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Benefit Survival Period

A benefit survival period is the minimum amount of time a policyholder must remain alive after being diagnosed with a covered condition before an insurance benefit becomes payable. This period ensures that the illness or injury meets the policy’s criteria for a valid claim and prevents immediate payouts for conditions that result in death shortly after diagnosis.

The survival period is most commonly found in critical illness insurance, where it typically ranges from 10 to 30 days after the confirmed diagnosis. For example, if you are diagnosed with cancer or suffer a heart attack, you must survive the required number of days before receiving the lump-sum payment. If death occurs before the survival period ends, no critical illness benefit is paid, although life insurance or accidental death benefits may still apply if included in the policy.

Example:

If your critical illness policy has a 30-day survival period and you are diagnosed with a stroke on March 1, you must remain alive until at least March 31 for the insurer to pay the benefit.

What to Watch For:

Check your policy to confirm the exact length of the survival period, as it varies between insurers and products. The period begins on the date of diagnosis, not the date of symptom onset or claim submission. Always ensure your doctor’s report clearly states the diagnosis date and confirms survival beyond the required time frame to avoid delays or disputes.

Related Terms

Member

A member is an individual who is enrolled and covered under a group insurance plan, typically through their employer, association, or organization. The member is often referred to as the insured employee or plan participant and receives coverage for benefits such as health, dental, life, and disability insurance. The member may also extend coverage to eligible dependents, such as a spouse or children, under the same plan.

Material Facts

Material facts are the pieces of information that are essential for an insurer to accurately assess risk and decide whether to approve an application, determine premiums, or apply exclusions. These facts include any details that could influence the insurer’s decision to issue coverage or the terms of that coverage. Examples include medical conditions, medications, family health history, lifestyle habits, and participation in hazardous activities.

Misstatement of Age

Misstatement of age occurs when the age of the insured person is recorded incorrectly on an insurance application or policy. Because age is a key factor in determining eligibility, premiums, and benefit amounts, any error - whether accidental or intentional - can affect the terms of coverage. The misstatement may be discovered during underwriting, at the time of a claim, or during a policy review.

Group Insurance

Group insurance is a type of coverage that provides benefits to a defined group of people, typically employees of a company or members of an organization, under a single master policy. Instead of each person purchasing an individual policy, the group is insured collectively, which allows members to access broader coverage at lower rates. The employer or organization acts as the contract holder, while individual participants receive a certificate of insurance outlining their specific benefits.

Optional Benefit / Rider / Add-On

An optional benefit, also called a rider or add-on, is an additional feature that can be purchased to enhance your existing health, dental, life, or disability insurance plan. Optional benefits allow you to customize coverage by adding protection that suits your personal needs, rather than relying only on the base plan design.

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