An example of an unfair claims settlement practice is?

Prepare for the North Carolina Laws and Rules Exam. Use our comprehensive resources, including multiple-choice questions with explanations, to get exam-ready. Understand North Carolina law and boost your confidence for successful exam completion!

Turning down a claim without providing the basis of denial represents an unfair claims settlement practice because it breaches the principle of transparency and good faith that insurers are obligated to uphold. Insurance companies are expected to communicate clearly with policyholders about the reasons for any claim denials. When a claim is denied without a proper explanation, it leaves the policyholder in the dark and unable to understand or challenge the decision. This lack of information can significantly disadvantage the insured, undermining their rights under the insurance policy.

Insurance regulations often require that companies provide a clear rationale when they refuse payment on claims, allowing policyholders the opportunity to rectify any issues, gather further information, or appeal the decision if warranted. The failure to explain a denial not only violates the spirit of fair dealing, but it also undermines public confidence in the insurance industry, highlighting the importance of fair practices.

The other options, while they may reflect practices that could also be viewed as unfair, do not have the same clear violation of communication and due process as failing to provide a basis for a denial does. For instance, delaying payment can become an issue if it is unjustified, but the absence of an explanation in denial stands out as particularly detrimental to the policyholder, making it an egregious example

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy