Illinois Life Producer State-designated Practice Exam

An example of an unfair claims practice is:

1. Delayed payment without notice

2. Turning down a claim without providing basis of denial

3. Making partial payments without justification

4. Ignoring policy updates

The correct answer is: Turning down a claim without providing basis of denial

Turning down a claim without providing a basis for denial is considered an unfair claims practice because it undermines the principle of transparency and fairness that insurance companies are expected to uphold. Insurers have a contractual obligation to provide a clear explanation of the reasons for any claim denial. When a claimant submits a request for benefits, they are entitled to understand why their claim is being denied, which allows them to address any issues, potentially appeal the decision, or seek further information. This practice is regulated by laws and guidelines that promote honest communication between insurers and policyholders. The expectation is that claimants receive guidance on the reasons behind any unfavorable decisions, which helps maintain trust in the insurance system and ensures that policyholders are treated fairly. In contrast, delayed payment, making partial payments without justification, and ignoring updates to policies may also demonstrate issues with claims handling but do not directly encompass the lack of communication that is inherent in denying a claim without explanation. Each of these represents a different aspect of claims management but does not carry the same weight of unfairness as failing to provide a basis for denial, which risks leaving the policyholder without recourse or understanding of their situation.