |
| Pacemaker implanted | 12 months (Q11A) | 12+ months since implant |
| Seizure | 12 months (Q11D) | 12+ months since diagnosis |
| Blood pressure >175/100 | 12 months (Q12) | 12+ months since that reading |
| Pending tests / unperformed surgery | 12 months (Q7) | Tests completed, results received |
| AIDS / HIV / ARC | Ever (Q8) | Not eligible โ lifetime decline |
| Alzheimer’s, dementia, Parkinson’s, ALS, MS, MD | Ever (Q3C) | Not eligible โ lifetime decline |
| Chronic kidney disease, dialysis, kidney failure | Ever (Q3D) | Not eligible โ lifetime decline |
| Organ/bone marrow/stem cell transplant | Ever (Q3E) | Not eligible โ lifetime decline |
Conditions approved for Level Benefit (can answer “no” to all questions)
- Type 2 diabetes โ pills only, no insulin, no complications, no heart attack/stroke history, medication stable for 12+ months
- High blood pressure โ controlled, last reading โค175 systolic and โค100 diastolic
- High cholesterol โ controlled with medication
- Depression, anxiety โ stable
- Heart attack, artery blockage, heart valve disorder โ 12+ months ago
- TIA, stroke โ 24+ months ago
- Internal cancer, melanoma, Hodgkin’s โ 36+ months ago (not leukemia, lymphoma, or multiple myeloma โ those are lifetime declines)
- Atrial fibrillation โ 36+ months ago
- Hepatitis โ 36+ months ago
- COPD / lung conditions โ 24+ months since needing nebulizer, oxygen, or 3+ medications; must not currently use tobacco with active lung condition
- Pacemaker โ 12+ months since implant
- Seizure โ 12+ months since diagnosis
- Sleep apnea โ not triggered by any question (CPAP is not oxygen/nebulizer)
- Arthritis โ unless it restricts mobility or activities of daily living within 24 months
- Basal cell / squamous cell skin cancer โ not included in the cancer questions (Q5C asks about “internal cancer, melanoma, Hodgkin’s” only)
Underwriting guidelines and health questions may vary by state. The Rx/medication history check and MIB records may reveal conditions not disclosed on the application, which can change the eligibility decision. Call us to discuss your specific health situation before applying.
State availability โผ
Available
Not available (11 states + DC)
The Accendo (ACC) product has a different state availability footprint. Plan features, provisions, and riders may vary by state. Application mails to P.O. Box 14399, Lexington, KY 40512.
Financial strength & trust signals โผ
| A.M. Best rating | A (Excellent) โ applies to both CLI and its sister company ACI |
| BBB rating | A+ (Aetna parent entity) |
| NAIC complaint index | 0.97 โ below the national average of 1.0 (fewer complaints than expected for its market share) |
| Year founded | 1983 (40+ years) |
| Headquarters | Brentwood, Tennessee (Nashville metro area) |
| Parent company | Aetna Inc. โ CVS Health Corporation (acquired 2018) |
| CEO | Ty Wooldridge, President/CEO of Continental Life |
| Sister company | American Continental Insurance Company (ACI) โ same parent, also writes Aetna final expense under the Accendo brand |
| Licensed agents | 30,000+ nationwide (across all Aetna SSI products) |
| Customer service | 1-800-264-4000 |
| Website | aetnaseniorproducts.com |
CLI Protection Series vs. Accendo โ key differences โผ
Aetna issues final expense through two separate entities with meaningfully different products. This table clarifies the distinction so consumers (and agents) don’t conflate them.
| Feature | CLI Protection Series | Accendo CVS Health |
|---|---|---|
| Underwriter | Continental Life of Brentwood, TN | Accendo Insurance Company |
| Branding on policy | Aetna Protection Seriesโ | CVS Health (CVS logo on application) |
| Plan types available | Level only | Level + Modified |
| Issue ages (Level) | 45โ89 | 40โ89 |
| Issue ages (Modified) | N/A โ not offered | 40โ75 |
| Max coverage (age 45โ55) | $50,000 | $50,000 |
| Min coverage | $2,000 | $2,000 |
| Build chart | No | No |
| Accelerated Death Benefit | Yes | Yes โ up to 50% for terminal illness |
| Children’s Term rider | Yes | Yes |
| Accidental Death rider | Yes (ages 40โ70) | Yes (ages 40โ70) |
| Modified benefit payout | N/A | Years 1โ2: 110% of premiums paid (natural cause) ยท Year 3+: full benefit |
| Medigap discount | Yes โ Super Preferred rate | Yes โ Super Preferred rate |
| Health questions | Different set from ACC | Different set from CLI |
| Insulin-dependent diabetes | Decline | Varies by ACC questions |
| Cancer lookback | 36 months | Varies by ACC questions |
| States excluded | AK, CA, CT, DC, HI, MA, MD, ME, NY, VT, WA | Different list โ verify |
The CLI and ACC products are not interchangeable. An applicant declined on the Protection Series (CLI) may still qualify for the Accendo (ACC) Modified plan, and vice versa. The health questions on each application are different, so eligibility outcomes can vary between the two products for the same applicant.
How to apply โผ
- Application method
- Through licensed agent only โ not sold direct to consumer
- Application form
- ICC20-CLIFE06194 (Individual Whole Life Insurance)
- POS interview
- Mandatory โ recorded phone interview to verify health questions and authorize Rx/medication history check
- Approval speed
- Most straightforward cases approved same day during POS call. Complex cases may take several business days to 2 weeks.
- App valid for
- Application must be received at home office within 15 days of signature
- Buy direct?
- No โ must go through a licensed, contracted insurance agent
- Payment methods
- EFT (Electronic Funds Transfer) or check/money order ยท Monthly mode requires EFT only
- Payment modes
- Monthly (EFT only), Quarterly, Semi-annually, or Annually
- Mail application to
- P.O. Box 14399, Lexington, KY 40512
- Phone (customer svc)
- 1-800-264-4000
- Email (new business)
- AETSSIFinalExpense@aetna.com
- Website
- aetnaseniorproducts.com
- 30-day free look
- Yes โ full right to cancel with 100% premium refund within 30 days of policy delivery
- Default non-forfeiture
- Extended Term Insurance (if no option selected on application)
- Policy exclusion
- Suicide within 2 years of issue โ premiums refunded
โ Go to Aetna company page
Aflac
Policy snapshot
| Product name | Aflac Final Expense Whole Life Insurance |
| Policy type | Simplified issue whole life โ three benefit tiers: Preferred Level, Standard Level, and Modified |
| Coverage range | Level plans: $2,000 โ $50,000 ยท Modified plan: $2,000 โ $25,000 (varies by state/age) |
| Issue ages | Level: 45 โ 80 ยท Modified: 45 โ 75 (varies by state) |
| Waiting period | Preferred & Standard Level: None โ full day-one coverage ยท Modified: return-of-premium death benefit for first 2 years (non-accidental death); full benefit for accidental death from day one |
| Medical exam | Not required |
| Health questions | Yes โ three-part application (Part A, Part B, Part C) + electronic prescription history check (Drug Information List) + MIB authorization |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes |
| Build chart | No build chart referenced โ no height/weight limits found in underwriting guide or application |
| Tobacco distinction | Yes โ 12-month lookback ยท includes vaping and e-cigarettes |
| MIB check | Yes โ MIB authorization included in application |
| Accelerated death benefit | Included free on policies with $5,000+ face value ยท terminal illness (life expectancy under 12 months) ยท lump-sum payout of up to 50% of face value (min $1,000 / max $15,000) ยท up to $200 admin fee deducted ยท not available on Modified plan |
| Accidental death rider | Available for additional cost ยท Not available on Modified plan |
| Other riders | Child/Grandchild Term Rider โ $2,500 to $10,000 per child in $2,500 increments ยท Issue ages 30 daysโ17 ยท Converts to whole life at ages 22โ25 ยท Same amount for all covered children ยท Cannot exceed base policy face amount ยท Not available on Modified plan |
| Nonforfeiture options | Automatic premium loan ยท Paid-up insurance ยท Extended term insurance (default if no selection made) |
| Non-tobacco qualification | No tobacco use in last 12 months โ includes cigarettes, vaping, e-cigarettes, and all tobacco products |
| Conditional receipt | Yes โ coverage can bind on application date if first full premium is submitted, all representations are true, and applicant is acceptable as applied for. Max $25,000 pre-delivery. No rider benefits prior to delivery. |
| Underwriting admin | Administered by Aetna Life Insurance Company |
| A.M. Best rating | A+ (Superior) โ Aflac Incorporated group ยท Tier One cited at A- (Excellent) on some agent resources |
Pros & cons
Pros
- Three-tier underwriting (Preferred / Standard / Modified) gives more applicants a path to immediate, full-benefit coverage compared to carriers that only offer Level or Graded with no in-between
- Backed by Aflac Incorporated โ Fortune 500, A+ AM Best, A+ BBB โ massive brand recognition and financial stability that seniors trust on sight
- Accepts many chronic conditions at Standard Level for immediate coverage: COPD, Parkinson’s, MS, lupus, and well-managed diabetes without complications
- COPD qualifies for Standard Level (immediate full coverage) โ a meaningful advantage over carriers like Mutual of Omaha where COPD is a lifetime graded trigger
- Accelerated Death Benefit rider included at no extra cost on policies $5,000+ โ up to 50% of face value for terminal illness
- Tobacco/non-tobacco rate distinction with a 12-month lookback โ non-tobacco applicants get lower premiums
- Conditional receipt available โ coverage can bind on application date before policy delivery (up to $25,000), giving immediate peace of mind
- Child/Grandchild Term Rider available โ converts to whole life at age 22โ25, providing a multi-generational planning option uncommon in final expense
- Accepts credit card for initial premium payment โ more flexible than carriers requiring bank draft only
Cons
- No guaranteed issue option โ applicants who can’t pass health questions have no fallback product with Aflac and must look elsewhere
- Not available in New York, and state availability is still limited/expanding โ not yet sold in all 50 states
- Must apply through a licensed agent by phone โ no online self-service quoting or purchasing available
- Premiums can run higher than competitors โ brand premium means it’s not always the cheapest for healthy applicants who’d get better rates elsewhere
- Congestive heart failure is an automatic decline at any time โ stricter than some competitors who offer graded/modified coverage for CHF
- No riders available on Modified plan โ accelerated death benefit, accidental death, and child rider are all excluded from Modified policies
- Accelerated death benefit capped at $15,000 max payout regardless of face amount, and a $200 admin fee is deducted โ less generous than some competitors
- Prescription Drug Information List can trigger downgrades or declines for medications with multiple uses, even if prescribed for an acceptable condition โ requires extra documentation to resolve
- Relatively new final expense product (launched ~2021โ2022) โ less long-term track record in this specific market than established FE carriers
Palmetto Mutual’s assessment
Sample rates โผ
Monthly rates shown below are Preferred Level (best available rate class) based on Aflac’s current rate schedules and include all applicable policy fees.
Preferred Level โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $33.50 | $48.16 | $77.46 |
| 55 | $38.26 | $55.30 | $89.36 |
| 60 | $45.16 | $65.64 | $106.60 |
| 65 | $55.81 | $81.61 | $133.22 |
| 70 | $71.98 | $105.87 | $173.64 |
| 75 | $99.94 | $147.81 | $243.56 |
| 80 | $155.95 | $231.83 | $383.58 |
Preferred Level โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $26.98 | $38.36 | $61.14 |
| 55 | $29.45 | $42.08 | $67.33 |
| 60 | $34.65 | $49.88 | $80.33 |
| 65 | $43.99 | $63.88 | $103.67 |
| 70 | $55.97 | $81.86 | $133.63 |
| 75 | $81.94 | $120.82 | $198.56 |
| 80 | $115.96 | $171.83 | $283.59 |
Preferred Level โ tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $45.95 | $66.82 | $108.57 |
| 55 | $55.95 | $81.82 | $133.57 |
| 60 | $65.95 | $96.82 | $158.57 |
| 65 | $87.45 | $129.07 | $212.32 |
| 70 | $108.96 | $161.33 | $266.09 |
| 75 | $160.95 | $239.32 | $396.07 |
| 80 | $212.95 | $317.32 | $526.07 |
Preferred Level โ tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $37.95 | $54.82 | $88.57 |
| 55 | $44.95 | $65.32 | $106.07 |
| 60 | $51.95 | $75.82 | $123.57 |
| 65 | $63.95 | $93.83 | $153.58 |
| 70 | $75.95 | $111.83 | $183.58 |
| 75 | $115.96 | $171.83 | $283.59 |
| 80 | $155.95 | $231.83 | $383.58 |
Maximum coverage by age
| Issue age | Max coverage |
|---|---|
| 45โ55 | $50,000 |
| 56โ65 | $40,000 |
| 66โ75 | $30,000 |
| 76โ80 | $25,000 |
Rates are subject to change without notice and may vary by state. Accidental death rider and child rider premiums are additional. Not all coverage amounts are available at all ages. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
Aflac uses a three-part simplified health application (Part A, Part B, Part C) plus an electronic prescription history check (“Drug Information List”) and MIB authorization. No medical exam. Four possible outcomes: Preferred Level (“No” to all conditions โ best rates, full day-one coverage), Standard Level (“Yes” to a Part C condition โ full day-one coverage at standard rates), Modified (“Yes” to a Part B condition โ return-of-premium death benefit for first 2 years for non-accidental death), or Decline (“Yes” to a Part A condition โ no coverage).
Part A โ Decline triggers (any “yes” = not eligible, do not submit application)
- Currently confined in or advised to enter a hospital, nursing home, skilled nursing facility, psychiatric facility, or correctional facility
- Currently receiving or advised to receive home health care or hospice care
- Requires long-term wheelchair or mobility scooter use, or any physical/mental impairment requiring ADL assistance (medications, bathing, dressing, eating, toileting, transfers)
- Within past 1 year: used or advised to use oxygen to assist breathing (excluding CPAP for sleep apnea), or had/advised to have kidney dialysis
- Within past 1 year: advised to have any medical procedure, surgery, or diagnostic test not yet started, completed, or results unknown (excluding routine screenings and HIV tests)
- Ever: received or advised to receive organ or bone marrow transplant, or amputation due to any disease or complications of diabetes
- Ever: diagnosed or tested positive for HIV or AIDS
- Ever: ALS/Lou Gehrig’s disease, Huntington’s disease, or sickle cell anemia
- Ever: Alzheimer’s disease, dementia, or mental incapacity
- Ever: congestive heart failure, pulmonary fibrosis, any terminal condition or end-stage disease
- Ever: cerebral palsy, cystic fibrosis, muscular dystrophy, or un-operated heart defects
- Within past 2 years: diagnosed with, received or advised to receive chemotherapy or radiation for any cancer (excluding basal/squamous cell skin cancer)
- Ever: diagnosed with more than one occurrence of the same or different type of cancer (excluding basal/squamous cell skin cancer)
Part B โ Modified plan triggers (any “yes” = Modified benefit, 2-year graded)
- Within past 2 years: alcohol or drug abuse (prescribed or illegal), used illegal drugs, or convicted/pled guilty to DUI
- Within past 2 years: complications of diabetes โ diabetic coma, insulin shock, retinopathy, nephropathy, or neuropathy
- Within past 2 years: kidney or liver disease
- Within past 1 year: angina, heart attack, cardiomyopathy, or any type of heart or circulatory procedure/surgery
- Within past 1 year: stroke, TIA/mini-stroke, aneurysm, or brain tumor
Part C โ Standard Level triggers (any “yes” = Standard, immediate full coverage)
- Within past 2 years: angina, heart attack, cardiomyopathy, or any type of heart or circulatory procedure/surgery
- Within past 2 years: stroke, TIA/mini-stroke, aneurysm, or brain tumor
- Ever: Parkinson’s disease, multiple sclerosis, or systemic lupus (SLE)
- Ever: COPD, chronic bronchitis, emphysema, or any other chronic respiratory condition
All “No” to Part C = Preferred Level โ best available rates with full day-one coverage.
How the three-part system works together
| Application result | Benefit level | What it means |
|---|---|---|
| “Yes” to any Part A question | Decline | Not eligible โ do not submit application |
| “Yes” to any Part B question | Modified | Return-of-premium death benefit for first 2 years (non-accidental); full accidental death benefit from day one. No riders available. |
| “Yes” to any Part C question | Standard Level | Full day-one coverage at standard rates. All riders available. |
| “No” to all Part A, B, and C | Preferred Level | Full day-one coverage at best rates. All riders available. |
Lookback periods by condition
| Condition | Preferred | Standard | Modified |
|---|---|---|---|
| Heart attack / Angina / Cardiomyopathy / Circulatory surgery | 2+ years | 1โ2 years | Within 1 year |
| Stroke / TIA / Aneurysm / Brain tumor | 2+ years | 1โ2 years | Within 1 year |
| Cancer (single occurrence, excl. basal/squamous skin) | 2+ yrs no chemo/rad | โ | โ (decline if within 2 yrs) |
| COPD / emphysema / chronic bronchitis / chronic respiratory | โ | Ever (no Oโ past yr) | โ |
| Parkinson’s / MS / Lupus (SLE) | โ | Ever | โ |
| Kidney or liver disease | โ | โ | Within 2 yrs (no dialysis past yr) |
| Diabetes complications (coma, shock, retinopathy, nephropathy, neuropathy) | โ | โ | Within 2 years |
| Alcohol / drug abuse / DUI | 2+ years | โ | Within 2 years |
Important note on prescription history: In addition to the application questions, Aflac runs an electronic prescription history check (“Drug Information List”). Certain medications can trigger a downgrade or decline regardless of how application questions are answered. If a medication has multiple uses, the applicant may provide the diagnosis to potentially resolve the flag. Questions answered incorrectly (“No” when the answer should have been “Yes”) will also result in a downgrade or decline upon discovery.
Application health questions are based on the ICC21-AFLFE07390 generic state application. In states where timeframes differ from the generic application, the state-specific timeframes override. Underwriting guidelines sourced from August 2022 excerpts (Version 0822) and the current application form โ guidelines are subject to change by Aetna at any time. Call us to discuss your specific health situation.
State availability โผ
Not available
Coverage or plan levels may not be available
States with confirmed state-filed policy forms
Aflac’s Final Expense product is underwritten by Tier One Insurance Company and is still expanding to additional states. The “may not be available” states listed above come from Aflac’s own disclosures using the language “including but not limited to” โ meaning there may be additional states where coverage is not yet offered. In California, Tier One conducts business as Tier One Life Insurance Company. Benefits, premium rates, and plan levels may vary by state. Confirm availability through your contracting or quoting system before presenting to clients.
Financial strength & trust signals โผ
| A.M. Best rating | A+ (Superior) โ Aflac Inc. group entities (American Family Life Assurance Co. of Columbus, Continental American Insurance Co.). Tier One Insurance Company cited at A- (Excellent) on some agent resources โ confirm current rating for Tier One specifically. |
| S&P Global rating | Available for Aflac Inc. parent โ check investors.aflac.com/ratings |
| Moody’s rating | Available for Aflac Inc. parent โ check investors.aflac.com/ratings |
| BBB rating | A+ โ accredited since 1958 |
| Year founded | 1955 (70+ years) โ founded by John, Paul, and Bill Amos |
| Headquarters | Aflac Building, 1932 Wynnton Road, Columbus, GA 31999 |
| Administrative office | 1021 Reams Fleming Blvd, Franklin, TN 37064 |
| Organization type | Publicly traded โ NYSE: AFL |
| Underwriting entity | Tier One Insurance Company โ subsidiary of Aflac Incorporated. In CA, does business as Tier One Life Insurance Company. |
| Policy administration | Administered by Aetna Life Insurance Company |
| Policyholders | 50+ million worldwide |
| Fortune 500 | Yes |
| Notable recognition | Named to Fortune’s “World’s Most Admired Companies” list 12+ times. One of the most recognized insurance brands in the United States. |
How to apply โผ
- Application method
- Through licensed agent only โ e-app (electronic) or paper application
- E-app available
- Yes โ agent-facilitated electronic application with signature via authorization code
- Phone (apply)
- 833-504-0336 (Tier One direct) or 855-782-5850 (Aflac general)
- Approval speed
- Typically under 5 minutes for clean applications โ may take longer if prescription history check flags conditions requiring additional documentation
- Buy direct?
- No โ must go through a licensed agent. No online self-service quoting or purchasing.
- Initial premium
- EFT (electronic funds transfer) ยท Check or money order ยท Credit card โ all checks payable to Aflac, never to the agent
- Payment modes
- Annual ยท Semi-annual ยท Quarterly ยท Monthly EFT โ mode selection may affect total premium cost
- EFT draft timing
- Specific day of month or 2nd/3rd/4th Wednesday of month โ applicant’s choice
- Initial draft options
- Draft upon policy approval or draft on policy effective date
- Conditional receipt
- Yes โ if first full premium submitted with application, coverage can bind on application date (max $25,000 pre-delivery, no rider benefits until delivery)
- Policy delivery
- Mail to applicant or agent (applicant’s choice)
- Electronic delivery
- Available โ applicant can consent to receive policy and documents electronically; paper copy available on request at any time
- Effective date
- Application signature date (default if application received at admin office within 15 days), or requested effective date
- Policy exclusion
- Suicide within first 2 years of policy issue (varies by state) โ premiums refunded
- Downgrade option
- If not approved as applied for, applicant can check box to accept any available plan โ choose to adjust face amount to match premium, or keep same face amount and adjust premium
- Non-English speakers
- Outside interpreter firms permitted for telephone interview. Family member or agent may assist hearing-impaired applicants.
- Unable to speak
- 3 years of medical records required for applicants unable to speak due to physical impairment or hearing impairment
- Combined limits
- Conditional receipt coverage (all in-force + applied-for) cannot exceed $25,000 prior to policy delivery
- Replacement
- Application asks about existing life insurance/annuities in force and whether this policy will replace, reduce, or modify existing coverage โ notice of replacement sent to prior carrier if applicable
โ Go to Aflac company page
Transamerica
Policy snapshot
| Product name | Live Smart Final Expense Solutions Portfolio โ Immediate Solution, 10-Pay Solution, Easy Solution ยท Also available: FE Express Solution (see below) |
| Policy type | Whole life โ three products: Immediate Solution (simplified issue, full day-one benefit), 10-Pay Solution (simplified issue, paid up in 10 years), Easy Solution (graded benefit for harder-to-insure applicants) |
| Coverage range | $1,000 โ $50,000 (max decreases by age: $50K ages 0โ55, $40K ages 56โ65, $30K ages 66โ75, $25K ages 76โ85) ยท Easy Solution: $1,000 โ $25,000 |
| Issue ages | Immediate & 10-Pay: 0 โ 85 ยท Easy Solution: 18 โ 80 |
| Waiting period | Immediate & 10-Pay: None โ full death benefit from day one ยท Easy Solution: 2-year graded โ pays 110% of premiums paid for non-accidental death in first two years; full accidental death benefit from day one; full benefit after year two |
| Medical exam | Not required |
| Health questions | Yes โ short, simplified health and lifestyle questions plus electronic medical data pulled automatically from healthcare providers via Transamerica-approved vendors (no traditional medical records) |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes โ policy loan rate variable, not to exceed 8% |
| Build chart | Yes โ BMI-based: Preferred up to BMI 40, Standard up to BMI 45, Graded up to BMI 48. Exceeding BMI 48 max weight = decline. |
| Tobacco distinction | Yes โ 12-month lookback ยท includes cigarettes, e-cigarettes/vapes, chewing tobacco, pipe, cigar, nicotine gum/patch |
| Activity Credit | Unique to Transamerica Exercising 3+ days/week for 10+ consecutive minutes (walking, gardening, gym, etc.) can improve rating class โ Standard to Preferred or Graded to Standard |
| Accelerated death benefit | Included free on Immediate & 10-Pay Solutions ยท Nursing Home Benefit version in most states (not CA or FL) ยท Florida-only ADBR (terminal illness within 12 months) ยท California-only Terminal Illness rider ยท Not available on Easy Solution |
| Accidental death rider | Available for additional cost on Immediate Solution only ยท issue ages 18โ70 ยท pays additional amount equal to face amount for accidental death ยท Not available on 10-Pay or Easy Solution |
| Other riders | Children’s & Grandchildren’s Benefit Rider (Immediate Solution only) โ $2.00/year per unit per child ยท up to 9 children/grandchildren ยท max $5,000 per child ยท term coverage to age 25 with conversion option ยท Not available on 10-Pay or Easy Solution |
| A.M. Best rating | A (Excellent) โ Stable Outlook ยท Aegon USA Group |
Launched in 2024, the FE Express is a fully digital product โ separate from the traditional Live Smart portfolio above โ that delivers 100% instant underwriting decisions at point of sale in as fast as 10 minutes. No application is ever referred to an underwriter.
Why it matters: FE Express accepts conditions for immediate, full day-one coverage that most carriers either grade or decline โ including congestive heart failure (without defibrillator), diabetic neuropathy with insulin use, oxygen use, kidney disease/dialysis, liver disease, stroke, MS, COPD, and wheelchair/scooter use. It also includes the Concierge Planning Rider with Everest funeral planning services (will prep, funeral home price comparison, secure document storage) at no additional cost.
FE Express coverage up to $50,000 (ages 18โ75) or $25,000 (ages 76โ85). Graded FE Express available for higher-risk applicants (max $25,000). Not available in New York. See our full Transamerica review for complete FE Express underwriting details, rates, and side-by-side comparison with the traditional portfolio.
Pros & cons
Pros
- Among the cheapest Preferred rates in the final expense market โ for healthy applicants who qualify for Preferred Nontobacco, Transamerica consistently comes in at or near the lowest premiums available
- Activity Credit is unique in the market โ clients who walk the dog, garden, or exercise 3+ days a week for 10+ minutes can earn a better rate class, potentially saving hundreds per year. No other carrier offers this.
- FE Express accepts congestive heart failure (without defibrillator) and diabetic neuropathy with insulin use for immediate, full day-one coverage โ conditions most competitors either grade or flat-out decline
- Extremely lenient underwriting for common conditions on the traditional portfolio โ heart disease, depression, bipolar, schizophrenia, seizures, Crohn’s, rheumatoid arthritis, and marijuana use all qualify for Preferred (best rate class)
- Real-time underwriting decisions via iGO e-App (traditional) or fully digital FE Express platform โ many clients approved within minutes of submission
- Three product tiers on the traditional portfolio plus FE Express give you maximum flexibility to match clients to the right product based on health profile
- 10-Pay Solution available โ for clients who want premiums done in 10 years so the policy is fully paid up during retirement
- Issue ages start at 0 on the traditional portfolio โ one of the few final expense carriers covering juveniles, plus the Children’s & Grandchildren’s Benefit Rider adds multi-generational coverage
- Available in all 50 states plus Washington D.C. โ broader availability than many competitors
- Strong financial backing โ 120+ years in business, A.M. Best A (Excellent), S&P A+, Moody’s A1, backed by Aegon Ltd.
Cons
- Not the best carrier for diabetics โ diabetes (Type 1 and Type 2) is rated Standard on the traditional portfolio, not Preferred. Clients whose primary condition is diabetes will often get better rates at Aetna or Aflac.
- No guaranteed issue product โ unlike carriers such as Gerber Life or CICA, Transamerica can and does decline applicants. If a client has multiple conditions or a decline-level condition, there’s no safety net within Transamerica’s lineup.
- Coverage maximums decrease with age on the traditional portfolio โ max drops from $50K (ages 0โ55) to $40K (56โ65) to $30K (66โ75) to $25K (76โ85). Competitors like Mutual of Omaha offer a flat $50K to age 85.
- Four or more medical conditions rated Standard or Graded triggers automatic decline โ stricter stacking rule than some competitors
- Accidental Death and Children’s/Grandchildren’s Riders only available on Immediate Solution โ 10-Pay, Easy Solution, and FE Express clients lose access to these riders
- E-App not available in New York on the traditional portfolio โ NY clients must use paper applications. FE Express is not available in NY at all.
- Customer satisfaction has historically ranked below industry average in third-party surveys โ worth noting even though it primarily reflects their larger IUL and term book rather than final expense specifically
Palmetto Mutual’s assessment
Sample rates โผ
Monthly rates shown below are Immediate Solution โ Preferred (best available rate class) based on Transamerica’s current rate schedules and include all applicable policy fees. Standard and Easy Solution (graded) rates are higher.
Preferred โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $30.55 | $44.01 | $70.95 |
| 55 | $35.76 | $51.83 | $83.98 |
| 60 | $43.49 | $63.43 | $103.31 |
| 65 | $53.97 | $79.15 | $129.52 |
| 70 | $69.78 | $102.86 | $169.03 |
| 75 | $97.30 | $144.14 | $237.83 |
| 80 | $136.34 | $202.71 | $335.44 |
Preferred โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $24.23 | $34.55 | $55.17 |
| 55 | $27.60 | $39.59 | $63.58 |
| 60 | $32.71 | $47.25 | $76.35 |
| 65 | $40.77 | $59.35 | $96.51 |
| 70 | $52.88 | $77.52 | $126.79 |
| 75 | $70.94 | $104.61 | $171.94 |
| 80 | $101.27 | $150.09 | $247.74 |
Preferred โ tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $42.25 | $61.57 | $100.21 |
| 55 | $51.33 | $75.19 | $122.92 |
| 60 | $64.11 | $94.36 | $154.86 |
| 65 | $85.89 | $127.03 | $209.30 |
| 70 | $116.07 | $172.29 | $284.75 |
| 75 | $156.08 | $232.32 | $384.79 |
| 80 | $217.76 | $324.83 | $538.98 |
Preferred โ tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $34.37 | $49.76 | $80.52 |
| 55 | $41.30 | $60.14 | $97.83 |
| 60 | $48.13 | $70.38 | $114.90 |
| 65 | $60.38 | $88.76 | $145.53 |
| 70 | $79.43 | $117.34 | $193.16 |
| 75 | $106.65 | $158.17 | $261.20 |
| 80 | $155.79 | $231.88 | $384.05 |
Maximum coverage by age
| Issue age | Immediate & 10-Pay max | FE Express max | Easy/Graded max |
|---|---|---|---|
| 0โ55 | $50,000 | $50,000 | $25,000 |
| 56โ65 | $40,000 | $50,000 | $25,000 |
| 66โ75 | $30,000 | $50,000 | $25,000 |
| 76โ80 | $25,000 | $25,000 | $25,000 |
| 81โ85 | $25,000 | $25,000 | N/A |
Rates shown are Immediate Solution Preferred class and include all applicable policy fees. Standard Nontobacco rates run approximately 15โ20% higher. Easy Solution (graded) and FE Express rates differ โ contact us for a personalized quote. Rates are subject to change without notice and may vary by state. Unisex-Male rates apply in Montana. Call us for an exact, personalized quote.
Underwriting & health conditions โผ
Transamerica uses a digitally-enabled underwriting process โ short health and lifestyle questions on the application, combined with electronic medical data (diagnostic and prescription data pulled directly from healthcare providers via Transamerica-approved vendors). No medical exam, no traditional medical records. Four possible rate classes: Preferred (best rates, full day-one coverage), Standard (higher rates, full day-one coverage), Graded (Easy Solution โ 2-year graded death benefit), or Decline.
Coverage eligibility โ automatic decline triggers (do not submit application)
- Alzheimer’s disease, dementia, organic brain syndrome, cognitive impairment, memory loss, or mental incapacity
- ALS (Lou Gehrig’s disease) or other motor neuron disease
- Amputation (other than due to accident/trauma)
- Metastatic, recurrent cancer, multiple cancers, or cancer (any type other than basal cell skin) within last 2 years
- Cerebral palsy, Down syndrome, cystic fibrosis
- Pulmonary fibrosis, sickle cell anemia
- Currently bedridden, in nursing home, assisted/long-term care facility, or receiving hospice/palliative/home health care
- Bone marrow, stem cell, or organ transplant recipient
- Terminal illness (death expected within 18 months)
- AIDS/HIV positive
- Diabetic coma
- Pending surgery requiring general anesthesia
- Current incarceration or employment in cannabis industry
Conditions rated Preferred (best rate class โ full day-one coverage)
- Heart disease (general), aneurysm, blood clots (resolved), circulatory disorder
- Depression, bipolar, schizophrenia, PTSD
- Seizures/epilepsy, Crohn’s disease, ulcerative colitis
- Rheumatoid arthritis, chronic pain, lupus (SLE)
- Mild asthma (no daily symptoms, no limitations, no ER visits in 5 years)
- Marijuana use, wheelchair use (if no ADL assistance needed)
- Blood disorders (polycythemia, thrombocytopenia, hemophilia)
- Alcohol/drug abuse โ 10+ years ago ยท Sleep apnea โ CPAP without supplemental oxygen
Conditions rated Standard (higher rates โ still full day-one coverage)
- Diabetes Type 1 and Type 2 (note: diabetes is Standard, not Preferred โ not the best carrier for diabetics)
- COPD, emphysema, chronic bronchitis (with Activity Credit โ Preferred)
- Congestive heart failure (with Activity Credit โ can qualify for Immediate Solution at Standard)
- Stroke/TIA (with Activity Credit โ Preferred)
- Kidney disease/failure, liver disease (excluding fatty liver), cirrhosis, dialysis
- Cancer โ cancer-free, no treatment within last 2 years
- Hospitalization within last 12 months (with Activity Credit โ Preferred)
- Sleep apnea โ CPAP with supplemental oxygen
- Alcohol/drug abuse โ 4โ10 years ago ยท DUI/reckless driving โ 2โ5 years ago
Conditions rated Graded (Easy Solution โ 2-year waiting period)
- Anemia (under treatment in last 3 months, with Activity Credit โ Standard)
- Alcohol/drug abuse โ 2โ4 years ago ยท Felony โ 3โ5 years ago
- Two Standard-rated medical conditions combined
- Height/weight in Graded BMI range (45โ48) with all other factors Preferred
How the rating system works (traditional portfolio)
| Scenario | Rating | Product |
|---|---|---|
| All conditions, lifestyle factors, and build are Preferred | Preferred | Immediate Solution |
| One Standard medical condition + Preferred build + Preferred/Standard lifestyle | Standard | Immediate Solution |
| One Graded condition OR two Standard conditions OR Graded build | Graded | Easy Solution |
| One Decline condition OR Decline build (BMI 48+) OR 4+ Standard/Graded conditions | Decline | No coverage |
Key lookback periods
| Condition | Preferred | Standard | Graded | Decline |
|---|---|---|---|---|
| Cancer (non-basal cell) | โ | 2+ yrs cancer-free | โ | Within 2 yrs / metastatic / recurrent |
| Alcohol/drug abuse | 10+ years | 4โ10 years | 2โ4 years | Within 2 years |
| DUI/reckless driving | 5+ years | 2โ5 years | โ | Within 2 yrs or multiple in 5 yrs |
| Felony | 10+ years | 5โ10 years | 3โ5 years | Within 3 yrs or multiple in 10 yrs |
| Stroke/TIA | w/ Activity Credit | Default | โ | โ |
| COPD/emphysema | w/ Activity Credit | Default | โ | โ |
| Hospitalization (overnight) | w/ Activity Credit | Within 12 months | โ | Currently hospitalized |
Height & weight limits (BMI-based)
| Height | Min weight | Preferred max (BMI <40) | Standard max (BMI <45) | Graded max (BMI <48) |
|---|---|---|---|---|
| 5’0″ | 95 lbs | 204 lbs | 230 lbs | 245 lbs |
| 5’4″ | 108 lbs | 233 lbs | 262 lbs | 279 lbs |
| 5’8″ | 122 lbs | 263 lbs | 295 lbs | 315 lbs |
| 6’0″ | 137 lbs | 294 lbs | 331 lbs | 353 lbs |
| 6’4″ | 152 lbs | 328 lbs | 369 lbs | 394 lbs |
Exceeding the Graded max weight = decline. Full height/weight chart covers 4’5″ through 7’0″. Minimum BMI must be greater than 18.5 for Preferred and Standard eligibility.
Underwriting guidelines are subject to change without notice. The underwriter’s decision may differ from these guidelines based on electronic medical data received. Call us to discuss your specific health situation.
State availability โผ
Available in
All 50 states + Washington, D.C. (traditional portfolio). FE Express available in all states except NY, GU, PR, VI.
State-specific variations
Policies issued by Transamerica Life Insurance Company, Cedar Rapids, IA 52499 in all states except New York. In New York, policies issued by Transamerica Financial Life Insurance Company, Harrison, NY 10528. Product availability, riders, and rates may vary by state.
Financial strength & trust signals โผ
| A.M. Best rating | A (Excellent) โ Stable Outlook (Aegon USA Group) |
| S&P Global rating | A+ |
| Moody’s rating | A1 |
| BBB rating | A+ โ not BBB accredited |
| Year founded | 1904 (120+ years) |
| Headquarters | Cedar Rapids, IA (administrative office: 6400 C Street SW, Cedar Rapids, IA 52499) |
| Parent company | Aegon Ltd. โ international financial services holding company, headquartered in The Hague, Netherlands. 10+ million customers worldwide. |
| Organization type | Subsidiary of publicly traded parent (Aegon N.V.) |
| Notable | One of the largest life insurance and retirement services providers in the U.S. Triple-rated by all three major rating agencies (A.M. Best, S&P, Moody’s). |
How to apply โผ
- Application method
- Traditional portfolio: Through licensed agent โ iGO e-App (iPipeline) or paper application ยท FE Express: All-digital platform โ agent or direct, 100% instant decisions, text/email signature, electronic policy delivery
- E-app available
- Yes โ traditional portfolio in all states except NY (paper only in NY). FE Express is fully digital in all available states.
- Phone (agent support)
- 1-877-234-4848 (x1 New Business, x6 Sales Support)
- Quick quote tool
- transamerica.com/quote-fe โ works on any device, no login required
- Approval speed
- Traditional: Real-time โ decisions within minutes of e-App submission for most applicants ยท FE Express: 100% instant โ every application gets a decision at point of sale, no referrals to underwriter
- Buy direct?
- Traditional portfolio requires a licensed agent. FE Express can also be initiated direct-to-consumer via Transamerica’s digital platform.
- Initial premium
- Bank draft (ACH/EFT) ยท Credit/debit card ยท Check ยท Social Security Direct Express
- Payment modes
- Traditional: Monthly ยท Quarterly ยท Semiannual ยท Annual ยท FE Express: Monthly or Annual only
- Policy delivery
- eDelivery available for both products. FE Express delivers policies electronically via customer portal.
- Expedited claims
- FE Express offers expedited claims โ up to $25,000 of the death benefit can be paid to the beneficiary in as fast as 72 hours from receipt of required paperwork in good order
- Free look period
- 30 days for replacement transactions
โ Go to Transamerica company page
American Amicable
Policy snapshot
| Product name | Senior Choice Whole Life Insurance |
| Policy type | Simplified issue whole life โ three benefit tiers: Immediate Death Benefit (Policy Form 9767), Graded Death Benefit (Policy Form 9644), and Return of Premium (Policy Form 9645) |
| Coverage range | Immediate: $2,500โ$50,000 (ages 50โ75) / $2,500โ$25,000 (ages 76โ85) ยท Graded & ROP: $2,500โ$25,000 (all ages) ยท Min $5,000 in Washington |
| Issue ages | 50โ85 (age last birthday) |
| Waiting period | Immediate: None โ full day-one coverage ยท Graded: 30% year 1, 70% year 2, 100% year 3+ ยท ROP: Returns premiums + 10% interest for first 3 years (2 years if age 65+), then 100%. All plans pay 100% for accidental death from day one. |
| Medical exam | Not required |
| Health questions | Yes โ 8 simplified yes/no questions determine plan eligibility + MIB check + prescription database check + build chart |
| Phone interview | Not required in most cases. Required when: (1) payor is other than insured/spouse/significant other/child (ages 50โ70), or (2) applicant ages 71โ85 not found in prescription database. Never required for ROP plan. |
| Premiums locked | Yes โ guaranteed level, never increase ยท Premium paying period to age 110 |
| Policy fee | $30 annually (commissionable) |
| Cash value | Yes |
| Build chart | Yes โ liberal unisex build chart ยท Example: 5’10” qualifies for Immediate up to 307 lbs, Graded 308โ321 lbs, ROP 322โ335 lbs. Minimum weight applies (e.g. 126 lbs at 5’10”). |
| Tobacco distinction | Yes โ 12-month lookback ยท excludes occasional pipe and cigar use ยท includes cigarettes, e-cigarettes, chewing tobacco, nicotine patches/gum, hookah, bidis |
| MIB check | Yes โ MIB authorization included in application |
| Accelerated death benefit | Included free Terminal Illness Rider: Up to 100% of death benefit if life expectancy 12 months or less (24 months in some states). Reduced by actuarial adjustment factor + $150 admin charge. Available on all plans. Included free Confined Care Rider: Up to 5% of face amount per month during nursing home confinement (30+ days after policy issue). Immediate plan only. Not available in CA, CT, DC, FL, IL, IN, MA, NJ, OH, SD, VA, WA. |
| Accidental death rider | Available for additional cost ยท Issue ages 50โ80 ยท Benefit equal to face amount ยท Terminates at age 100 ยท Not available on ROP plan |
| Other riders | Grandchild/Great-Grandchild Rider: $5,000โ$10,000 per child (1โ2 units) ยท Ages 180 daysโ15 ยท $12/yr per child per unit ยท Paid up at insured’s death ยท Available on all plans Children’s Insurance Agreement: $3,000โ$6,000 term to age 25 or insured’s age 65 ยท Converts to whole life at up to 5ร amount ยท Not on ROP Nursing Home Waiver of Premium: Waives premiums during qualified nursing home confinement after 90 consecutive days ยท Ages 50โ85 ยท Immediate plan only |
| Nonforfeiture options | Automatic premium loan (APL) โ elected on application |
| Conditional receipt | Yes โ coverage effective on application date if first full premium submitted, bank draft/eCheck authorized, all underwriting requirements completed, and proposed insured is acceptable exactly as applied for. Max $150,000 (including all in-force + applied-for life insurance and ADB) prior to policy delivery. Expires at policy delivery or 60 days, whichever is earlier. |
| Plan acceptance option | Applicant can check box to accept whichever plan they qualify for โ prevents amendments and go-back appointments if downgraded |
| Underwriting entity | American-Amicable Group: American Amicable Life Insurance Co. of TX (AA), iA American Life Insurance Co. (iA), Occidental Life Insurance Co. of NC (OL), Pioneer American Insurance Co. (PA), Pioneer Security Life Insurance Co. (PS) |
| A.M. Best rating | A (Excellent) โ 3rd highest out of 15 categories |
Pros & cons
Pros
- Mobile e-app delivers instant point-of-sale underwriting decisions within seconds โ among the fastest in final expense, dramatically reducing go-backs and missed-signature amendments
- Very liberal unisex build chart โ a 5’10” applicant can weigh up to 307 lbs and still qualify for Immediate (day-one) coverage, which is more generous than most competitors
- Blood thinner advantage: Coumadin, Warfarin, and Plavix users prescribed for pulmonary embolism or thrombosis qualify for Immediate coverage โ most competitors push these to graded
- Competitive tobacco rates relative to other final expense carriers โ smokers often get better pricing here than at carriers like Mutual of Omaha or Aetna
- Extensive prescription reference guide (200+ medications) maps directly to plan eligibility โ the e-app’s decision engine automatically generates reflexive questions when a medication has multiple uses, reducing manual field underwriting errors
- Backed by iA Financial Group, one of Canada’s largest insurance and wealth management companies โ strong financial backing behind a 115-year-old carrier
- Two free living benefit riders included: Terminal Illness Accelerated Death Benefit (up to 100% of face value) and Confined Care (up to 5% of face amount per month during nursing home confinement) on Immediate plan
- Premium drafts can be aligned with Social Security payment dates (1st, 3rd, 2nd/3rd/4th Wednesday) โ a practical convenience for fixed-income seniors
- Plan Acceptance checkbox allows the applicant to pre-authorize acceptance of whichever plan they qualify for, preventing delays from plan downgrades
Cons
- No guaranteed issue option โ applicants who answer “Yes” to knockout questions 1โ3 are declined outright with no fallback product and must be placed elsewhere
- Graded plan pays only 30% in year 1 and 70% in year 2, which is less generous than some competitors offering 40%/80% or higher graded structures
- ROP plan is expensive relative to competitors’ graded products, and benefits during the graded period (premiums + 10% interest) are less valuable than a percentage-of-face-amount payout
- Maximum face amount drops to $25,000 for ages 76โ85 on the Immediate plan, and Graded/ROP are capped at $25,000 at all ages โ lower ceiling than some competitors
- COPD, emphysema, and chronic bronchitis within the past 2 years trigger Return of Premium (not Immediate) โ and within 3 years trigger Graded. Some competitors like Aflac offer immediate full coverage for COPD at any time
- Systemic lupus (SLE) within the past 2 years triggers Return of Premium โ stricter than carriers like Aflac that accept lupus for Standard Level (immediate coverage) at any time
- Phone interview may still be required for applicants ages 71โ85 not found in the prescription database, adding a step to the process
- Confined Care rider not available in 12 states (CA, CT, DC, FL, IL, IN, MA, NJ, OH, SD, VA, WA) โ a meaningful gap in states with large senior populations
Palmetto Mutual’s assessment
Sample rates โผ
Monthly EFT rates shown below are for the Immediate Death Benefit plan (best available โ full day-one coverage, no waiting period). Rates are subject to verification against the Palmetto Mutual quote engine before publishing.
Immediate Death Benefit โ non-tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $31.64 | $46.15 | $75.15 |
| 55 | $40.03 | $58.73 | $96.12 |
| 60 | $47.05 | $69.26 | $113.67 |
| 65 | $59.74 | $88.29 | $145.40 |
| 70 | $78.79 | $116.86 | $193.01 |
| 75 | $108.01 | $160.70 | $266.07 |
| 80 | $155.82 | $232.41 | $385.59 |
Immediate Death Benefit โ non-tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $26.66 | $38.68 | $62.70 |
| 55 | $33.69 | $49.21 | $80.26 |
| 60 | $38.26 | $56.07 | $91.70 |
| 65 | $47.05 | $69.26 | $113.67 |
| 70 | $60.38 | $89.25 | $146.98 |
| 75 | $81.73 | $121.27 | $200.35 |
| 80 | $113.68 | $169.20 | $280.24 |
Immediate Death Benefit โ tobacco male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $40.59 | $59.56 | $97.50 |
| 55 | $50.00 | $73.68 | $121.04 |
| 60 | $60.56 | $89.52 | $147.44 |
| 65 | $76.06 | $112.77 | $186.19 |
| 70 | $98.31 | $146.15 | $241.82 |
| 75 | $132.48 | $197.41 | $327.25 |
| 80 | $181.75 | $271.30 | $450.41 |
Immediate Death Benefit โ tobacco female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $31.28 | $45.61 | $74.25 |
| 55 | $38.67 | $56.68 | $92.71 |
| 60 | $45.77 | $67.33 | $110.46 |
| 65 | $57.70 | $85.23 | $140.29 |
| 70 | $72.18 | $106.95 | $176.48 |
| 75 | $94.42 | $140.30 | $232.08 |
| 80 | $135.19 | $201.46 | $334.00 |
Maximum coverage by age & plan
| Issue age | Immediate max | Graded max | ROP max |
|---|---|---|---|
| 50โ75 | $50,000 | $25,000 | $25,000 |
| 76โ85 | $25,000 | $25,000 | $25,000 |
Rates shown are based on American Amicable’s current Senior Choice rate schedules and include all applicable policy fees. Graded and ROP plan rates are higher than Immediate rates shown above. Rates are subject to change and should be verified against the Palmetto Mutual quote engine before publishing. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
American Amicable uses a simplified 8-question health application (Form 9466 / ICC15-GL213) plus a prescription database check, MIB authorization, and a liberal unisex build chart. No medical exam required. Four possible outcomes: Immediate Death Benefit (“No” to all 8 questions โ full day-one coverage at best rates), Graded Death Benefit (“Yes” to question 8 only โ 30%/70%/100% structure), Return of Premium (“Yes” to questions 4โ7 โ premiums + 10% interest during graded period), or Decline (“Yes” to questions 1โ3 โ no coverage available).
Questions 1โ3 โ Decline triggers (any “yes” = not eligible for any Senior Choice plan)
- Q1: Currently hospitalized, confined to a nursing facility/bed/wheelchair due to chronic illness, using oxygen to assist breathing, receiving hospice or home health care, had an amputation caused by disease, currently have any form of cancer (excluding basal cell skin cancer), or require ADL assistance (bathing, dressing, eating, toileting)
- Q2: Had or been medically advised to have an organ transplant or kidney dialysis, or diagnosed with congestive heart failure (CHF), Alzheimer’s, dementia, mental incapacity, Lou Gehrig’s disease (ALS), liver failure, respiratory failure, or a terminal condition/end-stage disease expected to result in death within 12 months
- Q3: Medically treated or diagnosed with AIDS, ARC, any immune deficiency disorder, or tested positive for HIV
Questions 4โ7 โ Return of Premium triggers (any “yes” = ROP plan)
- Q4: Ever diagnosed or treated for complications of diabetes โ insulin shock, diabetic coma, retinopathy, nephropathy, neuropathy โ or used insulin prior to age 50
- Q5: Ever diagnosed, treated, or taken medication for renal insufficiency, kidney failure, chronic kidney disease, or more than one occurrence of cancer in a lifetime (excluding basal cell skin cancer)
- Q6: Within the past 2 years โ any diagnostic testing, surgery, or hospitalization advised by a medical professional which has not been completed or results not received
- Q7a: Within past 2 years โ angina, stroke or TIA, cardiomyopathy, systemic lupus (SLE), cirrhosis, Hepatitis C, chronic hepatitis, chronic pancreatitis, COPD, emphysema, chronic bronchitis, or required oxygen to assist breathing
- Q7b: Within past 2 years โ heart attack, aneurysm, or had/advised to have heart, brain, or circulatory surgery (pacemaker, defibrillator, procedures to improve circulation)
- Q7c: Within past 2 years โ diagnosed, treated, or taken medication for any form of cancer (excluding basal cell skin cancer)
- Q7d: Within past 2 years โ used illegal drugs, abused alcohol/drugs, or been recommended for treatment/counseling for alcohol or drug use
Question 8 โ Graded plan triggers (any “yes” = Graded plan)
- Q8a: Within past 3 years โ stroke, angina, heart attack, aneurysm, heart or circulatory surgery, or any procedure to improve circulation
- Q8b: Within past 3 years โ taken medication for any form of cancer (excluding basal cell skin cancer), emphysema, chronic bronchitis, COPD, ulcerative colitis, cirrhosis, Hepatitis C, or liver disease
- Q8c: Within past 3 years โ paralysis of two or more extremities, cerebral palsy, multiple sclerosis, seizures, Parkinson’s disease, or muscular dystrophy
How the three-tier system works together
| Application result | Plan assigned | What it means |
|---|---|---|
| “Yes” to Q1, Q2, or Q3 | Decline | Not eligible for any Senior Choice coverage |
| “Yes” to Q4โQ7 (but “No” to Q1โQ3) | Return of Premium | Premiums + 10% interest returned for first 3 years (2 years if age 65+). 100% face amount paid for accidental death from day one. 100% after graded period. |
| “Yes” to Q8 only (but “No” to Q1โQ7) | Graded | 30% of face in year 1, 70% in year 2, 100% year 3+. 100% for accidental death from day one. |
| “No” to all Q1โQ8 | Immediate | Full day-one coverage at best rates. All riders available. |
Lookback periods by condition
| Condition | Immediate | Graded | ROP |
|---|---|---|---|
| Heart attack / Angina / Aneurysm / Heart surgery | >3 years | Within 3 years | Within 2 years |
| Stroke / TIA | >3 years | Within 3 years | Within 2 years |
| Cancer (single occurrence, excl. basal cell) | >3 years | Within 3 years | Within 2 years |
| COPD / Emphysema / Chronic bronchitis | >3 years | Within 3 years | Within 2 years |
| Parkinson’s / MS / Seizures / Muscular dystrophy | >3 years | Within 3 years | โ |
| Cirrhosis / Hepatitis C / Liver disease | >3 years | Within 3 years | Within 2 years |
| Systemic lupus (SLE) / Cardiomyopathy | >2 years | โ | Within 2 years |
| Diabetes with complications | No complications ever | โ | Ever (Q4) |
| Multiple cancers (lifetime) | Never | โ | Ever (Q5) |
| Alcohol / Drug abuse | >2 years | โ | Within 2 years |
| CHF / Alzheimer’s / Dementia / ALS / Dialysis | Decline โ no coverage | ||
Key underwriting notes
- Blood thinner advantage: Coumadin/Warfarin prescribed for pulmonary embolism or thrombosis = Immediate. Plavix prescribed for pulmonary embolism/thrombosis = Immediate. These same medications prescribed for stroke/heart attack trigger ROP or Graded based on lookback.
- Diabetes (uncomplicated): Type 2 diabetes managed with oral medication or insulin (started after age 50) qualifies for Immediate coverage โ as long as there are no complications (retinopathy, nephropathy, neuropathy, insulin shock, or diabetic coma).
- Prescription database check: The decision engine runs an electronic prescription history check. Medications with multiple uses trigger automatic reflexive questions (e.g., “Was this prescribed for CHF?”). The applicant’s answer determines plan eligibility.
- COVID-19 addendum: Applicants are asked if they have been hospitalized or have ongoing complications from COVID-19 within the past 6 months.
- Build chart is separate from health questions: Even if all health questions are answered “No,” the build chart can downgrade an applicant from Immediate to Graded or ROP based on height/weight.
Application health questions are based on Form 9466 (AA, OL, PA, PS) and ICC15-GL213 (iA). State-specific applications may vary. The Medical Impairment Guide and Prescription Reference Guide in the agent guide (pages 25โ42) provide detailed condition-by-condition and medication-by-medication eligibility. Call us to discuss your specific health situation.
State availability โผ
Available nationwide through group subsidiaries
The American-Amicable Group operates through five subsidiary companies, which collectively provide coverage across all U.S. states. The specific issuing company varies by state:
State-specific restrictions & requirements
States requiring additional forms
Confined Care rider not available in:
Products and riders not available in all states. Check with the State Approval Grid on the company website or contact Home Office Agent Support at (800) 736-7311 (prompt 1, 1, 1) for current approvals. Each subsidiary has sole financial responsibility for its own products.
Financial strength & trust signals โผ
| A.M. Best rating | A (Excellent) โ 3rd highest out of 15 categories. Reflects strong risk-adjusted capitalization, profitable operating performance, and high-quality fixed-income investment portfolio. |
| BBB rating | A+ โ accredited since 2011 |
| Moody’s / S&P / Fitch | Not individually rated |
| Year founded | 1910 (chartered as Amicable Life in 1909, first policy issued 1910) โ 115+ years in operation |
| Headquarters | 425 Austin Avenue, Waco, TX 76701 (P.O. Box 2549, Waco, TX 76702) |
| Parent company | iA Financial Group (Industrial Alliance Insurance and Financial Services Inc.) โ one of the largest insurance and wealth management groups in Canada. Acquired American Amicable in 2010. |
| Organization type | Subsidiary of publicly traded iA Financial Group (TSX: IAG) |
| Active policies | 1,000,000+ |
| Group companies | American Amicable Life Ins. Co. of TX ยท iA American Life Insurance Co. ยท Occidental Life Ins. Co. of NC ยท Pioneer American Insurance Co. ยท Pioneer Security Life Insurance Co. |
| Service hours | Live chat: 8:00 AMโ4:45 PM CT MโF ยท Phone: 8:00 AMโ4:00 PM CT MโF |
How to apply โผ
- Application method
- Through licensed agent only โ mobile e-app (tablet/smartphone at www.insuranceapplication.com), paper application (Form 9466 / ICC15-GL213), or AppDrop scan/fax submission
- E-app available
- Yes โ mobile application with instant point-of-sale underwriting decision within seconds. Supports stylus/finger signature, email signature, or voice signature.
- Phone (support)
- (800) 736-7311 โ Agent Support: prompt 1, 1, 1 ยท 8:00 AMโ4:00 PM CT MโF
- Approval speed
- Mobile e-app: Instant (seconds). Paper: varies โ typically 1โ2 weeks. Faster with point-of-sale phone interview completed.
- Buy direct?
- No โ must go through a licensed agent. No online self-service quoting or purchasing.
- Initial premium
- Bank draft ยท eCheck (immediate draft upon receipt) ยท Personal check (money orders NOT accepted) ยท Must be payable to the insurance company, never to the agent
- Payment modes
- Monthly EFT ยท Quarterly ยท Semi-Annual โ mode selection may affect total premium cost
- EFT draft timing
- Requested draft day (1stโ28th) or aligned with Social Security schedule: 1st of month, 3rd of month, 2nd/3rd/4th Wednesday
- Conditional receipt
- Yes โ if first full premium submitted or bank draft fully authorized, underwriting requirements completed, and applicant is acceptable exactly as applied for. Max $150,000 (including all in-force + applied-for, including ADB) pre-delivery. Expires at delivery or 60 days.
- Policy delivery
- Mail to agent, insured, or owner (applicant’s choice on application)
- Requested policy date
- Cannot be more than 35 days from application signature date. Drafts cannot be on 29th, 30th, or 31st.
- Downgrade option
- “Plan Acceptance” checkbox โ if checked, applicant pre-authorizes acceptance of whichever plan they qualify for, preventing the need for signed endorsements or amendments
- Replacement
- Application asks about existing life insurance/annuities and whether this policy will replace coverage. Kansas and Kentucky do not accept replacement sales.
- Re-application limits
- No new application accepted if proposed insured has had 2 previous policies in past 12 months, or 3+ policies in past 5 years that lapsed, surrendered, or cancelled.
โ Go to American Amicable company page
Liberty Bankers Life
Policy snapshot
| Product name | SIMPL Final Expense (Simplified Issue Made Perfect for Life) |
| Policy type | Simplified issue whole life โ three tiers: SIMPL Preferred, SIMPL Standard, and SIMPL Modified (graded benefit) |
| Coverage range | Preferred & Standard: $3,000 โ $40,000 ยท Modified: $1,000 โ $20,000 |
| Issue ages | Preferred & Standard: 18 โ 80 ยท Modified: 40 โ 80 |
| Waiting period | Preferred & Standard: None โ full day-one coverage ยท Modified: 3-year graded benefit (accidental death = 100% from day one; non-accidental death = return of all premiums paid + 10% compounded during first 3 years; Year 4 = 100%; Year 5 = 105%; Year 6+ = 110%) |
| Medical exam | Not required |
| Health questions | Yes โ three-part application (Part 1, Part 2, Part 3) + MIB authorization + phone interview with underwriter |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes โ guaranteed cash value accumulation |
| Build chart | Yes โ height/weight limits apply (collected on application) |
| Tobacco distinction | Yes โ Nicotine vs. Non-Nicotine rate classes ยท 12-month lookback ยท includes cigarettes, nicotine, and e-cigarettes |
| MIB check | Yes โ MIB authorization included in application |
| Accelerated death benefit | Included free on SIMPL Preferred & Standard only ยท terminal illness (life expectancy โค12 months) or chronic illness (unable to perform 2+ ADLs) ยท up to the lesser of $250,000 or 80% of face amount ยท administrative expense charge and interest charge may apply ยท Not available on Modified |
| Accidental death rider | Available for additional premium on Preferred & Standard only ยท Annual rates per $1K: ages 18โ59 = $1.00 ยท ages 60โ69 = $2.00 ยท ages 70โ80 = $4.00 ยท Not available on Modified |
| Other riders | Children’s Benefit Rider: $5,000 term coverage to age 25 per child, max 4 units โ $37.73/year per unit per child (โ$3.49/mo for $5K). Grandchild Benefit Rider: $7,500 term to age 25 per grandchild โ $12.97/year per grandchild (โ$1.20/mo). Both convertible at age 25 or marriage. Waiver of Premium rider not available on final expense policies. All riders available on Preferred & Standard only โ no riders on Modified. |
| Nonforfeiture options | Cash value, paid-up insurance, extended term insurance |
| Policy fee | $50 annual policy fee included in all quoted premiums |
| First-year discount | 20% discount on first-year premium when annual mode is selected |
| Minimum premium | $15 modal premium |
| Conditional receipt | Yes โ coverage can bind on application date if first full premium is submitted, applicant is insurable under Liberty Bankers rules for plan/amount/rate, and conditions are met. Max $25,000 total LBL coverage (all in-force + applied-for) prior to policy delivery. |
| Automated underwriting | Yes โ point-of-sale phone interview with instant underwriting decisions; checks MIB, Rx database, and MVR records |
| A.M. Best rating | A- (Excellent) โ reaffirmed 4 consecutive years (2022โ2025) |
Pros & cons
Pros
- Issue ages start at 18 โ one of the few final expense carriers that covers young adults, locking in low rates decades before most competitors will issue a policy
- Outstanding child and grandchild riders at industry-leading prices โ $5,000 per child for ~$3.49/month (up to 4 units per child) and $7,500 per grandchild for ~$1.20/month, both convertible to whole life at age 25 or marriage
- Three-tier underwriting (Preferred / Standard / Modified) provides flexibility โ fewer outright declines than carriers with only two tiers
- Accelerated death benefit included free on Preferred & Standard โ covers both terminal illness and chronic illness (2+ ADL impairment), up to 80% of face amount, with no separate premium charge
- Immediate full death benefit on SIMPL Preferred & Standard โ no waiting period or graded benefits for applicants who qualify
- Guaranteed cash value accumulation higher than many competitors โ meaningful savings component builds over time
- Fast automated underwriting with instant decisions at point of sale โ phone interview with policies typically issued within 48 hours
- Home service model โ agents make house calls for application, premium collection, and claims delivery, beneficial for homebound seniors
- AM Best A- (Excellent) rating with record $37.5 million operating income in 2024 and $2.68 billion in total assets
- 20% discount on first-year premium when annual payment mode is selected
Cons
- No guaranteed issue option โ applicants who fail all three tiers (Preferred, Standard, Modified) will be declined with no fallback product, unlike carriers like Gerber Life or Corebridge
- Modified plan is a weak value โ the 3-year graded benefit (premiums + 10% compounded for non-accidental death) is less competitive than other carriers’ graded products, and no riders are available on Modified policies
- Rates are generally 10โ20% higher than the cheapest carriers like Mutual of Omaha or American Amicable for comparable healthy applicants โ not a price leader for seniors
- No online quote tools โ quotes are only available through an agent, limiting comparison shopping and transparency
- Height/weight build chart applies โ overweight applicants may be rated up or declined, unlike carriers such as Aflac or CICA that have no build chart
- Diabetes at age 9 or younger is a flat decline โ stricter than most competitors for Type 1 diabetics diagnosed in childhood
- Not rated by S&P, Moody’s, or Fitch โ the AM Best A- is solid, but some competitors carry A+ or A++ ratings with multiple agency coverage
- Modified plan not available in all states โ Arkansas, Montana, North Carolina, and New York are excluded for Modified; New York is excluded for all products
- Uncontrolled diabetes and uncontrolled high blood pressure within 2 years are Part 1 decline triggers โ stricter lookback than some competitors who would offer graded coverage
Palmetto Mutual’s assessment
Sample rates โผ
Monthly rates shown below are from the SIMPL Final Expense Rate Book (rates effective 02/01/2023) and include the $50 annual policy fee. All rates subject to verification through the Palmetto Mutual quote engine before publishing.
SIMPL Preferred โ non-nicotine male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $33.20 | $47.48 | $76.06 |
| 55 | $38.59 | $55.57 | $89.54 |
| 60 | $46.62 | $67.62 | $109.61 |
| 65 | $58.00 | $84.68 | $138.06 |
| 70 | $77.15 | $113.42 | $185.95 |
| 75 | $103.02 | $152.21 | $250.61 |
| 80 | $147.94 | $219.59 | $362.90 |
SIMPL Preferred โ non-nicotine female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $26.33 | $37.19 | $58.90 |
| 55 | $30.91 | $44.06 | $70.35 |
| 60 | $36.35 | $52.22 | $83.94 |
| 65 | $44.95 | $65.11 | $105.43 |
| 70 | $57.60 | $84.09 | $137.06 |
| 75 | $81.59 | $120.07 | $197.03 |
| 80 | $116.01 | $171.71 | $283.10 |
SIMPL Preferred โ nicotine male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $45.66 | $66.17 | $107.21 |
| 55 | $53.15 | $77.41 | $125.94 |
| 60 | $65.29 | $95.62 | $156.28 |
| 65 | $90.46 | $133.37 | $219.20 |
| 70 | $117.36 | $173.73 | $286.47 |
| 75 | $161.26 | $239.58 | $396.22 |
| 80 | $212.70 | $316.74 | $524.82 |
SIMPL Preferred โ nicotine female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $35.26 | $50.58 | $81.22 |
| 55 | $40.91 | $59.06 | $95.34 |
| 60 | $48.27 | $70.09 | $113.73 |
| 65 | $61.00 | $89.19 | $145.57 |
| 70 | $76.57 | $112.54 | $184.49 |
| 75 | $101.86 | $150.48 | $247.72 |
| 80 | $156.21 | $232.01 | $383.60 |
SIMPL Standard โ non-nicotine male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $39.62 | $57.11 | $92.11 |
| 60 | $61.97 | $90.64 | $147.98 |
| 65 | $85.93 | $126.59 | $207.89 |
| 70 | $109.50 | $161.94 | $266.82 |
| 80 | $223.95 | $333.62 | $552.94 |
SIMPL Standard โ non-nicotine female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $32.71 | $46.75 | $74.83 |
| 60 | $45.30 | $65.63 | $106.31 |
| 65 | $58.40 | $85.29 | $139.07 |
| 70 | $76.15 | $111.91 | $183.43 |
| 80 | $160.33 | $238.18 | $393.89 |
Premium mode factors (all SIMPL products)
| Payment mode | Factor |
|---|---|
| Annual (1st year only) | Annual ร 0.80 (20% discount) |
| Annual (2nd year+) | Annual ร 1.00 |
| Semi-annual | Annual ร 0.51 |
| Quarterly | Annual ร 0.265 |
| Monthly bank draft | Annual ร 0.0925 |
Rates sourced from Liberty Bankers SIMPL Final Expense Rate Book (effective 02/01/2023) and include the $50 annual policy fee. Minimum modal premium: $15. Accidental death rider and child/grandchild rider premiums are additional. All rates flagged for live verification through the Palmetto Mutual quote engine before publishing. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
Liberty Bankers uses a three-part simplified health application plus MIB authorization and a phone interview with an underwriter. No medical exam. Automated underwriting checks MIB, prescription drug database, and motor vehicle records. Four possible outcomes: SIMPL Preferred (“No” to all questions โ best rates, full day-one coverage), SIMPL Standard (“Yes” to a Part 3 condition โ full day-one coverage at standard rates), Modified Whole Life (“Yes” to a Part 2 condition โ 3-year graded benefit), or Decline (“Yes” to a Part 1 condition โ stop, do not submit).
Part 1 โ Decline triggers (any “yes” = stop, do not submit application)
- Ever: Congestive heart failure (CHF), cardiomyopathy, memory loss, Alzheimer’s, senile dementia, dementia, heart defibrillator implant, two or more instances of internal cancer, or terminal illness (expected to result in death within 24 months)
- Ever: Organ transplant (other than corneal), bone marrow transplant, stem cell treatment, kidney failure or dialysis, muscular dystrophy, mental incapacity, ALS/Lou Gehrig’s disease, Down’s syndrome, cystic fibrosis, pulmonary fibrosis, or Huntington’s disease
- Ever: Diabetes diagnosed at age 9 or younger
- Ever: AIDS, AIDS-related complex, tested positive for HIV, or any other disorder of the immune system
- Within past 2 years: Uncontrolled diabetes, uncontrolled high blood pressure, diabetic coma or insulin shock, amputation due to diabetic complications, schizophrenia, alcohol/drug abuse, illegal use of drugs, or dependency on prescription medication
- Within past 1 year: Confined to hospital for more than 5 days total, advised to have surgery/hospitalization still awaiting, used oxygen (excluding CPAP for sleep apnea), bedridden at home, or residing in a nursing home, hospice, long-term care, or assisted living facility
Part 2 โ Modified Whole Life triggers (any “yes” = MWL, 3-year graded benefit; check state availability)
- Within past 3 years: Cancer (lymphoma, leukemia, or any form of cancer โ excludes basal cell skin cancer), or received/advised to receive chemotherapy or radiation for cancer
- Within past 2 years: Angina (chest pain), any type of heart or circulatory surgery or disease, heart valve disorder, heart attack, pacemaker, or stent
- Within past 2 years: Stroke (excluding TIA/mini-stroke) or paralysis
- Within past 2 years: Aneurysm, brain tumor, or sickle cell anemia
- Within past 2 years: Complications of diabetes โ nephropathy (kidney), neuropathy (nerve, circulatory), or retinopathy (eye)
- Within past 2 years: Chronic hepatitis, Hepatitis C, cirrhosis of the liver, chronic pancreatitis, kidney disease, or Systemic Lupus (SLE)
- Within past 2 years: Multiple sclerosis, Parkinson’s disease, or required use of a walker, wheelchair, or electric scooter due to chronic illness or disease
- Within past 2 years: Convicted of or pled guilty to a felony or misdemeanor, or pending criminal charge
Part 3 โ SIMPL Standard triggers (any “yes” = Standard, immediate full coverage at standard rates)
- Ever: COPD, chronic bronchitis, emphysema, irregular heartbeat, atrial fibrillation, peripheral vascular disease, or peripheral artery disease
- Ever: Insulin-dependent diabetes
- Within past 2 years: Epileptic seizures or a Transient Ischemic Attack (TIA/ministroke)
All “No” to Part 3 = SIMPL Preferred โ best available rates with full day-one coverage.
How the three-part system works together
| Application result | Benefit level | What it means |
|---|---|---|
| “Yes” to any Part 1 question | Decline | Not eligible โ stop, do not submit application |
| “Yes” to any Part 2 question | Modified Whole Life | 3-year graded benefit: accidental death = 100% from day one; non-accidental = premiums + 10% compounded (years 1โ3), 100% (year 4), 105% (year 5), 110% (year 6+). No riders available. Ages 40โ80 only. Not available in all states. |
| “Yes” to any Part 3 question | SIMPL Standard | Full day-one coverage at standard rates. All riders available. |
| “No” to all Part 1, 2, and 3 | SIMPL Preferred | Full day-one coverage at best rates. All riders available. |
Lookback periods by condition
| Condition | Preferred | Standard | Modified | Decline |
|---|---|---|---|---|
| Cancer (excl. basal cell skin) | 3+ years | โ | Within 3 yrs | 2+ instances ever |
| Heart attack / Angina / Heart surgery / Stent / Pacemaker | 2+ years | โ | Within 2 yrs | CHF = ever |
| Stroke / Paralysis | 2+ years | โ | Within 2 yrs | โ |
| TIA / Mini-stroke | 2+ years | Within 2 yrs | โ | โ |
| COPD / Emphysema / Chronic bronchitis | โ | Ever (no Oโ past yr) | โ | Oโ use past yr |
| Insulin-dependent diabetes | โ | Ever | โ | Age โค9 at diagnosis |
| Diabetes complications (nephropathy, neuropathy, retinopathy) | 2+ years | โ | Within 2 yrs | Coma/shock past 2 yrs |
| Atrial fibrillation / Irregular heartbeat / PVD / PAD | โ | Ever | โ | โ |
| MS / Parkinson’s / Walker-wheelchair use | 2+ years | โ | Within 2 yrs | โ |
| Kidney disease / Liver disease / Hepatitis C / SLE | 2+ years | โ | Within 2 yrs | Dialysis = ever |
| Epileptic seizures | 2+ years | Within 2 yrs | โ | โ |
| Alcohol/drug abuse | 2+ years | โ | โ | Within 2 yrs |
Application health questions are based on the TAPP-LBL (ICC22-TAPP-LBL) application form. State-specific forms may vary. Underwriting also includes a phone interview with the underwriter, MIB check, prescription drug database, and motor vehicle records. Liberty Bankers reserves the right to obtain an Attending Physician Statement (APS) but these are rarely required. Call us to discuss your specific health situation.
State availability โผ
SIMPL Preferred & Standard โ not available
SIMPL Modified (MWL) โ not available
Generally available
SIMPL Preferred and Standard are available in all U.S. states except New York. The Modified Whole Life plan has additional state restrictions. Liberty Bankers distributes through a network of 6,000+ independent agents in 47+ states. Products not available in all states โ verify specific product and plan-level availability through the agent portal before presenting to clients.
Financial strength & trust signals โผ
| A.M. Best rating | A- (Excellent) โ reaffirmed for 4 consecutive years (2022โ2025). Risk-adjusted capitalization rated in the “strongest” category by Best’s BCAR methodology. |
| S&P Global rating | Not Rated |
| Moody’s rating | Not Rated |
| Fitch rating | Not Rated |
| BBB rating | A+ (not accredited) |
| NAIC complaint index | Below industry average |
| Year founded | 1958 (originally Royal Oak Life Insurance Company, Pennsylvania) |
| Headquarters | 1605 Lyndon B. Johnson Freeway, Suite 700, Dallas, TX 75234 |
| Administrative office | P.O. Box 224, Brownwood, TX 76804 |
| Organization type | Wholly-owned subsidiary of Liberty Life Group Trust |
| Parent group | Liberty Bankers Insurance Group (LBIG) |
| Subsidiaries | Capitol Life Insurance Company, American Benefit Life Insurance Company, American Monumental Life Insurance Company |
| Total assets (2024) | $2.68 billion ยท 114.22% assets-to-liability ratio |
| Capital & surplus (2024) | $420.5 million adjusted |
| Operating income (2024) | $37.5 million (record high) |
| Total premium income (2024) | $593 million |
| Distribution | 6,000+ independent agents in 47+ states |
| Phone | 1-888-525-4467 (new business) ยท 1-800-731-4300 (main) ยท Fax: 1-888-525-5002 |
| newbiz@lbladmin.com |
Note on AM Best rating: Many third-party review sites still list Liberty Bankers at B++ (Good). The company was upgraded to A- (Excellent) and has maintained that rating for 4 consecutive years. Always verify against the current AM Best rating.
How to apply โผ
- Application method
- Through licensed independent agent only โ in person, by phone, or e-app through the online agent portal
- E-app available
- Yes โ electronic application with electronic signature (code sent via email and text for verification)
- Phone (new biz)
- 1-888-525-4467 ยท Fax: 1-888-525-5002 ยท Email: newbiz@lbladmin.com
- Approval speed
- Instant to 48 hours โ automated underwriting with point-of-sale phone interview for most applications. APS rarely required.
- Buy direct?
- No โ must go through a licensed independent agent. No online self-service quoting or purchasing.
- Initial premium
- Check or money order (payable to Liberty Bankers Life Insurance Company, never to the agent) ยท Automatic bank draft (ACH) ยท First premium can be drafted immediately, upon policy approval, or on first scheduled payment date (applicant’s choice)
- Payment modes
- Annual (20% discount first year) ยท Semi-annual ยท Quarterly ยท Monthly bank draft (ACH)
- Conditional receipt
- Yes โ if cash or check equal to full first premium is submitted with application, coverage takes effect on latest of: (a) application date, (b) date requested in application, or (c) date of last medical requested. Max $25,000 total Liberty Bankers coverage (all in-force, riders, and applied-for) prior to policy delivery. Do NOT complete for ACH/bank draft for a future date.
- Home service
- Yes โ agents make house calls for application, premium collection, and benefit delivery. Can also meet at coffee shops or other locations.
- Policy delivery
- Coverage begins when all three conditions are met: (1) policy has been issued, received, and accepted by proposed owner; (2) Liberty Bankers has received the first full premium; (3) health and conditions are as described in the application
- Electronic signature
- Yes โ authentication via email and text with verification code
- Policy exclusion
- Suicide within first 2 years of policy issue (varies by state) โ premiums refunded
- Replacement
- Application asks about existing life insurance/annuities and whether this policy replaces or changes existing coverage โ NAIC replacement form and sales material certification required if applicable
- Checks payable to
- Liberty Bankers Life Insurance Company โ do NOT make checks payable to the producer or leave payee blank
โ Go to Liberty Bankers company page
Royal Neighbors of America
Policy snapshot
| Product name | Ensured Legacy Final Expense |
| Policy type | Simplified issue (Level Preferred & Standard), graded death benefit & guaranteed issue |
| Coverage range | $5,000 โ $40,000 (SI & GDB) ยท $3,000 โ $10,000 (GI) |
| Issue ages | 50 โ 85 |
| Waiting period | SI: None ยท GDB: 30/70/100% graded ยท GI: 2-year modified |
| Medical exam | Not required |
| Health questions | Yes โ simplified yes/no questions + Rx/MIB review |
| Premiums locked | Yes โ guaranteed level, never increase |
| Cash value | Yes โ loans available at 7.4% interest |
| Build chart | Height/weight for Preferred only ยท No build chart for Standard, GDB, or GI |
| Tobacco distinction | Yes โ separate tobacco & non-tobacco rate classes |
| MIB check | Yes |
| Accelerated death benefit | Included free up to 75% of face (max $100K) ยท terminal illness or permanent nursing home confinement ยท on policies $7K+ ยท not available on GI |
| Accidental death rider | Available for additional premium ยท expires at age 80 |
| Charitable giving rider | Included free โ RNA donates 1% of face (up to $1,000) to a charity you choose |
| Grandchild rider | Available โ $5,000 per grandchild ยท $60/year flat ยท ages 90 days โ 17 (25 if in school) |
| A.M. Best rating | A (Excellent) ยท 3rd highest of 13 ยท affirmed Dec 2025 |
Pros & cons
Pros
- No heightened weight chart โ no build chart requirement for Standard, GDB, or GI rate classes
- Best-in-class diabetes underwriting โ insulin users who started at age 30+ and diabetic neuropathy both qualify for level day-one coverage
- True graded benefit (30/70/100%) for HIV/AIDS โ one of the only carriers that won’t flatly decline or push to GI
- Unique Charitable Giving Rider included free โ no other FE carrier offers this
- Fraternal member benefits at no extra cost: Rx savings, dental, vision, legal services, scholarships, grants
- Payment dates align with Social Security deposit schedule (2nd, 3rd, or 4th Wednesday)
Cons
- Not available in 7 states โ AL, AK, HI, LA, MA, NH, NY
- Rates for ages 50โ59 run ~20% higher than top competitors like Mutual of Omaha
- SI minimum $5,000 face ($3K for GI) โ higher floor than some competitors at $2K
- GI max coverage capped at $10,000 โ lower than competitors offering up to $25K GI
- Requires fraternal society membership โ concept can feel unfamiliar to some seniors
- Back-office customer service and claims processing can be slow based on consumer reviews
Palmetto Mutual’s assessment
Sample rates โผ
Royal Neighbors uses separate tobacco and non-tobacco rate classes with Preferred and Standard tiers. Rates below reflect the Standard tier.
Standard non-tobacco โ male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $39.32 | $56.81 | $91.79 |
| 55 | $45.80 | $66.52 | $107.97 |
| 60 | $51.11 | $74.49 | $121.26 |
| 65 | $59.92 | $87.70 | $143.27 |
| 70 | $79.09 | $116.46 | $191.20 |
| 75 | $108.18 | $160.10 | $263.94 |
| 80 | $153.47 | $228.03 | $377.15 |
| 85 | $221.48 | $330.05 | $547.19 |
Standard non-tobacco โ female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $34.15 | $49.05 | $78.84 |
| 55 | $37.98 | $54.80 | $88.44 |
| 60 | $38.39 | $55.41 | $89.46 |
| 65 | $47.27 | $68.73 | $111.64 |
| 70 | $60.57 | $88.68 | $144.90 |
| 75 | $81.92 | $120.70 | $198.27 |
| 80 | $121.43 | $179.98 | $297.06 |
| 85 | $164.35 | $244.35 | $404.35 |
Standard tobacco โ male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $54.48 | $79.54 | $129.67 |
| 55 | $66.44 | $97.49 | $159.58 |
| 60 | $75.01 | $110.34 | $181.00 |
| 65 | $94.75 | $139.95 | $230.35 |
| 70 | $122.02 | $180.85 | $298.52 |
| 75 | $174.71 | $259.90 | $430.26 |
| 80 | $230.32 | $343.30 | $569.21 |
| 85 | $319.96 | $477.76 | $793.37 |
Standard tobacco โ female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $50.94 | $74.23 | $120.82 |
| 55 | $55.17 | $80.58 | $131.39 |
| 60 | $65.17 | $95.58 | $156.40 |
| 65 | $80.26 | $118.21 | $194.12 |
| 70 | $99.99 | $147.81 | $243.45 |
| 75 | $128.33 | $190.31 | $314.29 |
| 80 | $163.55 | $243.15 | $402.35 |
| 85 | $225.90 | $336.67 | $558.21 |
Rates are subject to change without notice and may vary by state. Preferred rates may be lower for qualifying applicants. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
Royal Neighbors uses simplified yes/no health questions, an MIB check, and prescription history (Rx) review. No medical exam required. No APS unless flagged. Three-tiered outcome: Simplified Issue (Level Preferred or Standard) for healthy applicants, Graded Death Benefit (30% year 1 / 70% year 2 / 100% year 3) for moderate impairments, and Guaranteed Issue for higher-risk applicants. Height/weight limits apply to Preferred tier only โ no build chart for Standard or below.
Conditions approved for simplified issue (no waiting period)
- Type 2 diabetes โ including insulin users who started at age 30 or later
- Diabetic neuropathy โ not asked about on the application (major advantage)
- Controlled COPD / emphysema
- Controlled high blood pressure
- Controlled cholesterol
- Cancer โ 2+ years in remission, no ongoing treatment
- Heart attack / stroke / cardiac event โ 2+ years ago, no ongoing treatment
- Blood thinners (warfarin, coumadin) โ OK for Level coverage
- Depression / anxiety โ if controlled
- Sleep apnea
Conditions that trigger graded death benefit (30/70/100%)
- HIV / AIDS positive โ one of the only carriers offering a true graded benefit instead of decline or GI
- Cardiac events / stroke within past 24 months
- Cancer diagnosis within past 2 years
- Conditions flagged on health questions within past 18 months with ongoing medications or treatment
- Stroke, angina, heart attack, cardiomyopathy, heart/circulatory surgery โ 18-to-24-month timeline applies
Conditions that trigger guaranteed issue (2-year modified)
- Currently confined to bed, wheelchair, hospital, nursing home, or on oxygen
- Organ transplant
- Diabetic amputation
- Coma
- Dementia / Alzheimer’s
- Currently on dialysis
- Active chemotherapy / radiation
- Advised to attend alcohol or drug counseling
- Terminal illness (life expectancy 12 months or less)
Conditions that trigger decline
- Felony conviction (regardless of face amount)
- Non-U.S. citizen or non-permanent resident (no SSN or ITIN)
- Mentally incompetent or unable to legally contract
- Already owns $40,000+ in SIWL, $20,000+ in GDB, or $10,000+ in GI with Royal Neighbors
- Three or more lapsed certificates with Royal Neighbors
Lookback periods
| Condition | Lookback | Level eligible if… |
|---|---|---|
| Cancer (remission/removal) | 2 years | No treatment, no recurrence |
| Heart attack / stroke / angina | 24 months | No ongoing meds or treatment |
| Cardiomyopathy / cardiac surgery | 24 months | No ongoing meds or treatment |
| Other conditions (Q5โQ7) | 18 months | No ongoing meds or treatment |
Underwriting guidelines and health questions may vary by state. Call us to discuss your specific health situation and find out which plan you qualify for.
State availability โผ
Available โ 43 states + D.C.
Not available โ not licensed
Not all products are available in all licensed states. Graded Death Benefit plan may have further state limitations. Montana requires male rates for both male and female applicants. Contractual provisions and limitations vary by state.
Financial strength & trust signals โผ
| A.M. Best rating | A (Excellent) โ 3rd highest of 13; upgraded from A- in 2020; affirmed Dec 2024 & Dec 2025 |
| BBB rating | A+ โ accredited since 1986 |
| Year founded | 1895 (130+ years) |
| Headquarters | 230 16th Street, Rock Island, IL 61201 |
| Organization type | Fraternal benefit society (nonprofit) โ member-owned, no shareholders |
| Total assets | $1+ billion |
| Members | ~280,000+ nationwide |
| CEO | Zarifa Reynolds |
| Notable recognition | Forbes America’s Best Insurance Companies 2025 ยท 8th consecutive Great Place to Workยฎ certification ยท 2nd-fastest growing fraternal life insurer in the U.S. |
How to apply โผ
- Application method
- Through licensed agent only โ e-app, voice signature phone app, or paper with phone interview
- E-app available
- Yes โ instant point-of-sale decision. Signature options: text, email, in person, or phone
- Approval speed
- Instant (e-app) to same-day (voice signature). Decision given at end of phone call.
- Buy direct?
- No โ must go through a contracted licensed agent
- Free-look period
- 20 days (may be longer in some states)
- Phone (toll-free)
- (800) 627-4762
- Phone (voice app)
- (866) 281-9228 ยท MonโFri 8AMโ9PM CST ยท Sat 8AMโ3PM CST
- Phone (underwriting)
- (309) 788-4561 ยท Option 1 โ Option 1 โ Option 1
- Payment options
- Monthly or annual. Draft dates align with Social Security deposits (2nd, 3rd, or 4th Wednesday).
- Policy delivery
- Mailed to certificate owner
- Membership
- Required โ annual fee waived with policy purchase. Free general membership available online.
โ Go to Royal Neighbors company page
Corebridge Financial
Policy snapshot
Corebridge offers three final expense products through American General Life. All three share a single e-application platform โ if a client is declined for simplified issue, the system can pivot to guaranteed issue in the same appointment.
| Products offered | SimpliNow Legacy Max โ Simplified Issue, Level Death Benefit ยท SimpliNow Legacy โ Simplified Issue, Graded Death Benefit ยท Guaranteed Issue Whole Life (GIWL) |
| Policy type | Whole life โ three paths: Level (full day-one benefit), Graded (110% of premiums paid in first 2 years), or Guaranteed Issue (110% of premiums paid in first 2 years) |
| Coverage range | Level: $5,000โ$35,000 (varies by age/tobacco) ยท Graded: $5,000โ$25,000 ยท GIWL: $5,000โ$25,000 |
| Issue ages | 50โ80 (Age Last Birthday) โ all three products |
| Waiting period | Level (SimpliNow Legacy Max): None โ full face amount from day one ยท Graded & GIWL: 2-year graded โ 110% of premiums paid if death occurs in first 2 years; full face amount after year 2. Full face amount paid from day one for accidental death (Graded only). |
| Medical exam | Not required โ all three products |
| Health questions | Level & Graded: Yes โ multi-step knockout + eligibility questions with real-time MIB/Rx database verification via HIPAA authorization ยท GIWL: No health questions โ guaranteed acceptance |
| Premiums locked | Yes โ guaranteed level, never increase ยท Premium payments stop at Maximum Payment Age (typically 90โ95) ยท Coverage continues in-force to age 100 |
| Cash value | Yes โ policy loans allowed, 8% annual interest payable in arrears |
| Build chart | Yes โ height/weight limits apply to both Level and Graded products ยท Level (SimpliNow Legacy Max) has stricter limits than Graded |
| Tobacco distinction | Yes โ separate smoker/non-smoker rates ยท Smokers ages 71โ80 are NOT eligible for Level (SimpliNow Legacy Max) |
| MIB check | Yes โ HIPAA authorization + Underwriting Authorization Form required for SIWL; real-time database verification of applicant responses |
| Terminal illness ABR | Included free on Level only ยท Fee if activated ยท Requires physician certification of <12-month life expectancy ยท Full death benefit less a percentage and up to $100 admin fee ยท Paid as lump sum ยท Not available on Graded or GIWL |
| Nursing home ABR | Included free on Level only ยท Fee if activated ยท Requires 90+ consecutive days nursing home confinement + inability to perform 2 of 6 ADLs ยท Not available in CA ยท Not available on Graded or GIWL |
| Accidental death rider | Available at additional cost on Level only (issue ages 50โ75) ยท Pays additional death benefit equal to face amount ยท Terminates at age 80 ยท Graded plan has built-in accidental death provision: full face amount paid if accidental death occurs in first 2 years ยท Not available on GIWL |
| Policy fee | Level (SimpliNow Legacy Max): $36/year ยท Graded (SimpliNow Legacy): $12/year ยท GIWL: $24/year โ all fees included in quoted premiums |
| Limited-pay feature | Yes โ built into all products. Premiums stop at Maximum Payment Age (varies by age, gender, face amount); coverage remains in-force to age 100. Most ages stop paying at 94โ95. |
| Policy maturity | Endows at age 100 for all designs |
| Aggregate limits | Total of all AGL SIWL + GIWL policies on one person: $35,000 max if Level-eligible ยท $25,000 max if Graded or GIWL |
| Face changes | Not permitted after issue โ no increases or decreases |
| Exchanges | Not allowed โ no exchanges or conversions to/from other products |
Pros & cons
Pros
- Three final expense products in one e-app โ if a client is declined for simplified issue, the system pivots to guaranteed issue in the same appointment, so you never leave empty-handed
- 100% instant underwriting decisions at point of sale โ policies issued and delivered via email within minutes, one of the fastest in the industry
- Massive financial backing โ A.M. Best A (Excellent), S&P A+, Moody’s A2, Fitch A+ โ backed by one of the largest life insurance operations in the U.S. with $393B+ in assets
- Built-in Limited-Pay feature across all products โ premiums stop at Maximum Payment Age while coverage continues to age 100, a meaningful advantage over carriers requiring lifetime payments
- Strong rider package on Level product โ Terminal Illness ABR, Nursing Home Confinement ABR, and optional Accidental Death Benefit rider, all included at no extra charge
- Graded product has built-in accidental death provision โ full face amount paid from day one if death is accidental, even during the 2-year graded period
- No chargebacks on earned agent commissions for lapse, surrender, or death
- Level product face amounts up to $35,000 for non-smokers ages 71โ80 โ higher than most final expense carriers
Cons
- Not available in New York โ neither the SIWL nor GIWL final expense products are sold in NY
- Real-time database verification is a black box โ the system can decline applicants who appear healthy with no ability to appeal or manually underwrite; agents report unpredictable outcomes
- GIWL rates are not competitive โ the $24 annual policy fee plus generally higher premiums make the guaranteed issue product more expensive than alternatives like Gerber Life for the same coverage
- Build chart applies to both Level and Graded products โ height/weight limits can exclude larger applicants that other carriers (like Mutual of Omaha) accept with no build chart
- Smokers ages 71โ80 cannot get Level death benefit โ limited to Graded (2-year wait) or GIWL only
- No riders available on Graded or GIWL plans โ terminal illness ABR, nursing home ABR, and accidental death rider are all Level-only
- Face changes not permitted after issue โ no increases or decreases allowed once the policy is in force
- Higher-than-expected complaint volume โ NerdWallet notes more complaints to state regulators than expected for a company of its size; J.D. Power ranked Corebridge 19 of 22 for life insurance customer satisfaction
Palmetto Mutual’s assessment
Sample rates โผ
Rates below are for the Guaranteed Issue Whole Life (GIWL) product. Monthly premiums include the $24 annual policy fee. All GIWL policies carry a 2-year graded death benefit (110% of premiums paid if death occurs in first 2 years).
Guaranteed Issue Whole Life โ Male (monthly) ยท 2-year graded benefit
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $60.85 | $90.27 | $149.12 |
| 55 | $66.72 | $99.08 | $183.48 |
| 60 | $74.09 | $110.14 | $202.64 |
| 65 | $98.83 | $147.24 | $271.07 |
| 70 | $115.36 | $172.04 | $316.19 |
| 75 | $162.95 | $243.42 | $445.94 |
| 80 | $224.71 | $336.07 | $565.62 |
Guaranteed Issue Whole Life โ Female (monthly) ยท 2-year graded benefit
| Age | $10,000 | $15,000 | $25,000 |
|---|---|---|---|
| 50 | $41.88 | $61.81 | $107.98 |
| 55 | $50.61 | $74.91 | $139.53 |
| 60 | $58.61 | $86.91 | $161.36 |
| 65 | $72.22 | $107.32 | $198.51 |
| 70 | $87.47 | $130.20 | $240.09 |
| 75 | $125.96 | $187.94 | $345.09 |
| 80 | $206.42 | $308.62 | $558.76 |
SimpliNow Legacy Max (Level) and SimpliNow Legacy (Graded) rates are not published on a static rate sheet. They are generated through the SimpliNow Quoter on the Connext agent platform and vary based on underwriting outcome, age, gender, tobacco status, and face amount. Level rates are significantly lower than the GIWL rates shown above for the same demographic. Call us for an exact, personalized quote.
Maximum face amount โ SimpliNow Legacy Max (Level)
| Issue age | Non-smoker | Smoker |
|---|---|---|
| 50โ60 | $5,000โ$25,000 | $5,000โ$25,000 |
| 61โ70 | $5,000โ$30,000 | $5,000โ$30,000 |
| 71โ80 | $5,000โ$35,000 | Not available |
Maximum face amount โ SimpliNow Legacy (Graded) & GIWL
| Issue age | Max coverage |
|---|---|
| 50โ80 | $5,000โ$25,000 |
Rates are subject to change without notice and may vary by state. Unisex rates available in Montana only. Not available to foreign nationals. Call us for an exact, personalized quote based on your age, health, and coverage needs.
Underwriting & health conditions โผ
Corebridge uses a multi-step health application for simplified issue (SIWL) with real-time database verification. Steps 1โ5 are knockout questions โ a “Yes” to any makes the applicant ineligible for any SIWL coverage. Sections AโD determine Level vs. Graded โ “No” to all qualifies for Level (full day-one benefit); “Yes” to any routes to Graded (2-year waiting period). After questions are answered, a HIPAA-authorized database check validates responses in real time. If responses can’t be validated, the applicant is declined for SIWL and offered GIWL instead.
Steps 1โ5 โ Knockout triggers (any “yes” = not eligible for SIWL, offer GIWL instead)
Step 1 โ Current status
- Currently bedridden or confined to any hospital facility or skilled nursing facility; or receiving/advised to receive care in a nursing home, hospice, or home health care
- Receiving assistance with activities of daily living (eating, bathing, toileting, dressing) due to a chronic or debilitating condition
- Requires wheelchair, electric scooter, or oxygen equipment to assist breathing (excluding CPAP for sleep apnea) due to a debilitating condition
- Diagnosed with a terminal illness expected to result in death within 12 months
- Brain aneurysm or TIA in the past 6 months, or EVER had recurrent episodes of TIA (more than once)
- Currently incarcerated in a prison or jail
Step 2 โ Ever diagnosed, treated, or consulted for
- Alzheimer’s disease, dementia, Huntington’s disease, sickle cell anemia, myelodysplastic syndrome (MDS), ALS/Lou Gehrig’s disease, mental incapacity, cirrhosis, quadriplegia, or paraplegia
- HIV infection, AIDS, or AIDS-Related Complex (ARC)
- Advanced or end-stage renal disease or need for dialysis
- Bone marrow or organ transplant, or lymphoma
- Metastatic or recurrent cancer of the same type (Stage III or Stage IV)
- Amputation due to diabetic complications or hospitalization in the past 24 months due to diabetes
- Heart failure or defibrillator device implanted
- Suicide attempt
Step 3 โ In the last 12 months
- Stroke in last 12 months; or EVER had a stroke AND diabetes and/or coronary artery disease
- Been declined for life insurance
- Advised to have any medical procedure, surgery, or diagnostic test not yet started, completed, or results unknown (excluding routine screenings and HIV tests)
Step 4 โ In the last 24 months
- Specific aggressive cancers: brain, carcinoid/neuroendocrine tumor, esophageal, head or neck, leukemia, liver, lung, lymphoma, multiple myeloma, ovarian, pancreas, sarcoma, small intestine, stomach
- Convicted of or pled guilty to DUI
- Used non-prescription narcotics (excluding marijuana): amphetamines, hallucinogens, heroin, cocaine
- Hospitalized MORE THAN ONCE for COPD, emphysema, or chronic bronchitis
- Convicted of or pled guilty to a felony
Step 5 โ In the last 36 months
- Hospitalized for schizophrenia or a psychotic event
Sections AโD โ Graded benefit triggers (any “yes” = Graded; all “no” = Level)
Section A โ Ever diagnosed or treated for
- COPD, chronic bronchitis (chronic cough)
- Hepatitis B
- Diabetes
- Schizophrenia
- Multiple sclerosis
- Parkinson’s disease
- Cardiomyopathy
Section B โ In the last 48 months
- Any autoimmune disease
- Bipolar disorder (manic depressive disorder)
- Chronic kidney disease (including chronic renal insufficiency)
- Cancer (except non-melanoma skin cancer)
Section C โ In the last 24 months
- Coronary artery disease, heart attack, unstable angina (treated medically or with stents), or coronary bypass surgery
- Aortic aneurysm
- Stroke or brain aneurysm
- Atrial fibrillation or irregular heart rhythm
- Substance abuse (alcohol or drugs)
Section D โ In the last 12 months
- Unintentional weight loss in excess of 10 lbs
How the underwriting decision works
| Application result | Outcome | What it means |
|---|---|---|
| “Yes” to any Step 1โ5 question | Decline (SIWL) | Not eligible for simplified issue. Offered GIWL (guaranteed acceptance, 2-year graded) instead. |
| “Yes” to any Section AโD question | Graded | SimpliNow Legacy โ 110% of premiums paid if death in first 2 years; full face amount after year 2. Full face for accidental death from day one. |
| “No” to all Steps 1โ5 AND Sections AโD | Level | SimpliNow Legacy Max โ full face amount payable from day one. All riders available. |
| Database cannot validate responses | Decline (SIWL) | Automatic decline regardless of answers. Offered GIWL instead. |
Build chart (applies to both Level and Graded)
| Height | Graded: Min | Graded: Max | Level: Min | Level: Max |
|---|---|---|---|---|
| 4’8″ | 74 | 203 | 79 | 189 |
| 5’0″ | 85 | 232 | 90 | 217 |
| 5’4″ | 97 | 265 | 103 | 247 |
| 5’8″ | 109 | 299 | 116 | 279 |
| 6’0″ | 122 | 335 | 130 | 313 |
| 6’4″ | 136 | 373 | 145 | 348 |
| 6’8″ | 151 | 413 | 160 | 386 |
| 6’10” | 159 | 434 | 168 | 406 |
The real-time database verification cross-references prescription history, MIB records, and medical records. Agents report the database check can occasionally decline applicants who appear to qualify based on their answers alone โ there is no manual override or appeal for SIWL decisions. GIWL is always available as a fallback regardless of health status.
State availability โผ
Not available
Notes
Policies are issued by American General Life Insurance Company (AGL), Houston, TX. AGL does not solicit, issue, or deliver policies or contracts in the state of New York. In New York, Corebridge policies are issued by The United States Life Insurance Company in the City of New York โ but the SimpliNow Legacy and GIWL final expense products are specifically not approved for sale in NY. Unisex rates available in Montana only. Products are not available to foreign nationals. Product features may vary by state.
Financial strength & trust signals โผ
| A.M. Best rating | A (Excellent) โ affirmed January 2026, stable outlook. Reflects strong operating performance and favorable business profile. |
| S&P Global rating | A+ (Strong) โ insurance operating subsidiaries, stable outlook |
| Moody’s rating | A2 (Good) โ insurance operating subsidiaries ยท Baa2 for Corebridge Financial, Inc. holding company |
| Fitch rating | A+ (Strong) โ stable outlook |
| NAIC complaint index | Mixed: Policygenius reports 0.45 across all products (well below 1.0 average); other sources report elevated complaints for American General Life specifically. NerdWallet notes higher-than-expected complaint volume to state regulators for a company of its size. |
| J.D. Power | 575 out of 1,000 โ ranked 19 of 22 companies in the 2025 U.S. Life Insurance Study |
| Year founded | 1919 (AIG parent) ยท 2022 (Corebridge Financial spun off as separate public company) |
| Headquarters | Houston, TX |
| Organization type | Publicly traded โ NYSE: CRBG |
| Ownership | Nippon Life Insurance ~20% ยท Blackstone ~10% ยท remainder publicly traded. Formerly AIG Life & Retirement division (AIG sold majority stake). |
| Issuing company | American General Life Insurance Company (AGL), Houston, TX โ wholly owned subsidiary of Corebridge Financial, Inc. |
| Assets | $393B+ (Corebridge Financial, Inc.) |
| Policyholders | ~4 million life insurance policies in force |
| FE distribution | SimpliNow Legacy distributed exclusively through Transactional Markets Group (TMG), a division of Corebridge Financial |
How to apply โผ
- Application method
- Through licensed, appointed agent only โ electronic application (e-app) via Connext platform
- E-app available
- Yes โ Connext is the gateway for both SIWL and GIWL e-applications. SIWL and GIWL are in the same e-app; agent selects product upfront. If SIWL is declined, system can pivot to GIWL in-session.
- Phone
- 800-294-4544 (general) ยท Agents: tmgsales@corebridgefinancial.com
- Approval speed
- Instant โ SIWL underwriting decision in minutes at point of sale via real-time database verification. GIWL is automatic acceptance. Policy delivered via email; agent can print a copy.
- Buy direct?
- No โ must go through a licensed, appointed agent. SimpliNow Legacy is distributed exclusively through TMG.
- Payment methods
- Bank draft (EFT) ยท Credit card ยท Debit card ยท Social Security debit card (Direct Express). Initial and recurring payments may be different methods. Payor can be different from insured.
- Draft options
- Draft on approval date, specific day of month (1stโ28th), or specific week/weekday (e.g., 2nd Wednesday). Multiple configuration options.
- Policy delivery
- E-delivery (default) โ policy delivered electronically. Paper mailing available on request.
- Free look period
- Level (SimpliNow Legacy Max): 10 days ยท Graded (SimpliNow Legacy): 30 days
- Grace period
- 31 days in all states; 60 days in California
- Insured = Owner
- Required โ insured must be the owner. Payor may be a different person.
- SSN required
- Yes
- Replacements
- Replacements allowed on Level (SimpliNow Legacy Max). Application asks about existing life insurance/annuities in force.
- Exclusions
- Suicide within first 2 years โ death benefit limited to refund of premiums paid less any outstanding loan amount
โ Go to Corebridge (AIG) company page
CICA Life of America
Policy snapshot
| Product name | Superior Choice Whole Life |
| Policy type | Simplified issue (standard) & guaranteed issue |
| Coverage range | $1,000 โ $30,000 (varies by age) |
| Issue ages | 0 โ 85 |
| Waiting period | Standard: None ยท GI: 2-year graded |
| Medical exam | Not required |
| Health questions | 8 simplified questions (may vary by state) |
| Premiums locked | Yes โ never increase |
| Cash value | Yes |
| Build chart | None โ no height/weight limits |
| Tobacco distinction | None โ same rates for all |
| MIB check | No |
| Terminal illness rider | Included up to $15,000 |
| Accidental death rider | SI: optional $5/mo ยท GI: Included |
| Dismemberment rider | Included |
| A.M. Best rating | B++ (Good) ยท stable outlook |
Pros & cons
Pros
- No build chart โ zero weight restrictions
- No tobacco distinction โ smokers pay same rate
- No MIB check โ Rx verification instead
- True guaranteed issue โ nobody is declined
- Bilingual apps & service (English + Spanish)
- Accidental death benefit included free on GI
Cons
- B++ A.M. Best โ below top competitors’ A/A+ range
- Entered final expense market in 2023 โ limited FE track record
- Lower max face at older ages ($10K cap at 71โ85 for SI)
- No extended term or paid-up insurance on GI product
- Not available in 7 states (NY, CA, NJ, VA, MA, DE, ME)
- GI graded benefit is standard, not exceptional
Palmetto Mutual’s assessment
Sample rates โผ
CICA does not distinguish between tobacco and non-tobacco. Rates below apply to all applicants regardless of tobacco status. Based on 2025 Product Rate Card.
Standard issue โ male (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $20,000 |
|---|---|---|---|
| 50 | $33.89 | $50.84 | $67.78 |
| 55 | $43.02 | $64.53 | $86.03 |
| 60 | $55.22 | $82.83 | $110.43 |
| 65 | $72.03 | $108.05 | $144.07 |
| 70 | $102.51 | $153.76 | $205.02 |
| 75 | $145.88 | โ | โ |
| 80 | $207.35 | โ | โ |
| 85 | $294.23 | โ | โ |
Standard issue โ female (monthly) ยท day-one coverage, no waiting period
| Age | $10,000 | $15,000 | $20,000 |
|---|---|---|---|
| 50 | $31.42 | $47.13 | $62.83 |
| 55 | $38.66 | $57.99 | $77.32 |
| 60 | $49.14 | $73.71 | $98.28 |
| 65 | $62.43 | $93.65 | $124.87 |
| 70 | $83.55 | $125.33 | $167.10 |
| 75 | $111.80 | โ | โ |
| 80 | $152.46 | โ | โ |
| 85 | $213.83 | โ | โ |
Guaranteed issue โ male (monthly) ยท 2-year waiting period
| Age | $10,000 | $15,000 | $20,000 |
|---|---|---|---|
| 50 | $55.08 | $82.61 | $110.15 |
| 55 | $56.49 | $84.74 | $112.98 |
| 60 | $80.87 | $121.30 | $161.73 |
| 65 | $115.76 | $173.64 | $231.52 |
| 70 | $165.69 | $248.54 | $331.38 |
| 75 | $194.03 | โ | โ |
| 80 | $249.23 | โ | โ |
| 85 | $331.39 | โ | โ |
Guaranteed issue โ female (monthly) ยท 2-year waiting period
| Age | $10,000 | $15,000 | $20,000 |
|---|---|---|---|
| 50 | $52.50 | $78.75 | $105.00 |
| 55 | $54.00 | $81.00 | $108.00 |
| 60 | $76.14 | $114.21 | $152.28 |
| 65 | $107.38 | $161.06 | $214.75 |
| 70 | $151.40 | $227.10 | $302.80 |
| 75 | $190.88 | โ | โ |
| 80 | $245.18 | โ | โ |
| 85 | $331.39 | โ | โ |
โ = Exceeds max face amount for age band. Rates shown are based on the 2025 CICA Life rate card and may vary by state. For an exact quote, call us or use our free quoting tool.
Underwriting & health conditions โผ
CICA uses 8 simplified health questions (may vary by state). Answer “No” to all = Standard Issue (immediate full death benefit). Answer “Yes” to any = Guaranteed Issue (2-year graded benefit). Additionally, an integrated eligibility verification tool reviews the applicant’s prescription history to support underwriting decisions. No one is ever declined โ everyone qualifies for one product or the other.
Conditions approved for standard issue (no waiting period)
- Type 2 diabetes โ if currently treated or medicated
- High blood pressure โ if currently treated or medicated
- COPD / emphysema โ if currently treated
- Heart disease / cardiomyopathy โ if currently treated
- Congestive heart failure โ if currently treated
- Stroke / TIA โ if currently treated
- Kidney disease / renal insufficiency โ if currently treated (not on dialysis)
- Liver cirrhosis โ if currently treated
- Paralysis โ if currently treated
- Mild/temporary mental health conditions โ if stable, no anti-psychotic meds, no hospitalization, no functional limitations, no co-existing disorders, no substance abuse history, no self-harm history
- Basal cell or squamous cell skin cancer โ excluded from cancer question
Conditions that trigger guaranteed issue (2-year graded)
- Currently hospitalized, confined to bed, in nursing facility, assisted living, or hospice
- Terminally ill or unable to care for oneself
- HIV / ARC / AIDS
- Multiple cancers, recurrent cancer, metastatic cancer, or currently being treated for cancer (excluding basal/squamous cell skin cancer)
- Uncontrolled or untreated chronic conditions โ diabetes, high blood pressure, stroke/TIA, paralysis, CHF, heart disease, cardiomyopathy, lung disease (COPD/emphysema), liver cirrhosis or failure, kidney failure/insufficiency, chronic/end-stage kidney disease including dialysis (within past 10 years)
- Alzheimer’s disease, dementia, organic brain syndrome
- ALS (Lou Gehrig’s disease), Huntington’s disease, muscular dystrophy
- Cystic fibrosis, pulmonary fibrosis, multiple myeloma
- Systemic lupus (SLE)
- Mental disorders / brain or nervous system disorders (ever diagnosed, treated, or medicated)
- Hospitalized 2+ times in the past 2 years
- Pending tests, treatment, surgery, or hospitalization not yet completed (past 2 years)
- Alcohol, drug, opioid, or controlled substance abuse treatment (past 2 years)
- Felony or misdemeanor conviction for any reason (past 2 years)
- Attempted suicide (past 2 years)
- Advised to have organ transplant (past 5 years)
- Mental health hospitalization, functional restrictions, disability, ECT history, multiple psych medications, suicide attempt/self-harm, co-existing mood disorders
Conditions that trigger decline
None. CICA does not decline any applicant. If you cannot qualify for Standard Issue, you automatically receive Guaranteed Issue coverage.
Source: CICA Life of America Agent Guide (2025), pages 13โ15. Health questions may vary by state. Underwriting reserves the right to base eligibility on all risk factors presented.
State availability โผ
Available โ 43 states (as of May 2025)
Not available โ no state license
Note: Utah offers Standard Issue (English) only. Wisconsin offers Standard Issue only (English). Spanish-language applications available in most other states for both SI and GI. Contact cps@citizensinc.com for current availability.
Financial strength & trust signals โผ
| A.M. Best rating | B++ (Good) โ affirmed Aug 2024, stable outlook |
| BBB rating | Verify directly with BBB โ conflicting third-party reports |
| Year founded | 1965 (incorporated); FE market entry 2023 |
| Headquarters | Austin, TX |
| Parent company | Citizens, Inc. (NYSE: CIA) โ 55+ years, publicly traded |
How to apply โผ
- Application method
- Online via Agent Portal, phone (tele-sales), or face-to-face
- E-app available
- Yes โ all apps via online portal
- Approval speed
- Instant to same-day (most applications)
- Buy direct?
- No โ must go through a licensed agent
- Free-look period
- 30 days
- Phone (support)
- 737-289-4670
- Phone (claims, EN)
- 737-530-0337
- Phone (claims, ES)
- 737-530-0339
- Policy delivery
- Mailed via third party + digital Customer Portal
โ Go to CICA company page
Side-by-Side Rate Comparison
Final expense insurance rates can vary a lot โ even for the same person.
Two companies can review the same applicant and quote very different prices for the same coverage amount.
For example, the same 65-year-old applicant in the same health class could be quoted:
โ
$47 per month from one carrier
โ
$95 per month from another carrier
That is for the same $15,000 burial insurance policy.
At first glance, that may look like a difference of only $48 per month. But over time, the gap becomes much bigger.
Over a 20-year policy duration, that difference could mean paying roughly:
โ
$11,400 in lifetime premium with the lower-priced carrier
โ
$22,800 in lifetime premium with the higher-priced carrier
That is why a side-by-side rate comparison is one of the most important steps when shopping for funeral insurance.
No single carrier is the cheapest for every applicant. Your age, health profile, tobacco status, state of residence, and coverage amount can all change which company gives you the best rate.
The infographic below shows how much final expense insurance rates can differ across carriers for the same benchmark applicant profile.
Monthly Rate Comparison โ 65-Year-Old Female, Non-Tobacco, $15,000 Coverage

Rate notes: All rates shown are for each carrierโs flagship level-benefit or immediate-benefit final expense product with no waiting period.
Rates were calculated using:
โ
Carrier agent rate cards
โ
Each companyโs published modal factor formula
โ
Live quote data when available
The pricing shown reflects the best available rate class, usually Preferred or Standard Non-Tobacco.
Tobacco rates and graded-benefit rates are higher. Those are shown inside each carrierโs individual profile above.
Final expense insurance rates can also vary by state. Rates may have changed since the original carrier rate cards were issued, so always verify pricing with a live burial insurance quote before buying a policy.
What the rate spread tells you: On this benchmark, the cheapest premium is $59.35 per month from Transamerica.
The most expensive is $119.40 per month from Colonial Penn.
That is almost exactly double the price for the same benchmark applicant:
โ
65-year-old female
โ
Non-tobacco
โ
$15,000 of final expense coverage
โ
Immediate or level-benefit product
Even within the mainstream level-benefit final expense carriers, prices range from roughly $59 to $70 per month.
That is about a $10 monthly spread on identical coverage.
The difference is not because one company is โgoodโ and another company is โbad.โ Every carrier in this comparison carries a strong A.M. Best rating and has a reliable claim-paying history.
The price difference usually comes from things like:
โ
Underwriting class structure
โ
Company expense load
โ
Distribution model
โ
Independent agent versus captive agent sales
โ
TV-marketed direct response pricing
โ
How aggressively the carrier competes in the final expense insurance market
Two companies with similar financial strength can still quote a $10 to $60 per month difference on the same burial insurance policy.
That is why working with an independent final expense agent matters.
Instead of getting one quote from one brand, an independent agent can compare multiple carriers in one sitting and help you find the company that fits your age, health profile, state, and budget.
Which Company Is Best for Your Health Situation?
Your health history is the biggest factor in choosing the right final expense insurance company.
It matters even more than your age, your state, or your budget.
Why?
Because every carrier asks different health questions and uses different underwriting guidelines.
The same applicant can get very different results from one company to the next.
For example:
โ A person with controlled Type 2 diabetes may qualify for immediate, full day-one burial insurance coverage with one carrier, but only a two-year graded waiting period with another.
โ Diabetic neuropathy may be a knockout question at some companies, while other carriers may not ask about it at all.
โ A heart attack from five years ago may qualify for immediate coverage with a carrier that uses a 24-month lookback period, but trigger a graded benefit with a carrier that uses a 60-month lookback period.
โ A history of cancer in remission, COPD, blood thinners, depression, sleep apnea, or a recent hospitalization can all lead to different underwriting outcomes depending on the company reviewing the application.
This is where shopping for final expense insurance stops being about brand recognition, TV commercials, or mailers.
It becomes about finding the carrier whose underwriting rules match your specific health profile.
A funeral insurance policy that pays immediately at one company could come with a two-year waiting period โ or even an outright decline โ at another.
The condition-to-carrier routing guide below is based on eight-plus years of placing final expense policies and walking applicants through the underwriting questions used by the ten carriers reviewed earlier on this page.
For a deeper review, use the Final Expense Health Assessment Tool on the Palmetto Mutual hub page.
It walks through your:
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Full health history
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Prescription list
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Recent hospitalizations
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Major medical events
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Tobacco status
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Coverage needs
Then it returns a personalized carrier match list instead of only showing a static summary.
That is the same type of underwriting logic an independent final expense agent would use on the phone.
Companies We Don’t Recommend (And Why)
Not every final expense insurance company is a good value.
Some of the most recognizable names in the burial insurance market are also some of the weakest options when you compare them side by side.
These are often the companies you see advertised during:
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Daytime news programs
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Game shows
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Senior-focused TV blocks
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Direct-mail campaigns
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โNo medical examโ commercials
The problem is not that these companies are unknown.
The problem is that many of them rely heavily on brand recognition instead of offering the strongest combination of price, coverage, underwriting, and policy terms.
When you compare these heavily advertised final expense companies against the ten carriers reviewed earlier on this page, the differences can be significant.
Some charge noticeably higher monthly premiums.
Some offer lower coverage limits.
Some use longer waiting periods.
Some provide less competitive value for the same age, health profile, and coverage amount.
That does not mean every TV-advertised burial insurance company is automatically bad. But it does mean seniors should be careful before buying a policy based only on a familiar name or a commercial they have seen for years.
The real question is simple:
How does that company compare against other final expense insurance carriers for your age, health history, state, and budget?
When you line up the monthly premiums, waiting periods, coverage caps, and underwriting rules side by side, the gap is usually easy to see.
Frequently Asked Questions

About the Author
Dvir Mosche is an award-winning independent insurance agent and the founder of Palmetto Mutual, a trusted insurance brokerage specializing in Final Expense Life Insurance. Since entering the industry in 2017, he has been recognized multiple times as a top agent for his dedication to educating and assisting seniors in finding the proper coverage. His mission is to simplify the process, provide honest and personalized guidance, and ensure that every client gets coverage they can depend on for life.
