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Questions and Answers
Which of the following is considered an unfair claims settlement practice according to the provided text?
Which of the following is considered an unfair claims settlement practice according to the provided text?
What is the consequence of committing unfair claims settlement practices with such frequency as to indicate a general business practice?
What is the consequence of committing unfair claims settlement practices with such frequency as to indicate a general business practice?
Which of the following is NOT an unfair claims settlement practice mentioned in the text?
Which of the following is NOT an unfair claims settlement practice mentioned in the text?
Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or physician to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or physician to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
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Which practice involves failing to promptly settle claims, where liability has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage?
Which practice involves failing to promptly settle claims, where liability has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage?
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Which practice involves failing to provide forms necessary to present claims within fifteen calendar days of a request with reasonable explanations regarding their use, if the insurer maintains the forms for that purpose?
Which practice involves failing to provide forms necessary to present claims within fifteen calendar days of a request with reasonable explanations regarding their use, if the insurer maintains the forms for that purpose?
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Which practice involves making known to insureds or claimants a policy of appealing from arbitration awards in favor of insureds or claimants for the purpose of compelling them to accept settlements or compromises less than the amount awarded in arbitration?
Which practice involves making known to insureds or claimants a policy of appealing from arbitration awards in favor of insureds or claimants for the purpose of compelling them to accept settlements or compromises less than the amount awarded in arbitration?
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Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or the physician of either to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or the physician of either to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
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Which practice involves failing to promptly settle claims, where liability has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage?
Which practice involves failing to promptly settle claims, where liability has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage?
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Which practice involves refusing to pay claims without conducting a reasonable investigation based upon all available information?
Which practice involves refusing to pay claims without conducting a reasonable investigation based upon all available information?
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Which practice involves attempting to settle claims on the basis of an application which was altered without notice to, or knowledge or consent of, the insured?
Which practice involves attempting to settle claims on the basis of an application which was altered without notice to, or knowledge or consent of, the insured?
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Which practice involves compelling insureds to institute litigation to recover amounts due under an insurance policy by offering substantially less than the amounts ultimately recovered in actions brought by such insureds?
Which practice involves compelling insureds to institute litigation to recover amounts due under an insurance policy by offering substantially less than the amounts ultimately recovered in actions brought by such insureds?
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Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or the physician of either to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or the physician of either to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
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Which practice involves making known to insureds or claimants a policy of appealing from arbitration awards in favor of insureds or claimants for the purpose of compelling them to accept settlements or compromises less than the amount awarded in arbitration?
Which practice involves making known to insureds or claimants a policy of appealing from arbitration awards in favor of insureds or claimants for the purpose of compelling them to accept settlements or compromises less than the amount awarded in arbitration?
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Which practice involves failing to promptly provide a reasonable explanation of the basis in the insurance policy in relation to the facts or applicable law for denial of a claim or for the offer of a compromise settlement?
Which practice involves failing to promptly provide a reasonable explanation of the basis in the insurance policy in relation to the facts or applicable law for denial of a claim or for the offer of a compromise settlement?
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Which practice involves attempting to settle claims on the basis of an application which was altered without notice to, or knowledge or consent of, the insured?
Which practice involves attempting to settle claims on the basis of an application which was altered without notice to, or knowledge or consent of, the insured?
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Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or physician to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
Which practice involves delaying the investigation or payment of claims by requiring an insured, claimant, or physician to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information?
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What is the consequence of committing unfair claims settlement practices with such frequency as to indicate a general business practice?
What is the consequence of committing unfair claims settlement practices with such frequency as to indicate a general business practice?
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Study Notes
Unfair Claims Settlement Practices
- Failing to settle claims promptly, where liability has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage, is an unfair claims settlement practice.
- Delaying the investigation or payment of claims by requiring an insured, claimant, or physician to submit a preliminary claim report and then requiring the subsequent submission of formal proof of loss forms, both of which submissions contain substantially the same information, is an unfair claims settlement practice.
- Failing to provide forms necessary to present claims within fifteen calendar days of a request with reasonable explanations regarding their use is an unfair claims settlement practice.
- Making known to insureds or claimants a policy of appealing from arbitration awards in favor of insureds or claimants for the purpose of compelling them to accept settlements or compromises less than the amount awarded in arbitration is an unfair claims settlement practice.
- Refusing to pay claims without conducting a reasonable investigation based upon all available information is an unfair claims settlement practice.
- Attempting to settle claims on the basis of an application which was altered without notice to, or knowledge or consent of, the insured is an unfair claims settlement practice.
- Compelling insureds to institute litigation to recover amounts due under an insurance policy by offering substantially less than the amounts ultimately recovered in actions brought by such insureds is an unfair claims settlement practice.
- Failing to promptly provide a reasonable explanation of the basis in the insurance policy in relation to the facts or applicable law for denial of a claim or for the offer of a compromise settlement is an unfair claims settlement practice.
Consequences of Unfair Claims Settlement Practices
- Committing unfair claims settlement practices with such frequency as to indicate a general business practice may result in penalties and other consequences.
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Description
Test your knowledge on unfair claims settlement practices with this quiz! Learn about the methods, acts, and practices defined as unfair or deceptive under Tit. 22, § 1964. Challenge yourself to identify misrepresentation of facts or insurance policy provisions and understand the importance of prompt action in claims resolution.