Disposiciones de Pólizas A&SPregunta 510 de 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
Explicación
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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Preguntas relacionadas de este tema
- The mandatory 'notice of claim' provision requires the insured to notify the insurer of a claim within:
- Under the 'claim forms' provision, if the insurer fails to furnish claim forms within the required time (usually 15 days) after receiving notice of claim, the insured may:
- The mandatory 'proof of loss' provision generally requires the insured to submit proof of loss within:
- The mandatory 'payment of claims' provision specifies:
- The mandatory 'physical examination and autopsy' provision gives the insurer the right, at its own expense, to:
- The mandatory 'legal actions' provision prevents an insured from bringing a lawsuit against the insurer until:
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Revisado por John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verificar)