SOFA-CFE · Question #59
Which policy covers losses reported during the policy period rather than when they occurred?
The correct answer is C. claims-made. Claims-made (C) is correct because this policy type triggers coverage based on when the claim is reported to the insurer, regardless of when the underlying loss actually occurred - so only claims reported within the active policy period are covered. Why the distractors are…
Question
Which policy covers losses reported during the policy period rather than when they occurred?
Options
- Acase reserve
- Bcase average
- Cclaims-made
- Dreported claim
How the community answered
(40 responses)- A15% (6)
- B5% (2)
- C73% (29)
- D8% (3)
Explanation
Claims-made (C) is correct because this policy type triggers coverage based on when the claim is reported to the insurer, regardless of when the underlying loss actually occurred - so only claims reported within the active policy period are covered.
Why the distractors are wrong:
- A. Case reserve - a reserve is an accounting estimate of future claim costs, not a policy type at all.
- B. Case average - not a standard insurance policy concept; this is a distractor with no meaningful definition in this context.
- D. Reported claim - describes a claim status or event, not a policy coverage trigger; it's a term used within claims processing, not a policy form.
Memory tip: Think "claims-made = claim must be made (reported) during the policy." Contrast this with an occurrence policy, which covers events that occur during the policy period regardless of when reported - if you remember one, you remember both.
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