Extract to table

Where an exclusion is susceptible to more than one reasonable interpretation, the interpretation that favors coverage must be adopted

After receipt of all items, statements, and forms that the insurer reasonably requested and that were necessary to secure a final proof of loss, the insurer must accept or reject the claim no later than the fifteenth business day after receipt

If the insurer accepts the claim, it must pay the claim within five business days after notifying the claimant of acceptance

This notice must be served on the insurer at least 60 days before the filing of suit and must specify the specific acts complained of and the amount of actual damages sustained

Materials to Prepare The following materials must be prepared and assembled before the mediation: 1