Florida Statutes, Rules, and Regulations Common to All Lines
An insurer denies a death claim without looking into the circumstances and sends the beneficiary a denial letter that gives no reason. Which requirement has the insurer failed?
Answer and explanation
Answer: C. Section 626.9541(1)(i) reaches denying claims without conducting reasonable investigations and failing to promptly provide a reasonable explanation for a denial. Both failures appear here. The grace period concerns premium payment, not claim handling. Beneficiary consent is not a precondition to closing a claim, and the statute does not require notifying the Department before each denial.Source: Fla. Stat. § 626.9541 — (1)(i), Unfair claim settlement practices
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