SOFA-CFE · Question #243
What occurs when the policyholder has sustained the loss and usually settles quickly?
The correct answer is A. first-party claim. A first-party claim (A) occurs when the policyholder themselves has suffered a loss and files a claim directly with their own insurance company - because the insured and the insurer are the two parties to the contract, these claims tend to settle quickly since there's a direct…
Question
What occurs when the policyholder has sustained the loss and usually settles quickly?
Options
- Afirst-party claim
- Bsecond-party claim
- Creopened claim liability
- Dpersistent coverage
How the community answered
(52 responses)- A77% (40)
- B13% (7)
- C2% (1)
- D8% (4)
Explanation
A first-party claim (A) occurs when the policyholder themselves has suffered a loss and files a claim directly with their own insurance company - because the insured and the insurer are the two parties to the contract, these claims tend to settle quickly since there's a direct relationship with no adversarial third party involved.
B (second-party claim) is not a standard insurance term - in contract law, the "second party" is the insurer itself, so this phrasing doesn't describe a claim type. C (reopened claim liability) refers to a previously closed claim being revisited, which is the opposite of a quick settlement. D (persistent coverage) is not a recognized claims term at all and describes an ongoing policy feature, not a claims process.
Memory tip: Think "first-party = my party" - the policyholder is filing against their own policy, so there's no dispute about whose fault it is, making resolution faster.
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