PSI Life Exam Practice Test

Who is responsible for notifying an insurance company of a disability insurance claim?

1. The insured only

2. The insured's physician only

3. The insured and the insured's physician

4. Insurance brokers

The correct answer is: The insured and the insured's physician

In the process of filing a disability insurance claim, both the insured individual and their physician play critical roles. The insured is responsible for initiating the claim process by formally notifying the insurance company about their disability, as they are the policyholder who has the direct contract with the insurer. This involves filling out and submitting necessary forms, which may include details about the nature and extent of their disability. On the other hand, the insured's physician is essential for providing medical documentation to the insurance company. This documentation supports the insured's claim by verifying the medical condition, its severity, and its impact on the individual's ability to work. The physician's assessment and reports are pivotal for the insurance company to make an informed decision regarding the eligibility for benefits. Both parties working together ensures that the claim is accurately represented, supported by medical evidence, and processed in a timely manner. This collaborative approach is critical for the successful approval of a disability insurance claim.