43.8k views
2 votes
When an insurer denies or rejects an insured's claim, in whole or in part, it must do so in writing and contain the basis for such rejection or denial. If a claimant believes that a claim has been wrongfully denied or rejected, he/she may have the matter reviewed by the California Department of Insurance and the insurer must inform the claimant of this fact as well as providing address and telephone of the unit of the Department that reviews claim practices.

A. True
B. False

User Apdastous
by
8.1k points

1 Answer

6 votes

Final answer:

TRUE. The insurer must provide a written explanation for denying or rejecting a claim, and the claimant can request a review from the California Department of Insurance.

Step-by-step explanation:

When an insurer denies or rejects an insured's claim, in whole or in part, it is required to do so in writing and include the basis for the rejection or denial. If a claimant believes that their claim has been wrongfully denied, they can request a review from the California Department of Insurance. The insurer must inform the claimant of this option and provide contact information for the department unit that reviews claim practices.

User Parmendra Singh
by
8.5k points