PJC Business

DTPA/I NSURANCE C ODE

PJC 102.26

QUESTION 1 Was Don Davis unable to accept or reject Paul Payne ’s claim with in fifteen business days of receiving all items, statements, and forms he reasonably requested from Paul Payne that were necessary to de cide whether to accept or reject the claim? “Business day” means every day except Saturday [ , / or ] Sunday [ , or [ insert relevant state holiday(s) ]]. Answer “Yes” or “No.” Answer: _______________ If you answered “Yes” to Question 1, then answer the following question. Otherwise, do not answer the following question. QUESTION 2 Did Don Davis , within the fifteen-business-day period, notify Paul Payne of the reasons Don Davis needed more time to decide whether to accept or reject the claim? Answer “Yes” or “No.” Answer: _______________ If you answered “Yes” to Question 2, then answer the following question. Otherwise, do not answer the following question. QUESTION 3 Did Don Davis fail to do either of the following acts within forty five days after notifying Paul Payne of the reasons Don Davis needed more time to decide whether to accept or reject the claim? 1. Notify Paul Payne in writing that all or part of the claim was accepted; or 2. notify Paul Payne in writing that all or part of the claim was rejected and the reason[ s ] for the rejection. Answer “Yes” or “No.” Answer: _______________

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