How Does Life Insurance Work?


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Key Takeaways

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Your policy must be active when you die so beneficiaries can receive the payout. Lapsed policies won't pay out, even if you paid premiums for years before missing payments.

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Life insurance proceeds are almost always tax-free, but exceptions apply. If interest is earned or the policy is sold or transferred, some or all of the payout may be taxable.

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You can’t buy a policy without the insured’s consent. Whether you’re purchasing coverage for yourself or someone else, the person being insured must agree to the policy and complete a health screening.

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What Is Life Insurance and How Does It Work?

Life insurance is a financial contract between you and an insurance company. You pay regular premiums, and the insurer promises to provide a tax-free lump sum death benefit to your chosen beneficiaries when you pass away.

Your beneficiaries must file a claim to receive this benefit. The payout helps cover funeral expenses, pay off debts like a mortgage or credit cards, replace lost income or fund future needs such as a child's education. Some policies also include living benefits, which let you access part of the death benefit while you're still alive if you're diagnosed with a serious illness.

To keep the policy active, you must continue making premium payments. Your life insurance premium depends on factors like age, health, policy type and coverage amount. Life insurance prevents your family or dependents from facing financial hardship when you're gone.

Types of Life Insurance Policies

Life insurance comes in two main types: term and permanent. Both pay death benefits to your beneficiaries if you die while the policy is active. Your premiums also stay the same throughout the policy period. Cost and length separate these two types.

How Does Term Life Insurance Work?

Term life insurance covers you for a specific period you choose upfront. 'Temporary' might sound limiting, but these policies often run 10, 20 or 30 years. This is plenty of time to protect your family during your highest-risk financial years. If you outlive your policy, your beneficiaries don't receive a payout.

Term life policies cost much less than permanent coverage because you're only covered for a specific time period. It works well for short-term needs like educational costs or your mortgage. For young, healthy people, term policies offer the most affordable coverage.

When your policy expires, you have options: let it lapse if you no longer need coverage, renew it or convert the term plan to a permanent policy. This flexibility lets you adjust your coverage as your financial situation changes.

How Does Permanent Life Insurance Work?

Permanent life insurance covers your entire lifetime, guaranteeing your beneficiaries will receive compensation no matter when you pass away. Because of this guarantee, it costs much more than term life insurance.

Permanent life insurance includes an investment component, letting the policy serve as financial protection and a growth tool. The policy accumulates cash value over time. Once the cash value reaches a substantial amount, you can borrow against it while still alive.

Permanent life insurance works better if you want your policy to double as an investment vehicle. It's also the better choice if you have a lifelong dependent, like a child with disabilities. Make sure you can afford the premium long-term because these plans cost more. Your policy will lapse if you miss premium payments.

Comparing Term and Permanent Life Insurance

Life insurance can benefit most people, but understanding what term and permanent life insurance offer helps you decide which type suits you best. The table below shows the benefits and drawbacks of each type.

Term
Offers multiple options for policy length
May cost more if you want to renew your policy after it expires
Those who want an affordable life insurance policy
Those who have lifelong dependents, such as a child with disabilities
Permanent
Earns cash value and provides lifelong coverage
Higher premiums
Those who want to use their life insurance as an investment vehicle
Those who aren’t comfortable with an expensive premium

Life Insurance Riders

Life insurance riders are optional add-ons you can add to your base policy to customize coverage for your specific needs. Think of them as upgrades that enhance your coverage for situations your standard policy doesn't address. While riders increase your premium, they provide valuable protection at a fraction of what separate policies would cost.

Common Life Insurance Riders

Waiver of Premium
Waives premium payments if you become disabled
Anyone whose income supports dependents
Guaranteed Insurability
Lets you buy more coverage without medical exams
Young adults planning families or career growth
Accidental Death
Pays extra if death results from an accident
High-risk occupations or active lifestyles
Child Term
Covers children until they reach adulthood
Parents wanting to protect children's insurability
Chronic Illness
Provides living benefits for chronic conditions
Those with a family history of chronic diseases
Critical Illness
Pays a lump sum for covered major illnesses
Anyone wanting a financial cushion for medical costs
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WHEN TO CONSIDER ADDING RIDERS

Add riders when your circumstances create specific risks your base policy doesn't cover. Young professionals should consider guaranteed insurability riders to lock in future coverage options. Parents might benefit from child term riders to protect their children's future insurability. Those in high-risk jobs can find accidental death riders worthwhile.

Don't buy riders you don't need. If you're single with no dependents, a waiver of premium rider might not justify the cost. Similarly, if you already have comprehensive disability insurance through work, additional riders might create unnecessary overlap.

What Life Insurance Covers

Life insurance covers death due to illness, accidents and natural causes. Here's what a typical life insurance policy might cover:

  • Death by Illness or Accident: The policy pays out if you die from an illness or accident.
  • End-of-life Expenses: Funeral and burial costs are covered, easing the financial burden on your family.
  • Estate Planning Costs: If you have a large estate, life insurance can cover taxes and legal fees.
  • Monthly Bills and Mortgage Payments: The death benefit helps your family maintain their standard of living by covering ongoing expenses.
  • Income Replacement: The death benefit serves as income replacement so your family can maintain their current lifestyle.
  • Educational Expenses: You can allocate the death benefit to cover your children's tuition and other educational expenses.
  • Debt Repayment: You can use the death benefit to settle debts like mortgages, car loans or credit cards, preventing the financial burden from passing to your family.

Coverage details vary depending on the policy and provider.

What Life Insurance Does Not Cover

Life insurance offers broad coverage, but it's not complete protection. Here are some common exclusions:

  • Pre-existing Conditions: Some policies won't cover deaths related to pre-existing medical conditions if you didn't disclose them during the application process.
  • War and Terrorism: Most life insurance policies don't cover deaths that occur due to acts of war or terrorism.
  • Hazardous Occupations: Insurance companies consider some occupations hazardous, and deaths related to these occupations may increase premiums or lead to exclusions. Examples include miners, loggers, fishermen, firefighters, police officers and construction workers.
  • Death by Suicide within the First Two Years: Most policies won't pay out if the policyholder dies by suicide within the first two years. This suicide clause prevents beneficiaries from claiming benefits under these circumstances.
  • Insurance Fraud: Providing false information on your application can lead to the denial of the death benefit.
  • Specific Exclusions: Some policies exclude deaths due to risky activities like skydiving or car racing.

Understanding these exclusions helps you choose the right policy and avoid surprises when filing a claim.

Common Life Insurance Benefits

Life insurance's main benefit is the financial support your family receives if you unexpectedly pass away while the policy is in effect. Insurers pay a tax-free lump sum called a death benefit to your beneficiaries.

Some policies let you access your coverage while you're still alive through living benefits. These include:

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    Accelerated Death Benefits

    This enables you to receive a portion of your life insurance payout if diagnosed with a terminal illness.

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    Return of Premium

    Your insurer returns all premiums you paid while your policy was in effect if you outlive it.

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    Cash Value Withdrawal

    When you access a portion of the cash value of your permanent life insurance policy.

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    Long-Term Care Benefits

    Access the death benefit to cover long-term care expenses that your health insurance policy doesn't cover.

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POLICY PROTECTION FEATURES

Most life insurance policies include consumer protection features like a 30- to 31-day grace period, which allows you to make late premium payments without losing coverage. Your policy remains active during the life insurance grace period, and no new application is required.

Factors Determining Life Insurance Costs

Insurers use multiple factors to determine your life insurance cost, which is why premiums vary so much between people. Understanding these factors helps you get the best rates and choose the right policy.

  1. 1

    Term Length

    Term length refers to how long a life insurance policy stays in effect. The longer the term, the higher the likelihood your insurer will pay out your death benefit, making your premium more expensive.

  2. 2

    Coverage Amount

    The coverage amount is how much your insurer pays out as a death benefit. Higher coverage means more risk for your insurer, leading to higher premiums.

  3. 3

    Age

    Your age when you buy life insurance affects your premium. Younger people get lower rates because they're less likely to die during the policy term.

    For example, the average cost of a $500,000 life insurance policy with a 10-year term for a 30-year-old woman in excellent health who has never smoked is $17 monthly. A similar policy costs a 50-year-old woman with the same profile $53 per month.

  4. 4

    Gender

    Women typically have longer life expectancies, so insurers offer them lower rates. On average, a 40-year-old woman in excellent health who has never smoked pays around $35 per month for a 20-year term life insurance with $500,000 coverage. A 40-year-old man with a similar profile pays an average of $44 monthly.

  5. 5

    Overall Health

    Most insurers require a medical exam before they sell a policy. Good health means you're less likely to die during your coverage period, which leads to lower premiums. Health issues or pre-existing conditions, such as high BMI or heart conditions, result in higher rates.

  6. 6

    Smoking Status

    Insurers consider smokers higher risk than non-smokers because they're more likely to develop health issues and have shorter life expectancies. But getting cheap life insurance as a smoker is doable.

    The average monthly premium for a 20-year term policy with $500,000 coverage for a 40-year-old non-smoker is $44. The same policy costs an average of $102 per month for a 40-year-old smoker, which is a 131.8% increase.

Understanding these factors helps you shop smarter and find coverage that fits your budget and needs.

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LIFE INSURANCE MEDICAL EXAM

You'll likely need to undergo a life insurance medical exam that resembles an annual physical and takes 30 to 45 minutes in your home or workplace. A paramedical examiner measures your vital signs, collects blood and urine samples, and asks about your health history and medications.

Simple preparation can speed up your approval: schedule morning appointments when blood pressure is lower, avoid caffeine and exercise 2 to 4 hours beforehand, fast 8 to 12 hours if blood work is required, and bring your medication list. The underwriting process takes 2-8 weeks, with straightforward applications approved in 2-3 weeks and complex health cases taking 6 to 8 weeks.

Tax Implications of Life Insurance

Learning about the tax implications of life insurance before purchasing it would allow you to make sure it aligns with your overall financial plan.

Life insurance tax rules affect how much money your beneficiaries actually receive and what you owe while you're alive. Understanding these implications helps you choose the right policy and avoid unexpected tax bills.

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    Death Benefit

    If you're a beneficiary receiving a death benefit, the amount you receive is not considered taxable income. You don't have to include it in your gross income or report it on your tax return.

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    Interest Earned

    The interest you earn on the death benefit is taxable. If life insurance proceeds are paid to you in installments that include interest, you must report that interest on your tax return.

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    Estate Tax Considerations

    Death benefits may be subject to federal estate tax if the total estate exceeds $13.99 million. If the deceased owned the policy, the full death benefit counts toward the estate value. To avoid this, consider transferring ownership to an irrevocable life insurance trust at least three years before death.

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    Policy Transfers

    If someone transfers a life insurance policy to you for cash or other valuable consideration, the tax exclusion for the death benefit is limited. You can only exclude an amount equal to the consideration you paid, any additional premiums you paid and certain other amounts. Report the taxable amount based on the income document you receive, such as Form 1099-INT or Form 1099-R.

    If you have a policy like whole life insurance or universal life insurance that builds cash value, withdrawing more than your basis (the total premiums you've paid) makes the excess amount taxable.

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    Loans

    Loans taken against your policy's cash value aren't taxable as long as the policy stays in effect. If the policy lapses or is surrendered while a loan is outstanding, the loan amount up to the gain in the policy becomes taxable.

How Does the Life Insurance Claims Process Work?

To receive the death benefit from a life insurance policy, beneficiaries must file a claim with the insurer. Payouts aren't automatic and require documentation and review. Most insurers pay claims within 14 to 60 days, but delays can occur based on the circumstances of the death or missing paperwork.

The contestability period (the first two years of a policy) can substantially impact claim processing. Deaths during this period may face delays of six to 12 months as insurers conduct thorough investigations to verify policy information and rule out fraud.

How To File a Life Insurance Claim

Knowing the right steps to file a life insurance claim can help streamline the process and avoid mistakes that could delay the payout.

  1. 1

    Notify the Insurance Company

    Contact the insurer as soon as possible to report the policyholder's death and start the claims process. Most insurers have 24/7 claim hotlines and require notification within 30 days of death, though earlier notification speeds up processing.

  2. 2

    Gather Required Documents

    You’ll likely need:

    • A certified death certificate (from a hospital or local government office)
    • A completed claims form
    • A copy of the life insurance policy, if available

    Timeline: Allow 5-10 business days to obtain certified death certificates from vital records offices, as these are the biggest bottleneck in the claims process.

  3. 3

    Submit the Claim

    Send the documents to the insurer by mail or online, depending on the company’s process. Digital submission can reduce processing time compared to mail.

  4. 4

    Choose a Payout Option

    Select how you’d like to receive the life insurance death benefit. You can get it either as a lump sum or through structured payments like an annuity. You can make this decision during the review period without affecting claim processing speed.

  5. 5

    Wait for Review and Approval

    The insurer will verify the claim. Common delays may occur if:

    • The death occurred within the first two years of the policy
    • The cause of death is under investigation (e.g., homicide)
    • There are undisclosed health conditions or risky activities on record

    State Variations: Some states require insurers to pay interest on delayed claims after 30 days, while others allow up to 60 days before interest accrues. Check your state's insurance department website for specific requirements.

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WHAT HAPPENS DURING THE CONTESTABILITY PERIOD?

If the policyholder dies within the first two years, insurers can contest the claim by reviewing the original application for misrepresentations. This process involves:

  • Medical record reviews comparing application answers to actual health history
  • Verification of lifestyle factors like smoking, drinking, or high-risk activities
  • Investigation of the circumstances surrounding the death

Even during contestability, most legitimate claims are paid. However, beneficiaries should expect longer processing times and potential requests for additional documentation.

Who Needs Life Insurance?

If you're wondering whether you need life insurance, you're not alone. Most people can benefit from life insurance. Your loved ones get financial support if you pass away unexpectedly. Death benefits can cover expenses like tuition, mortgages and household costs.

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    Young Adults

    Life insurance can serve as an early investment, locking in lower premiums for future financial security. Parents may find value in guaranteeing their children's educational needs, even if they're not around to contribute.

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    Business Owners

    Life insurance can be a strategic asset. It provides funds to buy out a deceased partner's share or recruit and train a replacement for a key employee. This financial cushion can prevent a company from collapsing due to the sudden loss of essential personnel.

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    Singles with No Dependents

    Life insurance can cover your debts and funeral expenses, sparing your family from these burdens. Some policies also come with living benefits, letting you tap into the policy's cash value for emergencies or retirement.

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MONEYGEEK EXPERT TIP

The best time to buy life insurance is when you're young because premiums are cheaper. As you age, you may develop health problems that increase rates or disqualify you from getting a policy.

How Much Life Insurance Do You Need?

You'd need enough life insurance to cover your current debts, future expenses and income replacement. Most experts recommend coverage equal to 10 to 12 times your annual income.

The right amount depends on your financial obligations. At a minimum, your policy should cover your mortgage balance, outstanding debts, college tuition for children, and provide enough income for your loved ones to maintain their lifestyle.

Coverage amounts can range from $100,000 to over $1 million, but higher coverage comes with higher premiums. Aim for a balance that provides meaningful protection without straining your budget.

How Much Life Insurance Do You Need?

Answer three simple questions to get your recommended coverage amount.

Life Insurance Coverage Amounts

Your policy's coverage amount determines how much your insurer pays out as a death benefit. Most people choose $100,000, $250,000 or $500,000 in coverage.

Your appropriate coverage amount depends on your financial situation. You can use the DIME method to estimate how much coverage you should purchase:

  • Debt: How much debt would you be leaving for other people to pay? Include loans you've taken out.
  • Income: Multiply your current income by the number of years you want to provide income replacement for your loved ones.
  • Mortgage: How much is your current mortgage balance?
  • Education: Consider how much college tuition, room and lodging costs.

Higher coverage amounts provide more financial protection, but you'll pay higher premiums. We've provided guides for the four common life insurance policy values:

How to Choose the Best Life Insurance Policy

Choosing the right life insurance policy depends on your financial goals, how long you need coverage, and who relies on your income.

Start by Understanding the Two Main Types of Life Insurance:

  • Term Life Insurance: Offers affordable coverage for a specific period, such as 10, 20, or 30 years. It's a smart choice if you need protection during high-expense years like paying off a mortgage or raising children. Once the term ends, renewing the policy can result in higher premiums.
  • Permanent Life Insurance: Provides lifelong coverage and includes a cash value component. It's more expensive than term life but may be better suited if you want a policy that doubles as a financial asset or if you have a lifelong dependent.

Match the Policy to Your Needs:

  • If you have short-term financial responsibilities, such as a loan or young children, term life insurance can be sufficient and more budget-friendly.
  • If you have long-term obligations, such as caring for a child with special needs or planning for estate costs, a permanent policy may provide more lasting value.

Weighing your current financial responsibilities and future goals helps you choose a policy that offers the right level of protection for your loved ones.

How to Choose the Right Beneficiary

When choosing a beneficiary for your life insurance policy, spouses and children are obvious choices. Financial support for the family is the most common reason people buy life insurance. If you're not married, you can name your siblings, parents or even a trusted friend as your beneficiary.

You can name two types of beneficiaries. A primary beneficiary receives the payout first. If the insurer can't find your primary beneficiary, the death benefit goes to the secondary or contingent beneficiary. A beneficiary doesn't have to be a person; you can set up your policy so a trust receives the payout.

If you don't name any beneficiaries on your policy, your death benefit goes to your estate, which could result in a delayed payout or reduced amount.

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MONEYGEEK EXPERT TIP

Make sure to review your beneficiaries regularly. Life events such as getting married, divorced or having a child may require updating your policy.

How to Buy Life Insurance

Most people see the need for life insurance but don't carry a policy, often because they don't know the steps involved in buying it. Understanding the process clears up confusion and helps you make the right decision for your needs:

  1. 1

    Calculate how much life insurance you need.

    First, determine how much coverage you need. Consider all your financial obligations (present and future) and make sure your life insurance will cover the total amount. Your income is also a good benchmark. We recommend taking your current annual salary and multiplying it by 10 to 12.

  2. 2

    Research life insurance companies and what policies are available to you.

    Insurance companies offer various life insurance policies. The cheapest company isn't always the best option. Check other aspects, such as financial stability, user experience ratings and customer complaint ratios.

    This helps determine which company offers the best value and increases the likelihood that your beneficiaries can easily file claims.

  3. 3

    Determine the type of life insurance you want, as well as the coverage amount.

    Both factors affect your life insurance cost. Consider your financial responsibilities and decide whether term or permanent life insurance fits your situation better. Each type has advantages and disadvantages.
     

    Your coverage amount should be enough to help your beneficiaries pay expenses if something happens to you.

  4. 4

    Gather multiple life insurance quotes.

    Explore what different insurers offer. You can usually get quotes online without visiting agents. You can also use an online comparison tool to make your search more efficient.

  5. 5

    Compare life insurance quotes and policy options.

    Though insurers use the same factors, they compute rates differently. Varying rates from different companies are common. Comparing quotes from three or four insurers gives you more options and helps you choose the best one.

  6. 6

    Decide on a policy and purchase it.

    When you find a policy you like, fill out an application form. Most insurers let you do this online. You may also need to submit an Attending Physician's Statement from your doctor.

After submitting your application, the life insurance underwriting process begins and can take 2-8 weeks, depending on your health complexity. Insurers may have different processes, but you'll likely go through a phone interview and medical exam. Insurance companies use these results to determine your eligibility. If approved, you'll receive policy documents to sign.

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MONEYGEEK EXPERT TIP

When selecting a policy, understand the life insurance payout options available to your beneficiaries. The most common option is a lump sum, where beneficiaries receive the entire death benefit at once, providing immediate financial relief.

Some policies offer annuities, where the death benefit is distributed in regular payments over a set period. This option can help beneficiaries manage long-term financial needs, such as paying off a mortgage or funding education. Consider which payout option best supports your loved ones' future financial stability.

How Life Insurance Works: Bottom Line

Life insurance provides financial protection to your loved ones after you're gone. Whether you choose term or permanent coverage, select a policy that matches your family's needs, financial obligations and long-term goals.

Understanding how life insurance works, from paying premiums to how death benefits are claimed, helps you make confident decisions that safeguard your family's future.

Compare Life Insurance Rates

Ensure you’re getting the best rate for your life insurance. Compare quotes from top providers to find the most affordable life insurance coverage for your needs.

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Life Insurance Explained: FAQ

Our answers to some of the most common questions can provide more information about how life insurance works.

What is life insurance?

How does life insurance work?

What does life insurance cover?

What does life insurance not cover?

What are the benefits of life insurance?

How to purchase life insurance?

When does a life insurance contract become effective?

Can I have more than one life insurance policy?

How long do you have to have life insurance before it pays out?

How long do life insurance policies last?

How long do you have to claim life insurance?

Who gets the life insurance payout?

Does life insurance pay out the full amount?

How much do beneficiaries get from life insurance?

What types of expenses can your life insurance beneficiary pay for with the benefit?

How long do life insurance policies take to pay out?

How do life insurance companies handle cases?

Can you use life insurance before you die?

Do you get money back on life insurance?

When does the insured stop making payments?

What voids life insurance?

Finding the Best Life Insurance: Expert Advice

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Understanding Life Insurance Policy: Our Review Methodology

Choosing life insurance feels overwhelming when you're comparing dozens of companies with different prices, ratings, and fine print. That's why we built a research approach that cuts through the marketing noise to show you which insurers actually deliver value when you need financial protection for your family.

Our Research Approach

We analyzed 1,488 life insurance quotes from companies with broad national coverage and online quote capabilities. Rather than just comparing prices, we scored each company across five factors that matter most when you're protecting your family's financial future.

Our scoring system weighted each factor based on real-world importance:

  • Affordability (30%): Your monthly premium directly impacts your budget
  • Financial Stability (25%): The company needs to be around when your family files a claim
  • Buying Process (20%): How easily you can actually get coverage
  • Customer Satisfaction (15%): How insurers treat policyholders when it counts
  • Product Diversity (10%): Options to match your specific needs

What went into each score:

Cost data from online quotes using standardized profiles

  • Financial strength ratings from AM Best and years in business
  • Customer complaint data from the National Association of Insurance Commissioners (NAIC) covering 2020-2022
  • Availability of online tools, payment options, and buying support
  • Range of life insurance products offered

Sample Customer Profile

We used a standard profile to ensure fair comparisons:

  • 40-year-old male
  • Non-smoker
  • 5 feet 11 inches tall, 175 pounds
  • Excellent health rating

We then modified this profile by age, gender, height, weight, tobacco use, health rating and location to collect quotes for different customer types. This included term life insurance with varying term lengths and coverage amounts.

The patterns we found in this data helped us identify which companies consistently offer the best value for different types of customers and life situations.

How Do Life Insurance Policies Work: Related Articles

About Mark Fitzpatrick


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Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. With over five years of experience analyzing the insurance market, he conducts original research and creates tailored content for all types of buyers. His insights have been featured in publications like CNBC, NBC News and Mashable.

Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!

Passionate about economics and insurance, he aims to promote transparency in financial topics and empower others to make confident money decisions.


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