I had to race my 5 year old Labradoodle to the emergency room. I hadn't put in a claim to Trupanion since I started the insurance a year before. As I waited for the ER doc, I called Trupanion. The service rep. was so compasionate and immediately faxed the paperwork to the ER. I called later to check in and, again, the rep. was extremely helpful. The following day, I took my dog to her regular vet for a follow up. Then filed all the paperwork for a claim. Each step of the way, Trupanion emailed me the status, contacted all my previous vets to gather my dog's records. I was told it would take 4 to 6 weeks to get reimbursed. My checks are in the mail after 2-1/2 weeks. Everyone person I talked with at Trupanion was remarkable and very, very helpful. I highly recommend this company to everyone. I have neverr had such wonderful customer service.