{"data":{"id":"us-va/14vac5-400-50","jurisdiction":"us-va","citation":"14VAC5-400-50","heading":"Acknowledgment of pertinent communications","body":"A.  An insurer, upon receiving notification of a claim shall, within  15 calendar days, acknowledge the receipt of such notice to the  claimant unless payment is made within such period of time, except that if a provider submits a claim, acknowledgment of the claim is satisfied if payment or denial of the claim is made to the provider within 21 calendar days. If an  acknowledgment is made by means other than writing, an appropriate notation of such  acknowledgment shall be made in the claim file of the insurer and dated. Notification given by a claimant to an agent of an insurer shall be notification to the insurer.\n\nB.  Upon receipt of any inquiry from the  commission respecting a claim, an insurer shall furnish  a complete response to the inquiry within  15 calendar days of receipt.\n\nC. An appropriate reply shall be made within  15 calendar days on all other pertinent communications from a claimant  that reasonably suggest that a response is expected.\n\nD.  Upon receiving notification of a  claim, an insurer shall promptly provide necessary claim forms, instructions, and reasonable assistance  in order for the claimant to comply with the applicable policy conditions and the insurer's reasonable requirements. Compliance with this  subsection within  15 calendar days of notification of a claim shall constitute compliance with subsection A of this section.","path":["Title 14. Insurance","Agency 5. State Corporation Commission, Bureau of Insurance","Chapter 400. Rules Governing Unfair Claim Settlement Practices"],"source_url":"https://law.lis.virginia.gov/admincode/title14/agency5/chapter400/section50/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:52:02Z","sha256":"f521389c75ee019658e27fcfbb4e87dbbc49dacf48ca29fc7b563556ef1b7828","source_id":"us-va-vac","stale":false,"prev":"us-va/14vac5-400-40","next":"us-va/14vac5-400-60"},"notice":"GroundRules: Original legal text. Not legal advice."}