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5 votes
Which of these would NOT be an unfair claims practice?

A) Denying claims without conducting a reasonable investigation
B) Offering payment of approved claims within 30 days after affirming liability
C) Misrepresenting policy provisions
D) Failing to promptly provide a reasonable explanation for claim denials

1 Answer

5 votes

Final answer:

Offering payment of approved claims within 30 days after affirming liability is not considered an unfair claims practice. It is a standard and fair practice, whereas denying claims without investigation, misrepresenting policy provisions, and not providing claim denial explanations are considered unfair practices.

Step-by-step explanation:

The student's question concerns identifying an action that would not be considered an unfair claims practice in the context of insurance claims. Among the options provided, the correct answer is B) Offering payment of approved claims within 30 days after affirming liability. This is because it represents a standard and reasonable practice in the handling of insurance claims. Ensuring payment within a specified time frame after liability is affirmed is in compliance with good claims practices and helps maintain policyholder satisfaction and trust.

On the other hand, the following practices are generally considered unfair and could be actionable under insurance laws and regulations: A) Denying claims without conducting a reasonable investigation, C) Misrepresenting policy provisions, and D) Failing to promptly provide a reasonable explanation for claim denials. These actions can lead to complications for the claimant and potential regulatory penalties for the insurer.

Answer: B) Offering payment of approved claims within 30 days after affirming liability

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