Which of the following best describes an insurance claim?

Prepare for the California PSI Site Life, Accident and Health Agent Exam with interactive flashcards and multiple choice questions. Enhance your understanding with comprehensive hints and explanations, and get ready for success!

An insurance claim is fundamentally a request for payment made by a policyholder to their insurance company for a loss that is covered under their policy. This process typically follows an incident that results in damage, illness, or another qualifying event where the insured seeks compensation or assistance as stipulated in their insurance agreement. The claim allows the insurer to verify the loss and determine the appropriate payout or service to the policyholder.

The other options do not accurately encapsulate the concept of an insurance claim. For instance, a statement of insurance premium rates pertains to the costs associated with obtaining insurance but does not involve a payout or compensation for losses. A report of an insurer's financial status relates to the overall health and performance of the insurance company itself, rather than individual claims made by policyholders. A proposal for new insurance coverage refers to an offer to purchase insurance but does not involve requesting payment for a specific event or loss already incurred. Hence, the definition of an insurance claim is best captured as a request for payment based on a loss covered by the policy.

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