State RegulationsGA specificDifficulty 1/5
Under Georgia's unfair claims settlement practices law, an insurer that fails to furnish claim forms within how long after a policyholder's request commits an unfair claims practice?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Under O.C.G.A. § 33-6-34(11), failing to provide claim forms within 15 calendar days of a request, together with reasonable explanations of their use, is an enumerated unfair claims settlement practice. The clock runs on calendar days, not working days, and is triggered by the request — the insurer cannot defer furnishing forms until a dispute ripens. This provision parallels the broader duty to acknowledge and act upon communications promptly.
Why the other options are wrong
- B) The working-day count of 15 applies to payment of electronic claims under the surprise billing provision, not to furnishing claim forms.
- C) 30 calendar days is the paper-claims payment deadline and the Medigap free-look period, not the claim-form deadline.
- D) No 20-working-day rule exists for claim forms; the statutory trigger is 15 calendar days from the request.
Memory hook
Claim forms fly fast: 15 calendar days after the ask, or it's an unfair practice.