My puppy was 3 months old when he had his 1st accident, ( a broken paw in 2 places ). Trupanion notified me via E-mail as soon as they received my claim, which was within 24 hrs of the doctors visit. The check was soon to follow. His 2nd accident was an accidental ingestion, which again was handled quickly and professionally. Wish my health insurance was as quick as Trupanion.