We rescued two Golden puppies from a backyard breeder - both of them have had health issues since the outset. We purchased the insurance when the pups were 3 mos old - they're 5 now. Trupanion and the staff there have ALWAYS been extremely helpful and very good about working with us to get our boys the care they need. The claim process is simple and efficient, claims are settled very quickly. They're fair and are not looking for a way to deny a claim!! I honestly love them. I've sent numerous people to them for their pet insurance...even my vet recommends them now!!