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Questions and Answers
What is the timeframe within which an insurer must respond to a claim in writing?
What is the timeframe within which an insurer must respond to a claim in writing?
- 30 calendar days
- 60 calendar days
- 40 calendar days (correct)
- 90 calendar days
What happens if an insurer needs more time to respond to a claim?
What happens if an insurer needs more time to respond to a claim?
- The claim is automatically denied
- The claimant is notified of the delay and given an explanation (correct)
- The Department of Insurance is notified
- The claim is resolved without further action
What is the exception to the 40-day rule for responding to claims?
What is the exception to the 40-day rule for responding to claims?
- Claims made under health insurance policies
- Claims made under disability or disability income policies (correct)
- Claims made under life insurance policies
- Claims made under auto insurance policies
What must an insurer provide to the claimant in the event of a denial?
What must an insurer provide to the claimant in the event of a denial?
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How often must an insurer provide written notice to the claimant if they need more time to respond to a claim?
How often must an insurer provide written notice to the claimant if they need more time to respond to a claim?
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