For decades, the lifecycle of a life insurance policy had only two potential endpoints: the death of the insured (triggering the death benefit) or the surrender of the policy (triggering the return of Cash Surrender Value, if any). However, the emergence of the **Secondary Market for Life Insurance**—commonly known as **Life Settlements**—has introduced a third dimension. Institutional investors now treat life insurance policies as non-correlated assets, willing to purchase them for a Fair Market Value (FMV) that is significantly higher than the carrier’s surrender value but lower than the death benefit. For fiduciaries and trustees, the failure to evaluate a Life Settlement offer before lapsing or surrendering a policy is rapidly becoming a recognized breach of fiduciary duty.
I. The Economic Arbitrage: Why the Market Exists
The existence of the Life Settlement market relies on a fundamental pricing inefficiency in the primary insurance market: the gap between the **Cash Surrender Value (CSV)** set by the carrier and the **Intrinsic Economic Value (IEV)** perceived by the open market.
1. The Carrier’s Perspective (Lapse Support)
Insurance carriers price their products assuming a certain percentage of policyholders will lapse (cancel) their policies before dying. When a policy lapses, the carrier keeps the premiums paid and pays no death benefit—a pure profit scenario. Therefore, carriers have no incentive to offer a high Cash Surrender Value; in fact, surrender charges are designed to suppress this value.
2. The Investor’s Perspective (Mortality Arbitrage)
Institutional investors (pension funds, hedge funds) view the policy differently. They see a guaranteed future cash flow (the Death Benefit) backed by a highly rated counterparty (the Carrier).
The Valuation Formula:
$$ \text{Offer Price} = \text{PV}(\text{Death Benefit}) – \text{PV}(\text{Future Premiums}) – \text{Profit Margin} $$
If the insured has experienced a decline in health since the policy was issued (Shortened Life Expectancy), the Present Value (PV) of the Death Benefit rises, and the PV of future premiums falls (fewer years to pay). This creates a massive wedge where the Investor’s Offer Price can be **3 to 5 times higher** than the Carrier’s Cash Surrender Value.
II. The Valuation Engine: Life Expectancy (LE) is King
In the secondary market, the single most critical metric is the **Life Expectancy (LE)** estimate. This is not the generic actuarial table used by the IRS; it is a bespoke medical underwriting report generated by specialized firms (like AVS or Fasano).
1. The Impact of “Micro-Impairments”
An insured may look healthy to a layman but have medical markers that institutional underwriters know statistically reduce longevity.
Example: A 75-year-old male with controlled diabetes and a history of smoking.
- **Standard Table LE:** 12 years.
- **Underwritten LE:** 7 years.
This 5-year reduction in expected premiums and 5-year acceleration of the payout drastically increases the Net Present Value (NPV) of the policy, making it a prime candidate for a settlement.
2. Policy Types and Optimization
Universal Life (UL) and Convertible Term policies are the most traded assets.
The Term Insurance Surprise: Many clients let Term policies expire worthless at the end of the term. However, if the policy has a **Conversion Privilege**, an investor can buy the Term policy, convert it to Permanent insurance, and pay the premiums. The client receives a cash settlement for a “worthless” asset.
III. The Tax Matrix: Revenue Ruling 2009-13 and TCJA 2017
The taxation of Life Settlements is notoriously complex because it involves unbundling the sale proceeds into different tax characterizations. The rules were clarified (and complicated) by **Revenue Ruling 2009-13**, and significantly amended by the **Tax Cuts and Jobs Act (TCJA) of 2017**.
1. The Three Tiers of Taxation
When a policy is sold, the proceeds are taxed in a specific “waterfall” sequence:
- **Tier 1: Tax-Free Return of Basis.** Proceeds up to the owner’s Cost Basis are tax-free.
- **Tier 2: Ordinary Income (The Substitute for CSV).** Proceeds that exceed the Basis but are less than or equal to the Cash Surrender Value (CSV) are taxed as Ordinary Income. (The logic is that this portion represents the interest/earnings that would have been taxed if surrendered).
- **Tier 3: Capital Gains.** Proceeds that exceed the CSV are taxed as Long-Term Capital Gains (assuming the policy was held > 1 year). This is the most favorable bracket.
2. The “Cost of Insurance” Basis Adjustment (Pre-2017 vs. Post-2017)
The Old Trap (Rev. Rul. 2009-13): The IRS originally ruled that when calculating Cost Basis for a sale, the taxpayer had to subtract the “Cost of Insurance” (COI) charges they had paid over the years. This drastically reduced the Basis, increasing the taxable gain.
The TCJA Fix (Current Law): The 2017 Tax Act explicitly overruled this IRS position. Now, **Cost Basis is simply the aggregate premiums paid**, without reduction for COI.
$$ \text{Basis} = \text{Total Premiums Paid} $$
This change saved sellers millions in taxes and made settlements far more attractive.
3. Example Calculation
- **Total Premiums Paid (Basis):** $\$100,000$
- **Cash Surrender Value (CSV):** $\$110,000$
- **Sale Price:** $\$300,000$
Tax Breakdown:
1. **$\$100,000$** (Basis) = **Tax Free**.
2. **$\$10,000$** (CSV $\$110k$ – Basis $\$100k$) = **Ordinary Income**.
3. **$\$190,000$** (Price $\$300k$ – CSV $\$110k$) = **Capital Gains**.
Note: If CSV is lower than Basis, there is no Ordinary Income tier; the gain above Basis is entirely Capital Gains.
IV. Alternative Structures: Retained Death Benefit (RDB)
Not all clients want cash. Some want to keep coverage but stop paying premiums. The market offers a **Retained Death Benefit (RDB)** settlement.
1. How RDB Works
Instead of a cash payment, the investor agrees to take over the premium payments in exchange for a portion of the death benefit. The original owner retains a beneficiary interest in the remainder.
Example:
Policy: $\$5$ Million Face Amount. Premium: $\$150k$/year.
Client trades the policy to Investor. Investor pays all future premiums.
Upon death: Investor gets $\$3$ Million; Client’s Family gets $\$2$ Million.
Benefit: The client effectively converts a premium-draining liability into a guaranteed (albeit smaller) paid-up asset.
V. Regulatory Risks and STOLI
The dark shadow over this industry is **Stranger-Originated Life Insurance (STOLI)**.
1. The Two-Year Contestability and Insurable Interest
STOLI occurs when a policy is taken out *with the intent* to sell it to an investor immediately. This violates the principle of **Insurable Interest**.
The Guardrails: Most states and carriers prohibit the settlement of a policy within the first **2 to 5 years** of issuance. Attempting to settle a “fresh” policy can lead to the carrier rescinding the contract for fraud (void ab initio), leaving the investor with nothing and the family with potential legal liability.
VI. The Fiduciary Mandate: “Don’t Lapse It, Sell It”
For Trustees of ILITs or financial advisors, the Life Settlement option creates a new standard of care.
1. The Breach of Duty Scenario
Imagine a Trustee oversees a policy with a $\$50,000$ Cash Value. The premiums are becoming too high, so the Trustee decides to surrender the policy for $\$50,000$.
Two years later, the beneficiaries discover that—due to the grantor’s health decline—the policy could have been sold on the secondary market for $\$250,000$.
The Trustee effectively threw away $\$200,000$ of trust assets. This is a classic **Breach of Fiduciary Duty**.
Best Practice: Before surrendering any policy (especially on seniors >70 years old), the Trustee *must* obtain a Life Settlement appraisal to document that they explored all value maximization strategies.
VII. Conclusion: A Liquidity Event for an Illiquid Asset
The Secondary Market has transformed life insurance from a “buy-and-hold-until-death” contract into a tradable property right. For the senior client facing liquidity needs, high premiums, or estate tax changes, a Life Settlement unlocks the “hidden equity” of their mortality. However, it is a complex transaction requiring specialized brokerage to create a bidding war and specialized tax counsel to navigate the 2009-13/TCJA matrix. In the modern era, lapsing a policy without a valuation check is no longer a prudent option; it is an unforced financial error.
Disclaimer: This content is for informational purposes only and does not constitute legal, tax, or investment advice. Life Settlements involve transaction costs, commissions (often high), and privacy implications (medical records shared with investors). Tax laws vary by jurisdiction; consultation with a CPA and a licensed settlement broker is required.