State RegulationsNY specificDifficulty 2/5
An insurer licensed in New York receives a written communication from a policyholder about a claim. Under Reg 64, the insurer must:
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Answer & full 3-part explanation (select an option above, or peek)
Why B is correct
Under Reg 64 (11 NYCRR Part 216.3 through 216.6), an insurer that receives a claim-related communication must acknowledge it with reasonable promptness and, where appropriate, provide the claimant with the required claim forms and filing instructions. These standards are enforced by the Department of Financial Services through market conduct examinations and penalties.
Why the other options are wrong
- A) No rule requires immediate payment; the insurer retains the right to complete a reasonable investigation before deciding the claim.
- C) Deferring any response until a formal proof of loss arrives frustrates the prompt-communication standards that Reg 64 imposes.
- D) The Superintendent regulates insurers but is not a clearinghouse for routine claim correspondence; the insurer itself must respond.
Memory hook
Reg 64: acknowledge promptly and send forms — never leave the claimant in silence.