When a term Life Insurance policy comes to an end, there are several options available to the policyholder. First, the policyholder can choose to renew the policy for another term, although the premiums may increase due to the policyholder's age and potential changes in health. Second, the policyholder may have the option to convert the term policy into a permanent life insurance policy, such as whole life or universal life insurance, without the need for a medical exam. Third, the policyholder can let the policy expire and no longer have coverage. It's important to note that if the policyholder passes away during the term of the policy, the beneficiaries will receive the death benefit, but if the policy expires and the policyholder passes away afterward, there will be no death benefit. It's crucial for policyholders to carefully consider their options and consult with their insurance provider or financial advisor to make the best decision for their individual circumstances.