Which of the following would be considered an unfair claims settlement practice Quizlet

Upon receiving a claimant's notice of claim, the insurer has 15 days in which to send the claimant the forms for filing proof of loss. Once the insurer receives proof of loss forms, the insurer must begin an investigation of the claim within 15 days.

Inhaltsverzeichnis Show

Which of the following is considered an unfair claims settlement practice in Florida?
Which of the following is an example of an unfair trade practice?
Which of the following is an example of a producer being involved in an unfair trade practice?
Which of the following terms describes making false statements?

The insurer must affirm or deny coverage within a reasonable time, and must pay a claim within 30 days after receiving proof of loss. If the insurer does not pay the claim within 30 days (due to lack of a good faith attempt to settle the claim), the insurer must pay 12 percent annual interest, beginning 30 days after receiving proof of loss until the claim is paid. The insured may also collect reasonable attorney's fees that were incurred in order to collect the claim.

If part of the claim is in dispute, the insurer must pay the undisputed part of the claim within 30 days after receiving proof of loss.

With each claim payment, the insurer must give the insured an explanation of benefits, which includes the name of the provider of health-care services covered, dates of service, and an explanation showing how benefits were computed.

If a claim remains unresolved 30 days after the insurer has received proof of loss, the insurer must give the insured a written explanation for the delay. If an investigation remains incomplete, the insurer must send the claimant a letter stating why additional time is needed to investigate the claim within 45 days after receiving the initial notice of claim and every 45 days thereafter.

An insurer must acknowledge and respond to a written communication relating to a claim within 15 days.

If a claim is denied, the insurer must give the claimant written notice within 15 days of its decision to deny the claim. The notice must refer to the policy provision, condition, or exclusion upon which the denial is based.

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Which of the following is considered an unfair claims settlement practice in Florida?

Florida law defines the following acts as unfair claim settlement practices: 1. Attempting to settle claims on the basis of an application, when serving as a binder or intended to become a part of the policy, or any other material document which was altered without notice to, or knowledge or consent of, the insured.

Which of the following is an example of an unfair trade practice?

Some examples of unfair trade methods are: the false representation of a good or service; false free gift or prize offers; non-compliance with manufacturing standards; false advertising; or deceptive pricing.

Which of the following is an example of a producer being involved in an unfair trade practice?

Which of the following is an example of a producer involved in an unfair trade practice of rebating? Telling a client that his or her's first premium will be waived if he/she purchased the insurance policy today.