Regulations Flashcards

1
Q

How many days to insurers have to accept or deny a claim in whole or part?

A

Immediately but no more than 40 calendar days.

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2
Q

If an insurer needs additional time to accept or deny a claim he must let the insured know in writing every ______ days

A

30 calendar days

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3
Q

Insurers have to provide written notice of statute of limitation _______ days prior to the expiration date; exception: if notice of claim is received within that 60 days insurer is to notify insured ______ days prior to expriation

A

60

30

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4
Q

After accepting a claim in whole or in part an insurer has _____ days to pay the claim

A

30

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5
Q

After receiving communication from DOI how many days does the insurer have to responde

A

Immediately but no more than 21 calendar days

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6
Q

After receiving communication from a claimant an insurer has _____ days to responde

A

Immediately but no more than 15 calendar days

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7
Q

Upon receiving notice of claim an insurer has _____ days to do what?

A

Immediately but no more than 15 calendar days;

  1. Acknowledge receipt of the claim
  2. provide claimant necessary forms, instructions and reasonable assistance
  3. Begin investigation of the claim
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