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One rule, 2 ways the exam asks it. Same knowledge point, different phrasing — work through all of them, because the exam rarely reuses the wording.

State RegulationsNC specificDifficulty 1/5

For a non-periodic accident and health claim, within what period after the date of loss must written proof of loss be furnished under the standard provisions law?

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Answer & full 3-part explanation (select an option above, or peek)

Why D is correct

Under G.S. 58-51-15(a)(7), written proof of loss is due within 180 days after the date of loss for all claims other than periodic-payment claims, which run 180 days after the end of the insurer's liability period. Late proof is accepted if submission was not reasonably possible, but in no event later than 1 year.

Why the other options are wrong

  • A) Sixty days is the waiting period before a legal action may be brought under G.S. 58-51-15(a)(11), not the proof-of-loss deadline.
  • B) The 90-day figure is the NAIC-model proof period and is shorter than North Carolina's statutory 180 days under G.S. 58-51-15(a)(7).
  • C) One year is the outside limit for late proof when timely submission was not reasonably possible, not the standard deadline.

Memory hook

North Carolina doubles the model rule: 180 days of proof, 1 year only if you could not help it.

State RegulationsNC specificDifficulty 1/5

After a covered accident, an insured under an individual accident and health policy in North Carolina must submit written proof of loss within how many days after the date of loss?

Select an option to reveal the answer and the full 3-part explanation — free, no signup.

Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

G.S. 58-51-15(a)(7) requires written proof of loss within 180 days after the date of loss, or within 180 days after the end of the liability period for periodic-payment claims. If submitting proof was not reasonably possible, the insured may file as soon as reasonably possible and in no event later than 1 year. North Carolina's 180-day period is a deliberate departure from the NAIC-model figure, which appears in this question only as a distractor.

Why the other options are wrong

  • A) Ninety days is the NAIC-model proof-of-loss period and is wrong here; North Carolina requires 180 days under G.S. 58-51-15(a)(7).
  • B) Twenty days is the notice-of-claim deadline under G.S. 58-51-15(a)(5), a separate and earlier step than proof of loss.
  • D) Thirty-one days is the grace period for non-monthly A&H premium modes under G.S. 58-51-15(a)(3), not the proof-of-loss deadline.

Memory hook

Notice in 20, proof in 180 — NC doubles the NAIC model.

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