We signed up for an introductory trial offer of insurance for our two-month old Labradoodle with Trupanion. The company had been recommended by our Veterinarian. Within the next three weeks we had to use the insurance twice - once for a vaginitis and next for a foxtail in the puppy's nose (ouch). The Vet office sent in the paperwork for reimbursement to Trupanion and immediately Trupanion communicated that they had received the claims. Within days they sent another email describing what portions of the claims they would reimburse, and soon we received the checks in the mail. It was quick, efficient and generous in payments, especially since the first month trial offer carried no deductible. We are very satisfied with Trupanion and will continue with their coverage. Their efforts to communicate clearly and quickly are much appreciated.