California-Specific RulesQuestion 65 of 53161% of test-takers answer this correctly

Under California's Fair Claims Settlement Practices Regulations, within how many calendar days after receiving proof of claim must an insurer accept or deny the claim in whole or in part (absent an extension for good cause)?

a.15 calendar days
b.30 calendar days
c.20 calendar days
d.40 calendar days

Explanation

10 CCR §2695.7(b) gives the insurer 40 calendar days from receipt of proof of claim to accept or deny in whole or in part. The deadline may be extended in writing for good cause, but the default rule is 40 days. After acceptance and agreement, payment must be tendered within 30 days.

Law Reference: 10 CCR §2695.7

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