What is final expense (burial) life insurance?
Final expense life insurance (often called burial insurance) is a straightforward permanent policy designed to pay a small benefit to your beneficiaries when you die. The funds are typically used for funeral costs, unpaid medical bills, short-term debts, and small legacy gifts. These policies are generally available with face amounts from $5,000 up to $25,000 — the amounts most families need to cover common funeral and final expenses.
There are two approaches most applicants encounter:
- Guaranteed acceptance (guaranteed issue): No health questions, no exam, acceptance within age limits. Common waiting periods for natural death are 12–24 months. Good for applicants with serious health conditions or recent hospitalizations.
- Simplified-issue / underwritten: A short health questionnaire (and sometimes a request for recent A1C or records) may be required. These products often offer better pricing for people with well-managed diabetes.
Both products serve the same purpose — to make sure money is available for beneficiaries — but the underwriting approach and cost differ. Later sections explain which fits different health situations.
Why diabetes matters to insurers — what underwriters evaluate
Insurers don’t simply treat “diabetes” as a single number. They look at a set of objective and subjective factors that predict future health risks. The most important items underwriters consider are:
- A1C and blood-glucose control: A1C is a lab measure showing average blood glucose over 2–3 months. The American Diabetes Association publishes A1C targets and guidance; many insurers view lower recent A1C values (often <7.0–7.5 depending on age and carrier) as favorable. ADA: A1C guidance
- Treatment type: Whether diabetes is diet-controlled, controlled with oral medications (metformin, etc.), or managed with insulin matters. Insulin use historically indicated higher risk, but many insureds on insulin still qualify for simplified-issue options if they’re stable.
- Complications: Kidney disease, neuropathy, retinopathy, cardiovascular disease, amputations, and dialysis are significant underwriting concerns that narrow carrier options or increase premiums.
- Duration of disease: Longer duration—especially when paired with complications—raises risk.
- Overall health profile: Hypertension, cholesterol, BMI, smoking, and recent hospitalizations are considered alongside diabetes.
Public-health context: diabetes prevalence is common in Virginia; the Centers for Disease Control provides national and state-level data that insurers and agents use to understand population risk. CDC: Diabetes data
Guaranteed acceptance vs. simplified-issue — practical comparison
Guaranteed Acceptance (No-Exam)
How it works: No health questions and no medical exam. If you meet the age band (varies by carrier), you are accepted when you apply and pay the first premium.
Pros: Guaranteed acceptance, quick issue, no records needed; ideal if you have serious complications, recent hospital stays, or previous declines.
Cons: Higher premiums per dollar of coverage; most guaranteed-issue policies have a graded or waiting period (commonly 12–24 months) where natural death benefits are limited — carriers often return premiums with interest if death occurs during the waiting period.
Simplified-Issue and Fully Underwritten Options
How it works: Simplified-issue typically uses a short health questionnaire (no exam). Fully underwritten policies request medical records or labs (including possible A1C) and can require more time to issue.
Pros: Potentially lower premiums, access to more favorable rate classes, and immediate full benefits (no waiting period) on many simplified-issue plans if questions are answered favorably.
Cons: Some applicants may be declined or rated; underwritten policies may take longer and need medical records.
Practical strategy many Richmond agents use: try simplified-issue or underwritten first when medical control looks good — compare with guaranteed-issue offers as a backup. That approach often yields the best balance of price and certainty.
How to prepare for the application — documents and timing
Preparing a few basic items before you apply will speed approval and often lead to better pricing for simplified-issue or underwritten policies:
- Bring a recent medication list (names, dosages, frequency)
- Have a recent A1C result if available (within the last 6–12 months is best)
- Know recent hospitalizations or major medical events (dates and diagnoses)
- Know your physician’s name and clinic — underwriters sometimes request records for fully underwritten applications
If you recently started insulin or had a major hospitalization, waiting until your condition stabilizes (if medically safe) may improve underwriting outcomes. Always consult your medical team about timing — this page is educational, not medical advice.
Sample premiums & realistic examples (educational illustration)
Below are illustrative pricing ranges typical in the market for final-expense style coverage. These numbers are for educational purposes only — exact quotes depend on age, sex, tobacco use, ZIP code, product, and the carrier.
Illustrative examples
- Age 55–64, Type 2 controlled on oral medication, $25,000 simplified-issue whole life: often low-to-mid double digits per month (example: $35–$60/month).
- Age 65–74, Type 2 insulin-treated, $10,000 guaranteed-issue final expense: often mid-to-high double digits per month (example: $45–$85/month) depending on exact age and carrier.
- Age 75–80, advanced age with health issues, $5,000–$10,000 guaranteed-issue: premiums commonly in the $70–$110/month range for small face amounts.
- Younger insured (age 45–55), Type 2 well-controlled seeking $100,000: fully underwritten whole life or term policies can be more competitive per-dollar; pricing varies widely by underwriting outcome and requires records.
Why range variance? Carriers price differently, and age bands skew premiums dramatically. The only way to know exact cost is a side-by-side quote from carriers licensed in Virginia — that’s what I prepare for clients.
Richmond-area case studies — anonymized, realistic examples
Case: James, Henrico — Age 62 James had Type 2 diabetes controlled on metformin with an A1C of 6.7 and no complications. He wanted $25,000 to cover funeral and small bills. We ran simplified-issue and fully underwritten options. The simplified-issue policy issued in days with a monthly premium in the mid-$40s. James chose simplified-issue for quick protection and modest cost.
Case: Ms. Davis, Chesterfield — Age 74 Ms. Davis used insulin and had a history of heart stent procedures. Fully underwritten policies were unlikely to be favorable. We compared simplified-issue vs guaranteed-issue quotes; she chose a $10,000 guaranteed-issue policy for acceptance certainty, predictable monthly cost, and easier claims rules for her family should they need to file a claim in the future.
Case: Mr. Lee, Richmond Northside — Age 49 Mr. Lee had Type 2, excellent control (A1C 6.4), and wanted $250,000 for income protection. We pursued full underwriting and secured a competitive term-to-100 whole-life option. He chose underwritten coverage for long-term value since his health profile qualified.
These examples show how personal facts shape the best route. I always prepare 2–3 quotes so clients can compare price, waiting periods, and product differences side-by-side.
Which carriers write diabetic-friendly final expense in Virginia?
Carrier appetite changes over time. In Virginia, there are reputable carriers that offer simplified-issue and guaranteed-issue final expense products. Financial strength (company claims-paying ability) matters — A.M. Best provides ratings that help compare company stability. A.M. Best
Because carrier filings and product availability change, a local agent who shops multiple companies is the best way to find the current diabetic-friendly options in Virginia. I shop the carriers licensed in VA and explain which ones are likely to give the best outcome based on your medical profile.
What to look for in policy contracts — small print that matters
- Waiting/graded periods: If the policy has a waiting period (common with guaranteed-issue), confirm the exact length and payout rules for natural versus accidental death.
- Premium guarantees: Confirm whether your premium is guaranteed or may increase. Most final-expense policies are level-premium.
- Contestability: Most policies have a contestability clause (commonly two years) — honest answers avoid claim problems.
- Accidental death coverage: Many policies pay full benefits immediately for accidental death — confirm the definition and terms.
- Beneficiary directions: Make sure beneficiaries are named clearly and understand how to file claims.
How I (David Lewis Jr) help Richmond families
As a local Kemper Life home service agent in Richmond, I provide hands-on service: in-person appointments, personalized side-by-side quotes, help completing applications, and claims assistance for beneficiaries. I work with seniors across Richmond neighborhoods, Henrico, Chesterfield, Petersburg, Colonial Heights, Hopewell, Prince George, and Dinwiddie to find the best diabetic-friendly final-expense options in the Virginia market.
My promise: I’ll explain options in plain language, show exact premiums and waiting-period trade-offs, and recommend the plan that best fits your budget and goals — with no pressure.
Request a Free Diabetic Final Expense Quote (804) 551-9526
Expanded FAQ — Diabetics & Final Expense Insurance
- Can someone with Type 2 diabetes get final expense insurance?
- Yes. Most Type 2 diabetics can get some form of final expense coverage. If you have well-controlled diabetes, simplified-issue policies are often available; if you have significant complications, guaranteed-issue is a reliable option.
- Does using insulin automatically disqualify me?
- No. Insulin use does not automatically disqualify you from final expense policies. Many insurers accept insulin users for guaranteed or simplified plans; some insulin users with stable control can qualify for underwritten options.
- What is a waiting period on guaranteed-issue policies?
- Common waiting periods are 12–24 months for natural death. If death occurs within the waiting period due to natural causes, some policies return premiums with interest or pay a partial benefit; accidental death is often covered immediately. Check your policy wording for exact rules.
- Will my beneficiaries pay taxes on the death benefit?
- Generally, life insurance death benefits are income tax-free to beneficiaries. For estate taxes or complex cases, consult a tax professional.
- How much final expense coverage do I need in Richmond?
- Typical funeral + final bills in the Richmond area often range from $8,000–$20,000 depending on burial vs. cremation and service choices. Many families choose $10,000–$25,000 to be safe. I’ll help you size coverage based on local funeral costs and debts.
- How long does it take to issue a policy?
- Simplified-issue policies can approve in days; guaranteed-issue usually issues quickly after first premium; fully underwritten policies may take several weeks if records or labs are requested.
- Should I be honest on my application if I think it may affect approval?
- Yes. Be truthful. Misstatements can lead to contested claims during the contestability period. If you’re unsure how to answer a question, ask me and I’ll guide you to the correct, complete response.
- What if I don’t have a recent A1C?
- Not having an A1C doesn’t prevent you from getting guaranteed-issue coverage. For simplified or underwritten policies, a recent A1C often helps; if you don’t have one, we’ll work with the carriers that accept applications without lab documentation.
- How does age affect pricing for diabetics?
- Age is one of the strongest pricing factors. Older applicants typically pay more. That’s why starting coverage earlier can reduce long-term premiums; however, final-expense is designed specifically for seniors and older adults who prioritize certainty over low per-dollar cost.
- How do I get started with a local quote?
- Call (804) 551-9526 or fill out the quote form on this page. I’ll ask a few quick questions and prepare side-by-side quotes (simplified, guaranteed, and underwritten when appropriate) so you can compare pricing and waiting periods.
Sources & further reading