California Life-Only & Accident and Health AgentCalifornia Law - Life and Accident & HealthMedium

A California resident is diagnosed with a severe illness and needs to file a claim under their Accident and Health policy. According to California law, within how many days must the insurer typically provide claim forms to the insured after receiving a notice of claim?

  1. A30 days
  2. B5 days
  3. C15 days
  4. D10 days
Show answer & explanation

Correct answer: C. 15 days

Under California law, if the insurer requires a written proof of loss, they must furnish the necessary forms to the insured within 15 days after receiving notice of claim.

Why the other options are wrong

  • A. 30 days is typically the timeframe for paying claims after receiving proof of loss, not furnishing forms.
  • B. 5 days is too short; common for acknowledging receipt of claim, not furnishing forms.
  • D. 10 days is too short; not the standard for furnishing claim forms.

Claim Forms Furnishing (A&H)

The requirement for an insurer to provide necessary claim forms to an insured within a specific timeframe after receiving notice of a claim.

  • 15 days in California after notice of claim.
  • Applies if the insurer requires written proof of loss.
  • Failure to provide forms does not relieve the insured of the requirement to provide proof of loss.

Memory trick: Claim forms are like '15' urgent messages, needing quick delivery to start the healing process.

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