What is a "claim" in the context of insurance?

Study for the Ontario Insurance Exam. Utilize flashcards and multiple choice questions, each offering hints and explanations. Get ready to succeed!

In the context of insurance, a "claim" refers specifically to a request made by a policyholder to their insurance company for payment or compensation based on the conditions outlined in their insurance policy. This typically occurs after the policyholder experiences a loss or damage that is covered under their policy. The claim process allows the policyholder to formally seek reimbursement for expenses or damages incurred, ensuring that they receive the financial support stipulated in their coverage agreement.

The other choices relate to different aspects of insurance but do not define what a claim is. A proposal for a new policy refers to the process of applying for insurance, an inquiry about coverage options involves seeking information about what is available but does not involve a loss, and a summary of the insured's benefits outlines what the policy covers but is not a request for payment. Therefore, the definition of a claim is distinct and centered on the action of requesting payment following a covered event.

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