If a health insurance claim is not promptly paid, legal action may be taken after?

In South Carolina, the law requires that a health insurance claim must be paid promptly after a proof of loss has been submitted. If the claim is not paid, the policyholder has the right to take legal action after 60 days from the date they have provided proof of loss to the insurer. This timeframe allows the insurer a reasonable period to process the claim and make a payment. If the claim remains unpaid beyond this period, it indicates a failure on the part of the insurer to fulfill their contractual obligations, thereby justifying the policyholder to seek legal recourse.

The other options suggest different time frames that do not align with the regulatory requirements regarding the prompt payment of health insurance claims after proof of loss has been submitted. These incorrect options can lead to misunderstandings about the appropriate timelines for legal action, emphasizing the importance of knowing the 60-day requirement in South Carolina legal practice.