A&H Policy ProvisionsQuestion 510 of 716

The mandatory 'time of payment of claims' provision requires the insurer to pay claims:

a.No sooner than two years after the loss has occurred, which would defeat the purpose of prompt payment
b.Only once at the end of the year
c.Whenever the insurer chooses to
d.Promptly, immediately or within a stated number of days after it receives proof of loss

Explanation

The time of payment of claims provision requires the insurer to pay benefits promptly, immediately or within a specified number of days after receiving acceptable proof of loss, so a valid claim is not left unpaid. Paying at the insurer's discretion, only at year-end, or after a two-year delay would defeat the purpose. This provision protects insureds from unreasonable delays once they have properly documented a covered loss.

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PrepPass team · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
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