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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)
  • A
    15% (6)
  • B
    5% (2)
  • C
    73% (29)
  • D
    8% (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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