A structured settlement pays the claimant in periodic instalments — monthly, annually, or on a custom schedule — instead of a single lump sum. The payments are typically funded by an annuity purchased from a life insurance company. The key advantage: in the US, the entire income stream (including the return on the annuity) is tax-exempt under IRC §104(a)(2).

TL;DR.

Structures provide tax-free income, protection against overspending, and guaranteed payments. PPOs (UK) index payments to care-cost inflation. Best for large awards with long-term needs. Less suitable for small amounts or when flexibility is needed.

Lump sum vs structured settlement

FeatureLump sumStructured settlement
Tax on investment returnsTaxableTax-exempt (US: IRC §104)
FlexibilityFull control over fundsFixed payment schedule
Protection against overspendingNoneBuilt-in discipline
Inflation adjustmentSelf-managedCan be built in (PPO: ASHE-indexed)
Guaranteed incomeDepends on investment performanceGuaranteed by annuity insurer
Access to capitalImmediateLimited (factoring is expensive)

Periodical Payment Orders (PPOs) — UK

In England and Wales, courts can order periodical payments under the Damages Act 1996 (as amended). PPOs are commonly used for future care costs in catastrophic injury cases. Payments are indexed to ASHE (Annual Survey of Hours and Earnings) rather than RPI/CPI — reflecting the reality that care costs rise faster than general inflation.

When structures make sense

  • Large awards ($250K+) where the tax benefit is meaningful
  • Long-term care needs — guaranteed income matches guaranteed costs
  • Minor claimants — payments timed to education and milestones
  • Claimants with limited financial literacy — protection against poor investment
  • Benefits preservation — combined with a special needs trust

Frequently asked questions

What is a structured settlement?
A structured settlement pays the claimant in periodic instalments instead of a single lump sum. The payments are funded by an annuity purchased from a life insurance company. In the US, the income stream is tax-exempt under IRC §104(a)(2).
What is a periodical payment order (PPO)?
A PPO is the UK/Irish equivalent. Courts can order defendants to pay damages in periodic instalments (usually annually) indexed to the Annual Survey of Hours and Earnings (ASHE) for care costs. PPOs are common in catastrophic injury cases where future care costs dominate.
Are structured settlements taxable?
In the US, the periodic payments from a structured settlement for physical injury are fully tax-exempt — both the principal and the interest component. This is a significant advantage over a lump sum, where investment returns on the proceeds are taxable.
When should I choose a structured settlement?
Structures make sense when: the total is large enough to generate meaningful income, the claimant lacks investment experience, there are long-term care needs, or the claimant wants to protect benefits eligibility (via a special needs trust). They are less suitable when the claimant needs flexibility or the total is small.
Editorial note. This guide explains structured settlement mechanics. It is not legal or financial advice. See our full disclaimer.
📌Cite this article: “How Structured Settlements Work.” MyClaimWorth.com, May 2026. Accessed 2026. https://myclaimworth.com/articles/structured-settlements-explained