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QUESTION CARD Q080 · HEALTH, DISABILITY & LTC

Claim Sequence

Understand the answer, compare the alternatives, and review the related terms.

CARD Q080

Which statement best distinguishes notice of claim from proof of loss?

  1. Notice and proof are interchangeable and have the same purpose
  2. Notice supplies all medical proof; proof merely reports that a loss occurred
  3. Notice alerts the insurer; proof supplies information supporting the claim
  4. Notice is filed after proof has been accepted
CORRECT ANSWER · C

Notice alerts the insurer; proof supplies information supporting the claim

They are different claim duties. Forms, submission deadlines, and exceptions are governed by the policy and applicable law.

Why each choice is right or wrong

A. Notice and proof are interchangeable and have the same purpose

Incorrect. They have different purposes and requirements.

B. Notice supplies all medical proof; proof merely reports that a loss occurred

Incorrect. This reverses the functions.

C. Notice alerts the insurer; proof supplies information supporting the claim

Correct. They are different claim duties. Forms, submission deadlines, and exceptions are governed by the policy and applicable law.

D. Notice is filed after proof has been accepted

Incorrect. Notice normally precedes supporting proof rather than waiting for proof acceptance.

Review the related terms

Use these lessons to revisit the concepts and try additional practice questions.

Sources & further reading