Insurer Disclosure of Important Policy Provisions

For California Residents

Our Coverage for Selected Conditions

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    Pre-existing conditions are not covered.
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    Congenital anomalies or disorders and Hereditary disorders are covered only under our InheritedPlus endorsement which is available for enrollment for dogs two years old and younger.
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    Chronic conditions are covered unless they are pre-existing.
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    Other exclusions may apply. Please refer to the exclusions section of your policy for more information.
  • Green Checkmark
    We do not reduce coverage or increase premiums based on your pet's individual claim history.

Summary Description of Claim Payment Determination

The allowable amount of claim is determined by:

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    Annual deductible
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    Co-pay amount
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    Incident and annual limits

In order to do our part in administering fairness and affordability for all, we occasionally need to adjust a claim if it is significantly above what is reasonable and customary (R&C). These R&C amounts are derived and confirmed from both internal and external data whereby a given procedure or treatment on a veterinarian bill is cross checked with the cost of that same procedure or treatment charged by other Veterinarians in that geographical area.

Terminology and Meaning

Chronic condition

A condition that can be treated or managed, but not cured.

Congenital anomaly or disorder

A condition that is present from birth, whether inherited or caused by the environment, which may cause or otherwise contribute to illness or disease.

Hereditary disorder

Means an abnormality that is genetically transmitted from parent to offspring and may cause illness or disease.

Pet insurance

An individual or group insurance policy that provides coverage for veterinary expenses.

Pre-existing condition

Any condition for which a veterinarian provided medical advice, the pet received treatment for, or the pet displayed signs or symptoms consistent with the stated condition prior to the effective date of a pet insurance policy or during any waiting period.

Veterinarian

An individual who holds a valid license to practice veterinary medicine from the Veterinary Medical Board pursuant to Chapter 11 (commencing with Section 4800) of Division 2 of the Business and Professions Code or other appropriate licensing entity in the jurisdiction in which he or she practices.

Veterinary expenses

The costs associated with medical advice, diagnosis, care, or treatment provided by a veterinarian, including, but not limited to, the cost of drugs prescribed by a veterinarian.

Waiting or affiliation period

The period of time specified in a pet insurance policy that is required to transpire before some or all of the coverage in the policy can begin.

Benefit Schedule of Our Preventative Endorsements

  Maxium Allowable Limits
Preventative Benefit Defender DefenderPlus
Spay/Neuter - Teeth Cleaning $0 $150
Rabies $15 $15
Flea/Tick Prevention $50 $65
Heartworm Prevention $30 $30
Vaccination/Titer $30 $40
Wellness Exam $50 $50
Heartworm test or FELV screen $25 $30
Blood, Fecal, Parasite Exam $50 $70
Microchip $20 $40
Urinalysis or ERD $15 $25
Deworming $20 $20
Benefit Value $305 $535
Total Savings 37% 42%
Your Cost $192 $312